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Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic review

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F24%3A00079837" target="_blank" >RIV/65269705:_____/24:00079837 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216224:14110/24:00136190

  • Result on the web

    <a href="https://journals.sagepub.com/doi/10.1177/20552076241237661" target="_blank" >https://journals.sagepub.com/doi/10.1177/20552076241237661</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1177/20552076241237661" target="_blank" >10.1177/20552076241237661</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Safety and long-term outcomes of remote cardiac rehabilitation in coronary heart disease patients: A systematic review

  • Original language description

    Objective To systematically review the safety and the long-term mortality and morbidity risk-rates of the remotely-delivered cardiac rehabilitation (RDCR) interventions in coronary heart disease (CHD) patients.Methods The protocol was registered in the International Prospective Register of Systematic Reviews (CRD42023455471). Five databases (Pubmed, Scopus, Cochrane Central Register of Controlled Trials in the Cochrane Library, Cinahl and Web of Science) were reviewed from January 2012 up to August 2023. Inclusion criteria were: (a) randomized controlled trials, (b) RDCR implementation of at least 12 weeks duration, (c) assessment of safety, rates of serious adverse events (SAEs) and re-hospitalization incidences at endpoints more than 6 months. Three reviewers independently performed data extraction and assessed the risk of bias using the Cochrane Risk of Bias tool.Results 14 studies were identified involving 2012 participants and a range of RDCR duration between 3 months to 1 year. The incidence rate of exercise-related SAEs was estimated at 1 per 53,770 patient-hours of RDCR exercise. A non-statistically significant reduction in the re-hospitalization rates and the days lost due to hospitalization was noticed in the RDCR groups. There were no exercise-related deaths. The overall study quality was of low risk.Conclusions RDCR can act as a safe alternative delivery mode of cardiac rehabilitation (CR). The low long-term rates of reported SAEs and re-hospitalization incidences of the RDCR could enhance the uptake rates of CR interventions. However, further investigation is needed in larger populations and longer assessment points.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30300 - Health sciences

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2024

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Digital Health

  • ISSN

    2055-2076

  • e-ISSN

    2055-2076

  • Volume of the periodical

    10

  • Issue of the periodical within the volume

    2024

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    23

  • Pages from-to

    20552076241237661

  • UT code for WoS article

    001190681400001

  • EID of the result in the Scopus database

    2-s2.0-85188656037