在选择性心脏手术后,远程康复对不良事件的影响:随机对照试验
Bart Scheenstra1, Lieke van Susante2, Bart C Bongers3
1Department of Cardiothoracic Surgery, Heart and Vascular Center, Maastricht University Medical Center, Maastricht, the Netherlands; Department of Cardiothoracic Surgery, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, the Netherlands.
Journal of the American College of Cardiology
|October 13, 2024
概括
在心脏手术患者中,个性化远程康复显著减少了主要的心血管不良事件. 这种数字化方法改善了结果,特别是减少了住院治疗,为术后护理提供了新的策略.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 在外科手术期间的医学.
背景情况:
- 接受心脏手术的患者往往具有可修改的风险因素,影响术后结果.
- 预康复可以提高健康状况,但其对该组心血管终点的影响尚未研究.
研究的目的:
- 评估个性化多式联络远程康复对预定接受选择性心脏手术的患者主要心血管不良事件的影响.
主要方法:
- 一个多中心随机对照试验,涉及394名等待心脏手术的患者.
- 患者接受了个性化的多式联络远程康复计划或标准护理.
- 主要结局是主要的不良心血管事件,经术后评估长达1年.
主要成果:
- 远程康复组的重大心血管不良事件发生率明显较低 (16.8%vs25.5%).
- 这种减少主要是由于住院病例的减少,特别是在接受心脏手术的患者中.
- 远程康复还减少了活跃吸烟,增加了肺风险得分和抑郁症得分.
结论:
- 在接受心脏手术的患者中,个性化的多式联络远程康复显著减少了主要的心血管不良事件.
- 数字心脏咨询 (DCC) 试验表明,这种数字健康干预措施具有临床相关的益处.
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