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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Technological Developments, Exercise Training Programs, and Clinical Outcomes in Cardiac Telerehabilitation in the
Marina Garofano1,2, Carmine Vecchione2, Mariaconsiglia Calabrese2
1Department of Medicine, Surgery and Dentistry, University of Cagliari, 09124 Cagliari, Italy.
Insights
Cardiac telerehabilitation (CTR) improves patient outcomes and offers advantages over traditional cardiac rehabilitation. This innovative model enhances accessibility and cost-effectiveness for cardiovascular disease patients.
Area of Science:
- Cardiology
- Digital Health
- Rehabilitation Medicine
Background:
- Cardiovascular diseases (CVDs) lead to high re-hospitalization and mortality rates.
- Cardiac rehabilitation (CR) programs improve patient outcomes.
- Cardiac telerehabilitation (CTR) presents an innovative healthcare delivery model for CVD management.
Purpose of the Study:
- To review technological advancements in cardiac rehabilitation over time.
- To identify the types of rehabilitation programs utilized in CTR.
- To assess the effectiveness of CTR compared to traditional methods.
Main Methods:
- Systematic review of randomized controlled trials (RCTs).
- Searched PubMed, Web of Science, and Scopus databases (January 2015 - January 2024).
- Included 16 RCTs after initial screening of 502 articles.
Main Results:
- CTR demonstrated significant improvements in key outcome measures.
- Technological advancements have positively impacted CTR effectiveness.
- CTR showed comparable or superior results to center-based rehabilitation.
Conclusions:
- CTR offers advantages including cost-effectiveness and overcoming geographical barriers.
- CTR improves access to treatment, particularly for women.
- CTR is a viable and effective alternative to traditional cardiac rehabilitation.
Background:
Cardiovascular diseases (CVDs) are associated with very high rates of re-hospitalization and mortality worldwide, so the complexity of these pathologies requires frequent access to hospital facilities. The guidelines also emphasize the importance of cardiac rehabilitation (CR) programs, which have demonstrated a favorable effect on outcomes, and cardiac telerehabilitation (CTR) could represent an innovative healthcare delivery model. The aim of our review is to study how technologies used in rehabilitation have changed over time and also to understand what types of rehabilitation programs have been used in telerehabilitation.
Methods:
We searched randomized controlled trials (RCTs) in three electronic databases, PubMed, Web of Science, and Scopus, from January 2015 to January 2024, using relevant keywords. Initially, 502 articles were found, and 79 duplicates were identified and eliminated with EndNote.
Results:
In total, 16 RCTs fulfilled the pre-defined criteria, which were analyzed in our systematic review. The results showed that after CTR, there was a significant improvement in main outcome measures, as well as in relation to technological advances.
Conclusions:
Moreover, compared to center-based rehabilitation, CTR can offer further advantages, with better cost-effectiveness, the breakdown of geographical barriers, and the improvement of access to treatment for the female population, which is traditionally more socially committed.
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