Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic review
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 Systemat...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-03-01
|
| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076241237661 |
| _version_ | 1797244525092012032 |
|---|---|
| author | Varsamo Antoniou Eleni Kapreli Constantinos H Davos Ladislav Batalik Garyfallia Pepera |
| author_facet | Varsamo Antoniou Eleni Kapreli Constantinos H Davos Ladislav Batalik Garyfallia Pepera |
| author_sort | Varsamo Antoniou |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T19:12:23Z |
| format | Article |
| id | doaj.art-ed751d4d434b46418280388e5715d80b |
| institution | Directory Open Access Journal |
| issn | 2055-2076 |
| language | English |
| last_indexed | 2024-04-24T19:12:23Z |
| publishDate | 2024-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj.art-ed751d4d434b46418280388e5715d80b2024-03-26T10:03:24ZengSAGE PublishingDigital Health2055-20762024-03-011010.1177/20552076241237661Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic reviewVarsamo Antoniou0Eleni Kapreli1Constantinos H Davos2Ladislav Batalik3Garyfallia Pepera4 Clinical Exercise Physiology and Rehabilitation Laboratory, Department of Physiotherapy, School of Health Sciences, , Lamia, Greece Clinical Exercise Physiology and Rehabilitation Laboratory, Department of Physiotherapy, School of Health Sciences, , Lamia, Greece Cardiovascular Research Laboratory, Biomedical Research Foundation, , Athens, Greece Department of Physiotherapy and Rehabilitation, Faculty of Medicine, Masaryk University, Brno, Czech Republic Clinical Exercise Physiology and Rehabilitation Laboratory, Department of Physiotherapy, School of Health Sciences, , Lamia, GreeceObjective 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.https://doi.org/10.1177/20552076241237661 |
| spellingShingle | Varsamo Antoniou Eleni Kapreli Constantinos H Davos Ladislav Batalik Garyfallia Pepera Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic review Digital Health |
| title | Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic review |
| title_full | Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic review |
| title_fullStr | Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic review |
| title_full_unstemmed | Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic review |
| title_short | Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic review |
| title_sort | safety and long term outcomes of remote cardiac rehabilitation in coronary heart disease patients a systematic review |
| url | https://doi.org/10.1177/20552076241237661 |
| work_keys_str_mv | AT varsamoantoniou safetyandlongtermoutcomesofremotecardiacrehabilitationincoronaryheartdiseasepatientsasystematicreview AT elenikapreli safetyandlongtermoutcomesofremotecardiacrehabilitationincoronaryheartdiseasepatientsasystematicreview AT constantinoshdavos safetyandlongtermoutcomesofremotecardiacrehabilitationincoronaryheartdiseasepatientsasystematicreview AT ladislavbatalik safetyandlongtermoutcomesofremotecardiacrehabilitationincoronaryheartdiseasepatientsasystematicreview AT garyfalliapepera safetyandlongtermoutcomesofremotecardiacrehabilitationincoronaryheartdiseasepatientsasystematicreview |