A Controlled Trial of Cardiac Rehabilitation in the Home Setting Using Electrocardiographic and Voice Transtelephonic Monitoring
| Autor: | James R. Nestor, Gerald F. Fletcher, Philip A. Ades, Lenore Zohman, F J Pashkow, Ileana L. Piña |
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| Rok vydání: | 2000 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Coronary Disease Home Care Services Hospital-Based Physical Therapy Sports Therapy and Rehabilitation Body Mass Index law.invention Oxygen Consumption Sex Factors Randomized controlled trial Quality of life law medicine Humans Aerobic capacity Exercise Tolerance Rehabilitation medicine.diagnostic_test business.industry Body Weight Age Factors Hemodynamics Middle Aged Home setting Monitoring program Coronary heart disease Telemedicine Exercise Therapy Telephone Treatment Outcome Bodily pain Home exercise Electrocardiography Ambulatory Quality of Life Physical therapy Female Cardiology and Cardiovascular Medicine business Electrocardiography Psychosocial Program Evaluation |
| Zdroj: | Cardiopulmonary Physical Therapy Journal. 11:110 |
| ISSN: | 1541-7891 |
| DOI: | 10.1097/01823246-200011030-00009 |
| Popis: | Objective The goal of this study was to compare the effectiveness of home-based, transtelephonically monitored cardiac rehabilitation with standard, on-site, supervised cardiac rehabilitation. Background Participation in cardiac rehabilitation has been demonstrated to increase exercise capacity, decrease cardiovascular symptoms, improve psychosocial status, and decrease total and cardiovascular mortality rates in patients with coronary heart disease. Because of multiple factors, national overall participation is only at 15% of eligible patients. Methods Effects of a 3-month home-based, transtelephonically monitored rehabilitation program (n = 83 patients) with simultaneous voice and electrocardiographic transmission to a centrally located nurse coordinator were compared with effects of a standard on-site rehabilitation program (n = 50 patients). The study design was a multicenter, controlled trial. Primary outcome variables were peak aerobic capacity and quality of life, as measured by the Health Status Questionnaire. Results Patients in the home-based monitoring program increased peak aerobic capacity to a similar degree as patients who exercised on site (18% vs 23%). Quality of life domains of physical functioning, social functioning, physical role limitations, emotional role limitations, bodily pain, and energy/fatigue improved similarly in both groups. There were no circulatory arrests or other major exercise-related medical events in either group. A total of 3100 hours of home exercise were transtelephonically monitored. Conclusions Patients with coronary heart disease can effectively participate in home-based, monitored cardiac rehabilitation, with exercise and quality of life improvements comparable to those demonstrated at on-site programs. |
| Databáze: | OpenAIRE |
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