Safety of home-based cardiac rehabilitation: A systematic
review

J 2022

Safety of home-based cardiac rehabilitation: A systematic review

STEFANAKIS, Marios, Ladislav BAŤALÍK, Varsamo ANTONIOU and Garyfallia PEPERA

Basic information

Original name

Safety of home-based cardiac rehabilitation: A systematic review

Authors

STEFANAKIS, Marios, Ladislav BAŤALÍK (203 Czech Republic, guarantor, belonging to the institution), Varsamo ANTONIOU and Garyfallia PEPERA

Edition

HEART & LUNG, NEW YORK, MOSBY-ELSEVIER, 2022, 0147-9563

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30304 Public and environmental health

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.800

RIV identification code

RIV/00216224:14110/22:00127560

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.hrtlng.2022.04.016

UT WoS

000892936500001

Keywords in English

Home-based cardiac rehabilitation; Telerehabilitation; Safety; Adverse events; Cardiac events

Abstract

V originále

Background: Cardiac rehabilitation is an evidence-based intervention that aims to improve health outcomes in cardiovascular disease patients, but it is largely underutilized. One strategy for improving utilization is home-based cardiac rehabilitation (HBCR). Previous research has shown that HBCR programs are feasible and effective. However, there is a lack of evidence on safety issues in different cardiac populations. This systematic review aimed to provide an evidence-based overview of the safety of HBCR. Objectives: To examine the incidence and severity of adverse events of HBCR. Methods: The following databases were searched: CINAHL, The Cochrane Library, Embase, MEDLINE, PubMed, Web of Science, Global Health, and Chinese BioMedical Literature Database for randomized controlled trials. The included trials were written in English and analyzed the incidence of adverse events (AEs) as a primary or secondary intervention outcome. Results: Five studies showed AEs incidence, of which only one study reported severe AE associated with HBCR exercise. The incidence rate of severe AEs from the sample (n = 808) was estimated as 1 per 23,823 patient-hour of HBCR exercise. More than half patients included were stratified into a high-risk group. In the studies were found no deaths or hospitalizations related to HBCR exercise. Conclusion: The risk of AEs during HBCR seems very low. Our results concerning the safety of HBCR should induce cardiac patients to be more active in their environment and practice physical exercise regularly.

Citovat

STEFANAKIS, Marios, Ladislav BAŤALÍK, Varsamo ANTONIOU and Garyfallia PEPERA. Safety of home-based cardiac rehabilitation: A systematic review. HEART & LUNG. NEW YORK: MOSBY-ELSEVIER, 2022, vol. 55, SEP-OCT 2022, p. 117-126. ISSN 0147-9563. Available from: https://dx.doi.org/10.1016/j.hrtlng.2022.04.016.

@article{2241337,
   author = {Stefanakis, Marios and Baťalík, Ladislav and Antoniou, Varsamo and Pepera, Garyfallia},
   article_location = {NEW YORK},
   article_number = {SEP-OCT 2022},
   doi = {http://dx.doi.org/10.1016/j.hrtlng.2022.04.016},
   keywords = {Home-based cardiac rehabilitation; Telerehabilitation; Safety; Adverse events; Cardiac events},
   language = {eng},
   issn = {0147-9563},
   journal = {HEART & LUNG},
   title = {Safety of home-based cardiac rehabilitation: A systematic review},
   url = {https://www.sciencedirect.com/science/article/pii/S0147956322000978?via%3Dihub},
   volume = {55},
   year = {2022}
}

TY  - JOUR
ID  - 2241337
AU  - Stefanakis, Marios - Baťalík, Ladislav - Antoniou, Varsamo - Pepera, Garyfallia
PY  - 2022
TI  - Safety of home-based cardiac rehabilitation: A systematic review
JF  - HEART & LUNG
VL  - 55
IS  - SEP-OCT 2022
SP  - 117-126
EP  - 117-126
PB  - MOSBY-ELSEVIER
SN  - 01479563
KW  - Home-based cardiac rehabilitation
KW  - Telerehabilitation
KW  - Safety
KW  - Adverse events
KW  - Cardiac events
UR  - https://www.sciencedirect.com/science/article/pii/S0147956322000978?via%3Dihub
N2  - Background: Cardiac rehabilitation is an evidence-based intervention that aims to improve health outcomes in cardiovascular disease patients, but it is largely underutilized. One strategy for improving utilization is home-based cardiac rehabilitation (HBCR). Previous research has shown that HBCR programs are feasible and effective. However, there is a lack of evidence on safety issues in different cardiac populations. This systematic review aimed to provide an evidence-based overview of the safety of HBCR. Objectives: To examine the incidence and severity of adverse events of HBCR. Methods: The following databases were searched: CINAHL, The Cochrane Library, Embase, MEDLINE, PubMed, Web of Science, Global Health, and Chinese BioMedical Literature Database for randomized controlled trials. The included trials were written in English and analyzed the incidence of adverse events (AEs) as a primary or secondary intervention outcome. Results: Five studies showed AEs incidence, of which only one study reported severe AE associated with HBCR exercise. The incidence rate of severe AEs from the sample (n = 808) was estimated as 1 per 23,823 patient-hour of HBCR exercise. More than half patients included were stratified into a high-risk group. In the studies were found no deaths or hospitalizations related to HBCR exercise. Conclusion: The risk of AEs during HBCR seems very low. Our results concerning the safety of HBCR should induce cardiac patients to be more active in their environment and practice physical exercise regularly.
ER  -

STEFANAKIS, Marios, Ladislav BAŤALÍK, Varsamo ANTONIOU and Garyfallia PEPERA. Safety of home-based cardiac rehabilitation: A systematic review. \textit{HEART \&{} LUNG}. NEW YORK: MOSBY-ELSEVIER, 2022, vol.~55, SEP-OCT 2022, p.~117-126. ISSN~0147-9563. Available from: https://dx.doi.org/10.1016/j.hrtlng.2022.04.016.

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