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

Nso, Nso; Nassar, Mahmoud; Mbome, Yolanda; Emmanuel, Kelechi; Ngonge, Anthony Lyonga; Badejoko, Solomon; Akbar, Shahzad; Landry, Ian; Alfishawy, Mostafa; Munira, Most Sirajum; Rizzo, Vincent

doi:10.7759/cureus.23485

Cited by 8 publications

(10 citation statements)

References 25 publications

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“…Previous studies have shown no significant differences between home-based and hospital-based CR in terms of functional capacity, psychological symptoms, quality of life, and all-cause hospitalization. 7 , 9 In addition, a recent systematic review has shown that home CR can be a safe alternative to CR. 37 Despite this, most patients prefer hospital-based compared with home-based CR.…”

Section: Discussionmentioning

confidence: 99%

“… 8 In addition, technology-assisted home CR can extend healthcare support to more patients, and patients from rural areas have more access to CR. 9 …”

Section: Introductionmentioning

confidence: 99%

“…8 In addition, technology-assisted home CR can extend healthcare support to more patients, and patients from rural areas have more access to CR. 9 Despite many proven benefits, CR currently suffers from low participation and adherence due to a mismatch between patients and CR programs that does not take into account patient preferences. 10,11 In addition, a wide range of CR settings, components, and contents are available for patients.…”

Section: Introductionmentioning

confidence: 99%

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Patient Preferences for Cardiac Rehabilitation – A Systematic Review

Liu¹,

Su²,

Lei³

et al. 2023

PPA

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Background Although a large number of studies have demonstrated the effectiveness of cardiac rehabilitation(CR), patient preferences for CR remain unclear. Knowing patient preferences may contribute to increasing patient participation and adherence, thus improving patient prognosis. Methods A systematic search was carried out using electronic databases and manual reference checks from inception until 15th June 2022. Quantitative studies, qualitative studies and mixed methods studies assessing patient preferences for CR were included. Two researchers independently conducted study selectionand data extraction. CR preferences were divided into three categories: CR settings, CR components, and CR contents. A narrative synthesis was applied to integrate the results of the included studies. The Mixed Methods Appraisal Tool (MMAT) was used to assess the quality of included studies. Results Ultimately, 17 publications were included in this study. Regarding CR settings, most patients preferred the hospital to home, some considered both, and a few were willing to accept the local CR club as an alternative setting to the hospital. For CR components, regardless of age and gender, patients considered exercise training and nutrition counseling to be the most important and smoking cessation to be the least important. In exercise intervention of CR contents, progress discussion and encouragement were rated as most critical, and non-conflicting with other activities was rated as least critical. In psychological intervention of CR contents, most patients were willing to accept psychological intervention, and a few patients wanted to heal the trauma with the passage of time. Conclusion This systematic review provides important insights into patient preferences for CR, clarifying patient preferences for CR settings, components, and contents, along with possible influencing factors. Patient preferences may change due to the COVID-19 epidemic, and there is still a need to focus on patient preferences for CR and conduct more relevant primary research to validate the findings of this paper in the future.

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Section: Discussionmentioning

confidence: 99%

“… 8 In addition, technology-assisted home CR can extend healthcare support to more patients, and patients from rural areas have more access to CR. 9 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patient Preferences for Cardiac Rehabilitation – A Systematic Review

Liu¹,

Su²,

Lei³

et al. 2023

PPA

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“…The possible alternative way of delivering CR in SA as home-based CR which could be one of the solution to overcome the barriers of limited number of CR in the western region of SA. Home-based CR may help on removing barriers, 32 because it has easy access for cardiac patients particularly to those who lives in the rural areas, it is suitable to use during the pandemic such as COPVID and patients can use telehealth during home-based CR centers. 15,33,34…”

Section: Dovepressmentioning

confidence: 99%

Barriers to Establishing Outpatient Cardiac Rehabilitation in the Western Region of Saudi Arabia: A Cross-Sectional Study

Khushhal¹,

Alsubaiei²

2023

JMDH

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Background:The core of cardiac rehabilitation (CR) is structured exercise training. CR reduces 28-56% hospital readmission rate, and around 25% increases cardiorespiratory fitness but the number of outpatients CR centers in Saudi Arabia (SA) is very limited and there is a need to establish outpatient CR (Phase III) in SA. Furthermore, the awareness of outpatient CR in SA is unknown. Aim: To determine the main barriers to establishing an outpatient CR program (Phase III) in the western region of SA, as well as assess the awareness of outpatient CR (Phase III) in the western region of SA. Methods: A cross-sectional study survey was conducted between March -July 2021 among physiotherapists, cardiologists and the cardiac surgeon using a questionnaire distributed electronically to determine the awareness level of outpatient CR and barriers to establishing outpatient CR (Phase III) in the western region of SA. Frequencies and percentages were used to report the variables. Results: Of the 141 participants who completed the online survey, our findings showed that 131 (93%) were aware of CR but only 29 (21%) were aware of the four phases of CR. There were three main barriers to establishing CR: lack of appropriate CR 135 (96%); lack of awareness among healthcare professions of CR and its benefits 134 (95%) and the lack of healthcare providers trained in CR 133 (94%). There was a significant relationship between physiotherapists and cardiologists' responses on agreeing to all barriers to establishing CR in SA (r=0.69, P =0.03). Conclusion:To overcome the barriers to establishing CR outpatient centers in the western region of SA, it is recommended to provide more CR outpatient training programs to healthcare providers and raise the awareness of the CR phases, its benefits, and the risk factors for developing cardiac diseases among healthcare providers.

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“…[ 9 ] It not only guarantees the accessibility of CR during the COVID-19 pandemic, but also provides better opportunities for patients in rural or other backward areas to participate in CR. [ 10 , 11 ] The latest meta-analysis indicates that HBCR with wearable sensors has the potential to increase the accessibility, adherence, and participation rates in CR interventions, by helping to overcome several barriers that prevent CR participation. [ 12 ] Overall, home-based cardiac rehabilitation has a promising future.…”

Section: Introductionmentioning

confidence: 99%

Home-based cardiac rehabilitation: A review of bibliometric studies and visual analysis of CiteSpace (2012–2021)

et al. 2022

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Home-based cardiac rehabilitation has been a major area in cardiac rehabilitation research for a long time. However, there are few systematic studies in this field using bibliometric analysis. We collected articles and reviews for home-based cardiac rehabilitation from the Web of Science Core Collection. Our objectives were to perform a bibliometric analysis and visualization study to determine hotspots and trends of home-based cardiac rehabilitation, identify collaboration and influence among authors, countries, institutions, and journals, and assess the knowledge base to develop clinical research in the future. This study will provide a valuable reference for researchers concerned with HBCR.

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

Cited by 8 publications

References 25 publications

Patient Preferences for Cardiac Rehabilitation – A Systematic Review

Patient Preferences for Cardiac Rehabilitation – A Systematic Review

Barriers to Establishing Outpatient Cardiac Rehabilitation in the Western Region of Saudi Arabia: A Cross-Sectional Study

Home-based cardiac rehabilitation: A review of bibliometric studies and visual analysis of CiteSpace (2012–2021)

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