Comparative Assessment of the Long-Term Efficacy of Home-Based Versus Center-Based Cardiac Rehabilitation.

Autor:	Nso N; Internal Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, New York, USA., Nassar M; Internal Medicine, Icahn School of Medicine at Mount Sinai, New York City Health and Hospitals/Queens, New York, USA., Mbome Y; Internal Medicine, Richmond University Medical Center, New York, USA., Emmanuel KE; Internal Medicine, University of Pittsburgh Medical Center Pinnacle, Harrisburg, USA., Lyonga Ngonge A; Department of Medicine, State University of New York Upstate Medical University, New York, USA., Badejoko S; Internal Medicine, St. Joseph's Medical Center, Stockton, USA., Akbar S; Internal Medicine, Kettering Medical Center, Dayton, USA., Landry I; Medicine, Icahn School of Medicine at Mount Sinai, New York City Health and Hospitals/Queens, New York, USA., Alfishawy M; Infectious Diseases, Infectious Diseases Consultants and Academic Researchers of Egypt (IDCARE), Cairo, EGY., Munira M; Cardilogy/Medicine, Weill Cornell Medicine, New York, USA.; Cardiology, Queens Hospital Center, New York, USA., Rizzo V; Internal Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, New York City, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Mar 25; Vol. 14 (3), pp. e23485. Date of Electronic Publication: 2022 Mar 25 (Print Publication: 2022).
DOI:	10.7759/cureus.23485
Abstrakt:	Cardiac rehabilitation programs support the health, wellness, and recovery of patients with cardiovascular conditions. This systematic review attempts to expand these findings while analyzing the latest randomized controlled trials (RCTs) focusing on the long-term advantages of home/center-based cardiac rehabilitation interventions. This study also comparatively analyzes the benefits of opting for home-based cardiac rehabilitation instead of center-based measures to improve the long-term clinical outcomes of cardiac patients. We extracted and analyzed 10 studies (based on 1,549 cardiac patients) concerning the therapeutic efficacy of center/home-based cardiac rehabilitation interventions. The included studies complied with the year range of 2000-2021. The risk of bias assessment was undertaken using the Cochrane Risk-of-Bias tool to evaluate random sequence generation, allocation concealment, blinding of subjects, outcome data completeness, and selective reporting patterns concerning the included RCTs. The findings of our systematic review confirmed the capacity of a home-based cardiac rehabilitation program to effectively improve left ventricular ejection fraction, health-related quality of life, physical fitness, recovery rate, self-efficacy, sedentary lifestyle, physical activity, satisfaction level, functional capacity, social support, and hemodynamic parameters of patients with cardiovascular diseases. Home-based cardiac rehabilitation had the potential to minimize the levels of triglycerides, anxiety, depression, waist circumference, and body mass index/weight of cardiac patients. The results of our systematic review affirmed the long-term therapeutic efficacy of a home-based cardiac rehabilitation program compared to a center-based cardiac rehabilitation program for adult cardiac patients. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Nso et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu