Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: Feb 8, 2023
Date Accepted: Jul 3, 2023
Longer-term effects of cardiac telerehabilitation in coronary artery disease patients: A systematic review and meta-analysis
ABSTRACT
Background:
Cardiac telerehabilitation is associated with effectively shifting the traditional rehabilitation mode to an accessible and flexible model for coronary artery disease (CAD) patients.
Objective:
The current systematic review and meta-analysis aimed to evaluate the long-term effectiveness of cardiac telerehabilitation.
Methods:
Randomized controlled trials were searched in the following seven electronic databases: PubMed, Web of Science, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL), ClinicalTrials.gov, CNKI, and WANFANG. The primary outcome was focused on cardiopulmonary fitness. For the second outcomes, we paid attention to changes in cardiovascular risk factors (blood pressure and serum lipids) and psychological scales of depression, anxiety, and quality of life (QoL).
Results:
Ten RCTs fulfilled the predefined criteria that were reviewed in our meta-analysis. The results showed that there was a significant difference in improving long-term peak VO2 compared with center-based CR (MD 1.61, 95% CI 0.38 to 2.85, P = .01), especially in 6-month rehabilitation training (MD 1.87, 95% CI 0.34 to 3.39, P = .02). For the cardiovascular risk factor control, the pooled effect size of the meta-analysis indicated that there were significant differences in the reduction in systolic blood pressure and low-density lipoprotein cholesterol (LDL-C). No statistically significant difference was found between the two groups in body mass index (BMI) changes, diastolic blood pressure changes, total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), and triglycerides (TGs). There was also no practical demonstration of anxiety scores or depression scores, but cardiac telerehabilitation improved the long-term QoL of patients.
Conclusions:
Cardiac telerehabilitation is more effective at cardiopulmonary fitness and quality of life in the long-term follow-up of patients with coronary heart disease. Our study highlights the monitoring-enabled and patient-centered telerehabilitation programs in the long-term prognosis of patients, which play a vital role in the recovery and development of CAD.
Citation
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Copyright
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