在COVID-19大流行期间,来自大型医疗保健系统的与会者在家进行心脏康复
Tomoaki Hama1,2, Audry S Chacin Suarez1, Thomas G Bissen1
1Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
JACC. Advances
|January 16, 2025
概括
家庭心脏康复 (HBCR) 在疫情期间显示出与中心心脏康复 (CBCR) 相似的参与和有效性. HBCR提供了一种可行的替代方案,可以改善患者的治疗结果,并增加获得心脏康复的机会.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 康复医学 康复医学 康复医学
背景情况:
- 在COVID-19大流行期间,家庭心脏康复 (HBCR) 与中心心脏康复 (CBCR) 之间存在有限的研究.
- 研究没有广泛地比较HBCR和CBCR之间的患者人口统计,参与和临床结果.
- 疫情需要评估心脏康复的替代交付模式.
研究的目的:
- 为了比较HBCR和CBCR之间的患者特征和参与率.
- 在临床指标,生活质量 (QoL) 和可修改的风险因素上评估HBCR与CBCR的疗效.
- 在大流行前的心脏康复 (CR) 与大流行期间的心脏康复 (CR) 的背景下评估这些结果.
主要方法:
- 追溯队列研究涉及511名HBCR患者和765名CBCR患者.
- HBCR包括12个会话,而常规CBCR包括36个会话.
- 在CR参与之前和之后评估了临床结果.
主要成果:
- 在HBCR组中,冠状动脉疾病患者比例较低 (45.2%对63.3%,P<0.001).
- 参与率相似:HBCR的74.5%±28.6%与CBCR的67.9%±35.7%相比 (P = 0.26).
- 两组人都在营养,抑郁,生活质量,葡萄糖不耐受和脂质状况方面表现出相似的改善.
结论:
- 在COVID-19大流行期间,HBCR的参与率与CBCR的参与率相当.
- 与CBCR相比,HBCR在改善中间结果方面表现得同样有效.
- HBCR是一个合适的替代模型,可以提高CR可访问性,并改善无法参加CBCR的患者的临床结果.
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