ANTONIOU, Varsamo, Eleni KAPRELI, Constantinos H DAVOS, Ladislav BAŤALÍK and Garyfallia PEPERA. Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic review. DIGITAL HEALTH. LONDON: SAGE PUBLICATIONS LTD, 2024, vol. 10, No 2024, p. 1-23. ISSN 2055-2076. Available from: https://dx.doi.org/10.1177/20552076241237661.
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Basic information
Original name Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic review
Authors ANTONIOU, Varsamo, Eleni KAPRELI, Constantinos H DAVOS, Ladislav BAŤALÍK (203 Czech Republic, belonging to the institution) and Garyfallia PEPERA.
Edition DIGITAL HEALTH, LONDON, SAGE PUBLICATIONS LTD, 2024, 2055-2076.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 3.900 in 2022
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1177/20552076241237661
UT WoS 001190681400001
Keywords in English Cardiac rehabilitation; digital cardiac rehabilitation; safety; mortality rate; morbidity; coronary heart disease; remote; systematic review; digital health
Tags 14110614, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 10/6/2024 13:23.
Abstract
Objective To systematically review the safety and the long-term mortality and morbidity risk-rates of the remotely-delivered cardiac rehabilitation (RDCR) interventions in coronary heart disease (CHD) patients.Methods The protocol was registered in the International Prospective Register of Systematic Reviews (CRD42023455471). Five databases (Pubmed, Scopus, Cochrane Central Register of Controlled Trials in the Cochrane Library, Cinahl and Web of Science) were reviewed from January 2012 up to August 2023. Inclusion criteria were: (a) randomized controlled trials, (b) RDCR implementation of at least 12 weeks duration, (c) assessment of safety, rates of serious adverse events (SAEs) and re-hospitalization incidences at endpoints more than 6 months. Three reviewers independently performed data extraction and assessed the risk of bias using the Cochrane Risk of Bias tool.Results 14 studies were identified involving 2012 participants and a range of RDCR duration between 3 months to 1 year. The incidence rate of exercise-related SAEs was estimated at 1 per 53,770 patient-hours of RDCR exercise. A non-statistically significant reduction in the re-hospitalization rates and the days lost due to hospitalization was noticed in the RDCR groups. There were no exercise-related deaths. The overall study quality was of low risk.Conclusions RDCR can act as a safe alternative delivery mode of cardiac rehabilitation (CR). The low long-term rates of reported SAEs and re-hospitalization incidences of the RDCR could enhance the uptake rates of CR interventions. However, further investigation is needed in larger populations and longer assessment points.
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