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May 21, 2014European Journal of Cardiovascular NursingOpen Access

Quality of life in heart failure patients undergoing home-based telerehabilitation versus outpatient rehabilitation – a randomized controlled study

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Key result

Home-based telemonitored cardiac rehabilitation provided a similar improvement in total QoL index as standard outpatient rehabilitation in heart failure patients, though subscale improvements differed.

Why the study?

Does home-based telemonitored cardiac rehabilitation improve quality of life compared to outpatient-based standard cardiac rehabilitation in heart failure patients?

Population

131 heart failure patients, mean age 56.4±10.9 years, NYHA class II/III.

Comparison

Home-based telemonitored cardiac rehabilitation… vs Traditional outpatient-based standard cardiac…

Design

RCT, Randomized into two groups

Follow-up

8 weeks

Authors

EPEwa PiotrowiczHeart Failure & TransplantMSMonika StepnowskaUniversity of GdańskKLKinga Leszczyńska-IwanickaInstitute of Cardiology

Discussion

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Implication

Supports telemonitored home-based cardiac rehabilitation as a viable alternative in heart failure; extends RCT evidence for QoL equivalence beyond traditional outpatient settings.

Key Points

  • To evaluate changes in quality of life among heart failure patients participating in home-based telemonitored rehabilitation compared to standard outpatient rehabilitation.
  • Randomized trial comprising 131 heart failure patients (NYHA class II/III, age 56.4±10.9 years) allocated to an eight-week exercise regimen.
  • Interventions compared home-based telemonitored cardiac rehabilitation via walking training (HTCR, n=75) against outpatient rehabilitation via cycloergometer training (SCR, n=56).
  • Quality of life parameters were measured using the Polish version of the Medical Outcomes Study Short Form 36 Health Survey Questionnaire (SF-36).
  • Patients in both groups achieved significant overall physical and mental improvements on the SF-36 assessment after eight weeks.
  • The HTCR group showed significant quality of life gains in one physical category (physical function) and two mental categories (mental health and vitality).
  • The SCR group showed significant gains across three physical categories (physical function, role limitation from physical problems, bodily pain) and three mental categories (social function, mental health, vitality).

Study Design

Type

RCT (n=131)

Randomization

Randomized

Structured PICO

Does home-based telemonitored cardiac rehabilitation improve quality of life compared to outpatient-based standard cardiac rehabilitation in heart failure patients?

P
Population
131 heart failure patients, mean age 56.4±10.9 years, NYHA class II/III.
I
Intervention
Home-based telemonitored cardiac rehabilitation (HTCR) supervised telemedically based on walking training for 8 weeks.
C
Comparator
Traditional outpatient-based standard cardiac rehabilitation (SCR) based on cycloergometer training for 8 weeks.
O
Outcome
Quality of life (QoL) changes assessed with the Medical Outcomes Study Short Form 36 Health Survey Questionnaire (SF-36) at 8 weeks.patient reported

Home-based telerehabilitation provides similar overall quality of life improvements as standard outpatient rehabilitation in heart failure patients, though with greater benefits in mental rather than physical subscales.

Cite This Study

Piotrowicz et al. (2014) conducted an RCT in Heart failure (n=131). Home-based telemonitored cardiac rehabilitation vs. Outpatient-based standard cardiac rehabilitation was evaluated on Quality of life (QoL) changes assessed with SF-36. Home-based telemonitored cardiac rehabilitation provided a similar improvement in total QoL index as standard outpatient rehabilitation in heart failure patients, though subscale improvements differed.

synapsesocial.com/papers/6a1107606da82ae745f331e4https://doi.org/10.1177/1474515114537023

Topics

Heart failureHFrEF treatmentHeart failure hospitalization
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A New Model of Home-Based Telemonitored Cardiac Rehabilitation in Patients with Heart Failure: Effectiveness, Quality of Life, and Adherence2009 · 239 citations
  2. 2A Randomized Trial of the Addition of Home-Based Exercise to Specialist Heart Failure Nurse Care: The Birmingham Rehabilitation Uptake Maximisation Study for Patients with Congestive Heart Failure (BRUM-CHF) Study2009 · 113 citations
  3. 3Efficacy of Telecardiology in improving the results of Cardiac Rehabilitation after acute myocardial infarction2016 · 44 citations
  4. 4Adherence of Heart Failure Patients to Exercise: Barriers and Possible Solutions2012 · 326 citations
  5. 5Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH)2004 · 1,010 citations