Conclusions : Telehealth interventions with a range of delivery modes could be offered to patients who can not attend cardiac rehabilitation , or as an adjunct to cardiac rehabilitation for effective secondary prevention
Background : Coronary heart disease ( CHD ) is a major cause of death worldwide .
Cardiac rehabilitation , an evidence -based CHD secondary prevention programme , remains underutilized .
Telehealth may offer an innovative solution to overcome barriers to cardiac rehabilitation attendance .
We aim ed to determine whether contemporary telehealth interventions can provide effective secondary prevention as an alternative or adjunct care compared with cardiac rehabilitation and /or usual care for patients with CHD .
How much do the benefits cost? Effects of a home-based training programme on cardiovascular fitness, quality of life, programme cost and adherence for patients with coronary disease
Objective : To evaluate cost , adherence and effects on cardiovascular function and quality of life of a home-based cardiac rehabilitation programme for patients with coronary disease . Design : A r and omized , prospect i ve controlled trial . Setting : Department of Rehabilitation , University Hospital , Brazil . Subjects : Thirty-nine low-risk patients were assigned to a home exercise training group ( n = 19 ) or a control group ( n = 20 ) . Interventions : The home group performed home-based training for three months with biweekly telephone monitoring . Main outcome measures : The aerobic capacity and the quality of life ( Medical Outcomes Study 36-Item Short Form Survey ( SF-36 ) ) of all patients were evaluated before and after the three-month period . Adherence was evaluated weekly . Programme cost was estimated using the Brazilian Classification of Medical Procedures . Results : After training , the home group had higher peak Vo2 from 28.8 ( 6.4 ) to 31.7 ( 8.1 ) mL/kg per minute , peak heart rate from 135 ( 22 ) to 143 ( 20 ) bpm , work rate from 4780 ( 2021 ) to 7103 ( 3057 ) kpm/min and exercise time from 11.5 ( 1.9 ) to 13.6 ( 2.3 ) minutes ( P ≤ 0.05 ) . The control group showed reduction in peak Vo2 from 28.6 ( 6.6 ) to 26.8 ( 7.2 ) mL/kg per minute , peak Vo2 pulse from 15.5 ( 3.9 ) to 14.3 ( 3.8 ) mL/bpm and exercise time from 11.5 ( 2.3 ) to 11.4 ( 2.7 ) minutes ( P ≤ 0.05 ) . The home group reported improvements in all domains of SF-36 . The control group showed improvement in only three domains of SF-36 . In the home group the average cost per patient was US$ 502.71 and the adherence achieved 100 % . Conclusion : The programme seems to provide an efficient low-cost approach to cardiac rehabilitation in low-risk patients
Conclusions : Telehealth interventions with a range of delivery modes could be offered to patients who can not attend cardiac rehabilitation , or as an adjunct to cardiac rehabilitation for effective secondary prevention
Background : Coronary heart disease ( CHD ) is a major cause of death worldwide .
Cardiac rehabilitation , an evidence -based CHD secondary prevention programme , remains underutilized .
Telehealth may offer an innovative solution to overcome barriers to cardiac rehabilitation attendance .
We aim ed to determine whether contemporary telehealth interventions can provide effective secondary prevention as an alternative or adjunct care compared with cardiac rehabilitation and /or usual care for patients with CHD .