OBJECTIVE: To evaluate cost, adherence and effects on cardiovascular function and quality of life of a home-based cardiac rehabilitation programme for patients with coronary disease. DESIGN: A randomized, prospective controlled trial. SETTING: Department of Rehabilitation, University Hospital, Brazil. SUBJECTS:Thirty-nine low-risk patients were assigned to a home exercise training group (n = 19) or a control group (n = 20). INTERVENTIONS: The home group performed home-based training for three months with biweekly telephone monitoring. MAIN OUTCOME MEASURES: The aerobic capacity and the quality of life (Medical Outcomes Study 36-Item Short Form Survey (SF-36)) of all patients were evaluated before and after the three-month period. Adherence was evaluated weekly. Programme cost was estimated using the Brazilian Classification of Medical Procedures. RESULTS: After training, the home group had higher peak Vo2 from 28.8 (6.4) to 31.7 (8.1) mL/kg per minute, peak heart rate from 135 (22) to 143 (20) bpm, work rate from 4780 (2021) to 7103 (3057) kpm/min and exercise time from 11.5 (1.9) to 13.6 (2.3) minutes (P < or = .05). The control group showed reduction in peak Vo2 from 28.6 (6.6) to 26.8 (7.2) mL/kg per minute, peak Vo2 pulse from 15.5 (3.9) to 14.3 (3.8) mL/bpm and exercise time from 11.5 (2.3) to 11.4 (2.7) minutes (P < or = 0.05). The home group reported improvements in all domains of SF-36. The control group showed improvement in only three domains of SF-36. In the home group the average cost per patient was US$502.71 and the adherence achieved 100%. CONCLUSION: The programme seems to provide an efficient low-cost approach to cardiac rehabilitation in low-risk patients.
RCT Entities:
OBJECTIVE: To evaluate cost, adherence and effects on cardiovascular function and quality of life of a home-based cardiac rehabilitation programme for patients with coronary disease. DESIGN: A randomized, prospective controlled trial. SETTING: Department of Rehabilitation, University Hospital, Brazil. SUBJECTS: Thirty-nine low-risk patients were assigned to a home exercise training group (n = 19) or a control group (n = 20). INTERVENTIONS: The home group performed home-based training for three months with biweekly telephone monitoring. MAIN OUTCOME MEASURES: The aerobic capacity and the quality of life (Medical Outcomes Study 36-Item Short Form Survey (SF-36)) of all patients were evaluated before and after the three-month period. Adherence was evaluated weekly. Programme cost was estimated using the Brazilian Classification of Medical Procedures. RESULTS: After training, the home group had higher peak Vo2 from 28.8 (6.4) to 31.7 (8.1) mL/kg per minute, peak heart rate from 135 (22) to 143 (20) bpm, work rate from 4780 (2021) to 7103 (3057) kpm/min and exercise time from 11.5 (1.9) to 13.6 (2.3) minutes (P < or = .05). The control group showed reduction in peak Vo2 from 28.6 (6.6) to 26.8 (7.2) mL/kg per minute, peak Vo2 pulse from 15.5 (3.9) to 14.3 (3.8) mL/bpm and exercise time from 11.5 (2.3) to 11.4 (2.7) minutes (P < or = 0.05). The home group reported improvements in all domains of SF-36. The control group showed improvement in only three domains of SF-36. In the home group the average cost per patient was US$502.71 and the adherence achieved 100%. CONCLUSION: The programme seems to provide an efficient low-cost approach to cardiac rehabilitation in low-risk patients.
Authors: Janice Hegewald; Uta E Wegewitz; Ulrike Euler; Jaap L van Dijk; Jenny Adams; Alba Fishta; Philipp Heinrich; Andreas Seidler Journal: Cochrane Database Syst Rev Date: 2019-03-14
Authors: Raquel Rodrigues Britto; Marta Supervia; Karam Turk-Adawi; Gabriela Suéllen da Silva Chaves; Ella Pesah; Francisco Lopez-Jimenez; Danielle Aparecida Gomes Pereira; Artur H Herdy; Sherry L Grace Journal: Braz J Phys Ther Date: 2019-03-05 Impact factor: 3.377
Authors: Gabriela Lima de Melo Ghisi; Rafaella Zulianello dos Santos; Eduardo Eugênio Aranha; Alessandra Daros Nunes; Paul Oh; Magnus Benetti; Sherry L Grace Journal: Vasc Health Risk Manag Date: 2013-08-30
Authors: Jonathan C Rawstorn; Nicholas Gant; Andrew Meads; Ian Warren; Ralph Maddison Journal: JMIR Mhealth Uhealth Date: 2016-06-24 Impact factor: 4.773