Home-based versus in-hospital cardiac rehabilitation after cardiac surgery: a nonrandomized controlled study
Source: Scalvini et al. 2013 - Pubmed ID: 23599353
Setting: Italy, Hospital
CT
Follow-up: 4 weeks
Sample size:
Total: 200
IG: 100
CG: 100
Inclusion criteria:
- Cardiac surgery
- Low to medium risk for early mortality (EuroSCORE 0–5)
(DVD, video conference and phone call
Video consultation (DVD)
- Exercises
- Physical activity
- Clinical data
Phone call
- Physical activity
- Clinical data
- Personal health record
- Diet
- Guidance:
– Behavioral modification strategies
– Risk-factor management
– Psychological and psychosocial management
Intervention: Home based exercise rehabilitation with personalized training program. Daily callisthenic (60 min). Bicycle training twice a day (40 min). DVD illustrating the correct way to perform exercises. Telemonitored daily by a nurse and physical therapist. Home visits by nurse every 2 weeks and physical therapist every week. Supervised by a cardilogist
Duration: 4 weeks
Add on: NA
Control group: Usual care
Clinical effect:
- Six-Minute Walk Test 6MWT→
- LVEF→
- Hb↑
Patient safety:
- Clinical events→
- Patients with antiplatelet/anticoagulant at discharge→
- Patients with statins at discharge↑
Patient experience: NA
Staff experience: NA
Investment:
Equipment
- Mobile phone
- DVD
- ECG
- Computer
Running:
Technical
- Mobile phone
- DVD
- ECG
- Computer
Staff
- Monitoring
- Coaching
- Treatment adjustments
Organization: NA
Health care utilization:
- Rehabilitation period→
- Days from the surgical intervention to rehabilitation↓
- Total duration of the rehabilitative sessions→
- ECG/patient↓
- Chest radiographs /patient→
- Blood withdrawings /patient↓