在肺高血压中进行远程运动测试 (PHRET)
Harrison Stubbs1,2, Stephanie Lua1, Jamie Ingram1
1Scottish Pulmonary Vascular Unit Golden Jubilee National Hospital Glasgow UK.
Pulmonary circulation
|December 27, 2023
概括
对于肺高血压 (PH) 患者来说,包括tele-6MWT在内的远程运动测试是可行的. 虽然有效,但tele-6MWT的停用率很高,可能会限制其在PH远程医疗中的实用性.
科学领域:
- 心脏病学和肺部医学.
- 数字健康与远程医疗
- 运动生理学 运动生理学
背景情况:
- 肺高血压 (PH) 管理可以从改进的远程医疗策略中受益.
- 远程运动测试为在家监测PH患者提供了潜在的解决方案.
- 评估家庭运动测试的有效性和可行性对于临床采用至关重要.
研究的目的:
- 评估四个远程运动测试对肺高血压 (PH) 患者的有效性和可行性.
- 为了比较家庭测试与标准6分钟步行测试 (6MWT) 的性能和相关性.
- 在远程运动测试期间评估患者的坚持,满意度和安全性.
主要方法:
- 该PHRET研究包括接受PH诊断评估的患者.
- 患者进行了6MWT,随后在家中进行了定时起床和起床 (TUG),坐立测试 (STS),步骤测试 (ST) 和电话6MWT (T6MWT).
- 数据分析的重点是将研究测试与标准6MWT进行比较,评估完成率,相关性和改变方向的协议.
主要成果:
- 在TUG (97%) 和STS (92%) 中观察到高完成率,但在ST (73%) 和T6MWT (49%) 中较低.
- 在基线标准6MWT和T6MWT (0.93),ST (0.78),STS (0.71) 和TUG (-0.76) 之间发现了强烈的相关性.
- 远程测试显示在跟踪变化方面与标准6MWT有很好的一致性,没有报告的不良事件;92%的患者愿意继续进行家庭测试.
结论:
- 对于肺高血压患者来说,远程运动测试是可行的,患者愿意参与的意愿很高.
- 远程-6MWT证明了作为远程测量运动能力的有效性,但其完成率有限.
- 观察到一个显著的断药率 (15%),这可能会影响这些远程测试在PH管理中的整体效用.
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