Telehealth during COVID-19 pandemic era: a systematic review

Kissi, Jonathan; Quansah, Daniel Kwame Kwansah; Nutakor, Jonathan Aseye; Dankyi, Alex Boadi; Adu-Gyamfi, Yvette

doi:10.3934/medsci.2022008

Cited by 5 publications

(2 citation statements)

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“…As these characteristics may interfere with intervention completion and dropout rates [ 62 ], virtual PR programs in PCS must screen for the frequency and severity of fatigue and cognitive dysfunction during recruitment and personalize the care according to individual needs (e.g., plan daily or weekly reminders using phone calls and mobile or tablet applications) [ 53 , 63 , 64 ]. In addition, since the level of technology literacy may directly impact the delivery of remote rehabilitation [ 65 , 66 ], healthcare providers must first explore whether individuals with PCS have the level of knowledge and skills required for a specific PR modality.…”

Section: Discussionmentioning

confidence: 99%

Virtual pulmonary rehabilitation approaches in patients with post COVID syndrome: a pilot study

Sarmento,

Adodo,

Hodges

et al. 2024

BMC Pulm Med

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Background The characteristics of optimal virtual pulmonary rehabilitation (PR) for individuals with post-COVID syndrome (PCS) have not been identified. This study aimed to assess the feasibility, safety, and satisfaction associated with a virtual PR program with the exercise component delivered through group or self-directed sessions. Methods Adults with PCS-respiratory symptoms were randomly assigned to the video conference (PRVC) or self-directed (PRSD) group and completed an exercise program (aerobic, strengthening, and breathing exercises) three times/week for eight weeks. PRVC sessions were led by a physiotherapist via Zoom, whereas the PRSD group exercised individually following a pre-recorded video. Both groups received personalized exercise recommendations, education related to the condition, and a weekly follow up call. Satisfaction was assessed through a patient survey. Lung function, dyspnea, fatigue, sit-to-stand capacity, health-related quality of life, and participation were assessed pre- and post-PR. Results Fourteen PCS individuals (49 ± 9 years, 86% females) completed 83% of the sessions. All participants were satisfied with information provided by the therapist and frequency of data submission, whereas most were satisfied with the frequency and duration of exercise sessions (88% in PRVC and 83% in PRSD). A higher proportion of participants in the PRVC (88%) were satisfied with the level of difficulty of exercises compared with the PRSD (67%), and 84% of the sample reported a positive impact of the program on their health. No adverse events were reported. Significant changes in sit-to-stand capacity (p = 0.012, Cohen’s r = 0.67) and questions related to fatigue (p = 0.027, Cohen’s r = 0.58), neurocognitive (p = 0.045, Cohen’s r = 0.53), and autonomic (p = 0.024, Cohen’s r = 0.60) domains of the DePaul Symptom Questionnaire short-form were also found between groups. Conclusion Virtual PR with exercises delivered via video conference or pre-recorded video were feasible, safe, and well-received by individuals with PCS. Trial registration NCT05003271 (first posted: 12/08/2021).

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Section: Discussionmentioning

confidence: 99%

Virtual pulmonary rehabilitation approaches in patients with post COVID syndrome: a pilot study

Sarmento,

Adodo,

Hodges

et al. 2024

BMC Pulm Med

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“…Alguns estudos demonstram que, em condições crônicas, a teleconsulta e o telemonitoramento são instrumentos importantes que proporcionam benefícios para a autogestão de pacientes, dando a eles orientações de como e quando seria realmente necessário entrar em contato com os profissionais de saúde para uma avaliação de sua condição [16][17][18][19] . Esse cenário pode ser aplicável à população do presente estudo com relação ao linfedema, por ser uma complicação crônica bastante comum em pacientes submetidas ao tratamento cirúrgico do câncer de mama.…”

Section: Discussionunclassified

Acompanhamento Fisioterapêutico após Tratamento Cirúrgico do Câncer de Mama por Teleconsulta: Percepção e Adesão das Pacientes

Macedo,

Ferreira,

Torres

et al. 2023

Rev. Bras. Cancerol.

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Introdução: O serviço de fisioterapia do Hospital do Câncer III do Instituto Nacional de Câncer (HCIII/INCA) inseriu as teleconsultas em suas atividades assistenciais para o acompanhamento das pacientes submetidas ao tratamento cirúrgico do câncer de mama durante a pandemia. Objetivo: Avaliar a percepção das pacientes quanto aos atendimentos por teleconsulta no HCIII/INCA, além da compreensão e da adesão quanto às orientações fisioterapêuticas domiciliares no pós-operatório de câncer de mama. Método: Estudo observacional, de abordagem qualiquantitativa, no qual foram incluídas pacientes submetidas ao tratamento cirúrgico do câncer de mama, de março a maio de 2020, que realizaram teleconsultas com a fisioterapia. Foi utilizado um questionário com perguntas semiestruturadas e uma pergunta aberta sobre teleconsulta. Resultados: Foram incluídas 129 mulheres, 81,4% referiram conforto com as teleconsultas, 72,1% sentiram-se muito seguras e 71,3% sentiram-se satisfeitas com esse tipo de atendimento. Quanto às orientações fisioterapêuticas fornecidas, 89,1% das pacientes relataram que as entenderam e 66,7% que as seguiram totalmente; 63,6% realizaram os exercícios de membros superiores diariamente. Quanto à questão qualitativa, as pacientes relataram que a teleconsulta foi necessária, válida e importante por evitar a exposição ao vírus no período da pandemia, além de evitar os deslocamentos até a instituição, a economia de tempo e de dinheiro. Conclusão: A modalidade de teleconsulta nas avaliações da fisioterapia pós-cirurgia do câncer de mama geraram percepções de segurança, conforto e satisfação, tendo boa compreensão e adesão tanto das orientações fornecidas quanto da prática de exercícios domiciliares.

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Effectiveness and feasibility of telerehabilitation in patients with COVID-19: a systematic review and meta-analysis

2022

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ObjectivesTo determine the pooled effectiveness and feasibility of telerehabilitation in patients with COVID-19.DesignSystematic review and meta-analysis of randomised controlled trials (RCTs).Data sourcesPubMed, CINAHL, Science Direct, PEDro, Google Scholar and Cochrane Library databases were systematically searched to the end of March 2022.Eligibility criteria and outcomesRCTs investigating the effects of telerehabilitation in the management of patients with COVID-19 were included. The outcomes of interest were functional capacity, cardiopulmonary exercise tests, quality of life and other variables where data are available.Data extraction and synthesisTwo reviewers screened, extracted data and performed methodological quality assessment independently. The revised Cochrane Risk of Bias tool was used to assess the risk of bias. Review Manager V.5.4 and Stata V.14.0 software were used for statistical analysis. Mean difference (MD) with 95% CI and the corresponding p value were used to determine the treatment effect between groups. A fixed-effect model was used for all variables as no significant heterogeneity was observed.ResultsFour studies with 334 patients with COVID-19 were included. The pooled result of telerehabilitation showed statistically significant improvement on 6-minute walking test (MD 75.50; 95% CI 54.69 to 96.30; p=0.48), 30-second sit-to-stand test (MD 1.76; 95% CI 1.47 to 2.04; p=0.30), Borg Scale (MD 2.49; 95% CI 2.16 to 2.83; p=0.28) and level of dyspnoea (MD 6.26; 95% CI 5.42 to 7.10; p=0.66). The overall treatment completion rate was 88.46%, and the most common reason for withdrawal after randomisation was lost to follow-up or uncooperativeness.ConclusionsThe findings showed that telerehabilitation interventions could improve functional capacity and exercise perception among patients affected by COVID-19 and can be implemented with a high completion rate and minimal adverse events. However, more studies are required to investigate the effects on cardiopulmonary function, quality of life, anxiety, depression and other variables.PROSPERO registration numberCRD42021287975.

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Telehealth during COVID-19 pandemic era: a systematic review

Cited by 5 publications

References 0 publications

Virtual pulmonary rehabilitation approaches in patients with post COVID syndrome: a pilot study

Virtual pulmonary rehabilitation approaches in patients with post COVID syndrome: a pilot study

Acompanhamento Fisioterapêutico após Tratamento Cirúrgico do Câncer de Mama por Teleconsulta: Percepção e Adesão das Pacientes

Effectiveness and feasibility of telerehabilitation in patients with COVID-19: a systematic review and meta-analysis

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