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Updated: May 26, 2025
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
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Home-Based Physiotherapy Programme Reduces Hospital Stay and Costs in Cardiac Surgery. A Retrospective Cohort Study
Jorge Montero-Cámara1, Francisco José Ferrer-Sargues1, David Cuesta Peredo2
1Deparment of Nursing and Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.
Summary
A pre-surgical respiratory program significantly reduces hospital length of stay (HLOS) and intensive care unit length of stay (ICULOS) for cardiac surgery patients. This approach also lowers healthcare costs and mortality risk, improving patient outcomes.
Area of Science:
- Cardiology
- Pulmonology
- Health Services Research
Background:
- Cardiac surgery improves survival for cardiovascular disease (CVD) patients.
- Fast-track protocols aim to reduce complications and hospital length of stay (HLOS).
- Evidence on unsupervised pre-operative physiotherapy for fast-track cardiac surgery is lacking.
Purpose of the Study:
- To determine if a pre-surgical respiratory program reduces intensive care unit length of stay (ICULOS) and HLOS in fast-track cardiac surgery patients.
- To assess the program's impact on post-operative complications and healthcare costs.
Main Methods:
- Retrospective observational cohort study comparing patients with and without a pre-operative exercise program (pre-hab group vs. no pre-hab group).
- Analysis of ICULOS, HLOS, post-operative complications, and healthcare costs.
- Healthcare costs calculated using Spanish Ministry of Health cost tables.
Main Results:
- Significant reductions in HLOS (232.8 vs. 315.1 hours) and ICULOS (82.0 vs. 120.2 hours) were observed in the pre-hab group.
- Average healthcare cost savings of €356,107.16 were achieved for the pre-hab group.
- Mortality risk was significantly lower in the pre-hab group (17.7% vs. 26.65%).
Conclusions:
- An unsupervised, home-based respiratory program effectively reduces hospital and ICU stay post-cardiac surgery.
- This pre-habilitation strategy leads to significant healthcare cost savings and reduced mortality risk.
- The program, focusing on ventilatory exercises, enhances patient recovery and lessens the burden on hospital resources.
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