Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
February 22, 2023BMC Cardiovascular DisordersOpen Access

Effects of home-based cardiac telerehabilitation programs in patients undergoing percutaneous coronary intervention: a systematic review and meta-analysis

View Full Paper
Ask AI
Bookmark
Share

Key result

Home-based cardiac telerehabilitation significantly improved physical function on the six-minute walking test (MD 16.59) compared to control in patients after percutaneous coronary intervention.

Why the study?

Recent advances in telecommunications technology raised the possibility of telehealth delivering cardiac telerehabilitation after PCI, but its effects required investigation.

Does home-based cardiac telerehabilitation improve physical function and quality of life in patients undergoing percutaneous coronary intervention?

Population

5 articles of patients undergoing PCI

Comparison

Home-based cardiac telerehabilitation vs control

Design

Systematic review and meta-analysis

Authors

WZWen ZhongYangtze UniversityCFChenying FuSichuan UniversityLXLin XuHebei Agricultural University

Discussion

Loading...

Member takes

Implication

Supports home-based cardiac telerehabilitation post-PCI; extends evidence for remote functional gains beyond center-based programs.

Study Design

Type

Meta-Analysis (n=585)

Structured PICO

Does home-based cardiac telerehabilitation improve physical function and quality of life in patients undergoing percutaneous coronary intervention?

P
Population
585 patients with documented coronary heart disease treated with successful percutaneous coronary intervention, followed for 1.5 to 12 months across 5 randomized controlled trials.
I
Intervention
Home-based cardiac telerehabilitation (HBCTR) delivered via mobile phones, tablet computers, computers, television, or video-conferencing, including remote assessment, electronic prescriptions, health education, and real-time communication.
C
Comparator
Usual care or active outpatient cardiac rehabilitation (CR).
O
Outcome
Physical function measured by the six-minute walking test (6MWT) and quality of life (QoL).surrogate

Main Result

Mean Difference: 16.59 (95% CI 7.13–26.06)

p-value: p=0.0006

Home-based cardiac telerehabilitation significantly improves physical exercise capacity (6MWT), systolic blood pressure, and lipid profiles in patients after PCI, though it does not significantly improve quality of life compared to usual care.

Limitations

  • Great variability and complexity of intervention models (different duration, frequency, length, and intensity)
  • Relatively small sample size of the included studies
  • Only focused on treatment efficacy without evaluating operability and cost of services
  • High risk of performance bias due to inability to blind participants
  • Small number of included studies
  • Duration or intensity of exercise intervention may have been insufficient to detect effects on anxiety and depression

Cite This Study

Zhong et al. (2023) conducted a meta-analysis in Coronary artery disease post-percutaneous coronary intervention (n=585). Home-based cardiac telerehabilitation vs. Usual care or active outpatient cardiac rehabilitation was evaluated on Six-minute walking test (6MWT) (MD 16.59, 95% CI 7.13 to 26.06, p=0.0006). Home-based cardiac telerehabilitation significantly improved physical function on the six-minute walking test (MD 16.59) compared to control in patients after percutaneous coronary intervention.

synapsesocial.com/papers/6a2f986f72ea562b7f7b0a50https://doi.org/10.1186/s12872-023-03120-2

Topics

Percutaneous coronary intervention
View Full Paper
Ask AI
Bookmark
Share

Also Consider

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

  1. 1Innovative Application of a Home-Based and Remote Sensing Cardiac Rehabilitation Protocol in Chinese Patients After Percutaneous Coronary Intervention2018 · 89 citations
  2. 2Long-term exercise effects after cardiac telerehabilitation in patients with coronary artery disease: 1-year follow-up results of the randomized study2021 · 62 citations
  3. 3Home-based exercise with telemonitoring guidance in patients with coronary artery disease: Does it improve long-term physical fitness?2019 · 99 citations
  4. 4Clinical and cost-effectiveness of home-based cardiac rehabilitation compared to conventional, centre-based cardiac rehabilitation: Results of the FIT@Home study2017 · 259 citations
  5. 5Trends and Predictors of Participation in Cardiac Rehabilitation Following Acute Myocardial Infarction: Data From the Behavioral Risk Factor Surveillance System2017 · 115 citations