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Journal Article
Remote cardiac rehabilitation is a good alternative of outpatient cardiac rehabilitation in the COVID-19 era
2020
Overview
Background
In the wake of the coronavirus disease 2019 (COVID-19) pandemic, people need to practice social distancing in order to protect themselves from SARS-CoV-2 infection. In such stressful situations, remote cardiac rehabilitation (CR) might be a viable alternative to the outpatient CR program.
Methods
We prospectively investigated patients hospitalized for heart failure (HF) with a left ventricular ejection fraction of < 50%. As for patients who participated in the remote CR program, telephone support was provided by cardiologists and nurses who specialized in HF every 2 weeks after discharge. The emergency readmission rate within 30 days of discharge was compared among the outpatient CR, remote CR, and non-CR groups, and the EQ-5D score was compared between the outpatient CR and remote CR groups.
Results
The participation rate of HF patients in our remote CR program elevated during the COVID-19 pandemic. As observed in the outpatient CR group (
n
= 69), the emergency readmission rate within 30 days of discharge was lower in the remote CR group (
n
= 30) than in the non-CR group (
n
= 137) (
P
= 0.02). The EQ-5D score was higher in the remote CR group than in the outpatient CR group (
P
= 0.03) 30 days after discharge.
Conclusions
Remote CR is as effective as outpatient CR for improving the short-term prognosis of patients hospitalized for heart failure post-discharge. This suggests that the remote CR program can be provided as a good alternative to the outpatient CR program.
Publisher
BioMed Central,Komiyama Printing Co., Ltd,Komiyama Printing Co. Ltd
Subject
/ Cardiac Rehabilitation - methods
/ Coronavirus Infections - epidemiology
/ COVID-19
/ Exercise
/ Health Promotion and Disease Prevention
/ Heart Failure - rehabilitation
/ Humans
/ Japan
/ Medicine
/ Nurses
/ Patients
/ Pneumonia, Viral - epidemiology
/ Severe acute respiratory syndrome coronavirus 2
/ Trends
