Remote cardiac rehabilitation is a good alternative of outpatient cardiac rehabilitation in the COVID-19 era

Autor: Atsuko Nakayama, Naoko Takayama, Momoko Kobayashi, Kanako Hyodo, Naomi Maeshima, Fujiwara Takayuki, Hiroyuki Morita, Issei Komuro
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Environmental Health and Preventive Medicine, Vol 25, Iss 1, Pp 1-6 (2020)
Druh dokumentu: article
ISSN: 1342-078X
1347-4715
DOI: 10.1186/s12199-020-00885-2
Popis: 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.
Databáze: Directory of Open Access Journals
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