Safety and long-term outcomes of remote cardiac rehabilitation
in coronary heart disease patients: A systematic review

J 2024

Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic review

ANTONIOU, Varsamo, Eleni KAPRELI, Constantinos H DAVOS, Ladislav BAŤALÍK, Garyfallia PEPERA et. al.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

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

Abstract

V originále

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.

Citovat

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.

@article{2409517,
   author = {Antoniou, Varsamo and Kapreli, Eleni and Davos, Constantinos H and Baťalík, Ladislav and Pepera, Garyfallia},
   article_location = {LONDON},
   article_number = {2024},
   doi = {http://dx.doi.org/10.1177/20552076241237661},
   keywords = {Cardiac rehabilitation; digital cardiac rehabilitation; safety; mortality rate; morbidity; coronary heart disease; remote; systematic review; digital health},
   language = {eng},
   issn = {2055-2076},
   journal = {DIGITAL HEALTH},
   title = {Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic review},
   url = {https://journals.sagepub.com/doi/10.1177/20552076241237661},
   volume = {10},
   year = {2024}
}

TY  - JOUR
ID  - 2409517
AU  - Antoniou, Varsamo - Kapreli, Eleni - Davos, Constantinos H - Baťalík, Ladislav - Pepera, Garyfallia
PY  - 2024
TI  - Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic review
JF  - DIGITAL HEALTH
VL  - 10
IS  - 2024
SP  - 1-23
EP  - 1-23
PB  - SAGE PUBLICATIONS LTD
SN  - 20552076
KW  - Cardiac rehabilitation
KW  - digital cardiac rehabilitation
KW  - safety
KW  - mortality rate
KW  - morbidity
KW  - coronary heart disease
KW  - remote
KW  - systematic review
KW  - digital health
UR  - https://journals.sagepub.com/doi/10.1177/20552076241237661
N2  - 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.
ER  -

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. \textit{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.

Detailed Information on Publication Record