Your browser doesn't support javascript.
Remote cardiac rehabilitation is a good alternative of outpatient cardiac rehabilitation in the COVID-19 era.
Nakayama, Atsuko; Takayama, Naoko; Kobayashi, Momoko; Hyodo, Kanako; Maeshima, Naomi; Takayuki, Fujiwara; Morita, Hiroyuki; Komuro, Issei.
  • Nakayama A; Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. st7089-fki@umin.ac.jp.
  • Takayama N; Nursing Department, The University of Tokyo, Tokyo, Japan.
  • Kobayashi M; Nursing Department, The University of Tokyo, Tokyo, Japan.
  • Hyodo K; Nursing Department, The University of Tokyo, Tokyo, Japan.
  • Maeshima N; Nursing Department, The University of Tokyo, Tokyo, Japan.
  • Takayuki F; Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
  • Morita H; Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. hmrt-tky@umin.ac.jp.
  • Komuro I; Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Environ Health Prev Med ; 25(1): 48, 2020 Sep 05.
Article in English | MEDLINE | ID: covidwho-745686
ABSTRACT

BACKGROUND:

In the wake of the coronavirus disease 2019 (COVID-19) pandemic, people need to practice social distancing in order to protect themselves from SARS-CoV-2 infection. In such stressful situations, remote cardiac rehabilitation (CR) might be a viable alternative to the outpatient CR program.

METHODS:

We prospectively investigated patients hospitalized for heart failure (HF) with a left ventricular ejection fraction of < 50%. As for patients who participated in the remote CR program, telephone support was provided by cardiologists and nurses who specialized in HF every 2 weeks after discharge. The emergency readmission rate within 30 days of discharge was compared among the outpatient CR, remote CR, and non-CR groups, and the EQ-5D score was compared between the outpatient CR and remote CR groups.

RESULTS:

The participation rate of HF patients in our remote CR program elevated during the COVID-19 pandemic. As observed in the outpatient CR group (n = 69), the emergency readmission rate within 30 days of discharge was lower in the remote CR group (n = 30) than in the non-CR group (n = 137) (P = 0.02). The EQ-5D score was higher in the remote CR group than in the outpatient CR group (P = 0.03) 30 days after discharge.

CONCLUSIONS:

Remote CR is as effective as outpatient CR for improving the short-term prognosis of patients hospitalized for heart failure post-discharge. This suggests that the remote CR program can be provided as a good alternative to the outpatient CR program.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Self Care / Telemedicine / Coronavirus Infections / Cardiac Rehabilitation / Heart Failure Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Aged / Humans / Middle aged Country/Region as subject: Asia Language: English Journal: Environ Health Prev Med Year: 2020 Document Type: Article Affiliation country: S12199-020-00885-2

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Self Care / Telemedicine / Coronavirus Infections / Cardiac Rehabilitation / Heart Failure Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Aged / Humans / Middle aged Country/Region as subject: Asia Language: English Journal: Environ Health Prev Med Year: 2020 Document Type: Article Affiliation country: S12199-020-00885-2