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Effectiveness of Tele-rehabilitation Programs in Heart Failure: A Systematic Review and Meta-analysis

2021-06Journal article Open access
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dc.contributor.authorCavalheiro, Ana
dc.contributor.authorSilva Cardoso, José
dc.contributor.authorRocha, Afonso
dc.contributor.authorMoreira, Emília
dc.contributor.authorAzevedo, Luís Filipe
dc.date.accessioned2023-10-31T13:29:25Z
dc.date.available2023-10-31T13:29:25Z
dc.date.issued2021-06
dc.description.abstractBackground: Tele-rehabilitation (TR) may be an effective alternative or complement to centre-based cardiac rehabilitation (CBCR) with heart failure (HF) patients, helping overcome accessibility problems to CBCR. The aim of this study is to systematically review the literature in order to assess the clinical effectiveness of TR programs in the management of chronic HF patients, compared to standard of care and standard rehabilitation (CBCR). Methods and results: We conducted a systematic review and meta-analysis of randomized controlled trials on the effect and safety of TR programs in HF patients, regarding cardiovascular death, heart failure-related hospitalizations, functional capacity and quality of life. We searched 4 electronic databases up until May 2020, reviewed references of relevant articles and contacted experts. A quantitative synthesis of evidence was performed by means of random-effects meta-analyses. We included 17 primary studies, comprising 2206 patients. Four studies reported the number of hospitalizations (TR: 301; Control: 347). TR showed to be effective in the improvement of HF patients' functional capacity in the 6 Minute Walk-Test (Mean Difference (MD) 15.86; CI 95% [7.23; 24.49]; I2 = 74%) and in peak oxygen uptake (pVO2) results (MD 1.85; CI 95% [0.16; 3.53]; I2 = 93%). It also improved patients' quality of life (Minnesota Living with Heart Failure Questionnaire: MD -6.62; CI 95% [-11.40; -1.84]; I2 = 99%). No major adverse events were reported during TR exercise. Conclusion: TR showed to be superior than UC without CR on functional capacity improvement in HF patients. There is still scarce evidence of TR impact on hospitalization and cv death reduction. Further research and more standardized protocols are needed to improve evidence on TR effectiveness, safety and cost-effectiveness.pt_PT
dc.description.sponsorshipThe author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This article was supported by NORTE-01-0145-FEDER-032069 – “AdHeart – Engage with your heart”, financed by NORTE2020 under PORTUGAL2020; Project - NORTE-01-0145-FEDER-000026 – “Symbiotic technology for societal efficiency gains: Deus ex Machina”, financed by NORTE2020 under PORTUGAL2020; National Funds through FCT - Fundação para a Ciência e a Tecnologia, I.P., within CINTESIS, R&D Unit (reference UIDB/4255/2020).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCavalheiro AH, Silva Cardoso J, Rocha A, Moreira E, Azevedo LF. Effectiveness of Tele-rehabilitation Programs in Heart Failure: A Systematic Review and Meta-analysis. Health Serv Insights. 2021;14:11786329211021668. doi:10.1177/11786329211021668pt_PT
dc.identifier.doi10.1177/11786329211021668pt_PT
dc.identifier.issn1178-6329
dc.identifier.urihttp://hdl.handle.net/10400.16/2876
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSAGE Publicationspt_PT
dc.relationNORTE-01-0145-FEDER-032069pt_PT
dc.relation.publisherversionhttps://journals.sagepub.com/doi/10.1177/11786329211021668pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectTele-rehabilitationpt_PT
dc.subjectfunctional capacitypt_PT
dc.subjectheart failurept_PT
dc.subjecthospitalizationspt_PT
dc.subjectquality of lifept_PT
dc.titleEffectiveness of Tele-rehabilitation Programs in Heart Failure: A Systematic Review and Meta-analysispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.startPage117863292110216pt_PT
oaire.citation.titleHealth Services Insightspt_PT
oaire.citation.volume14pt_PT
person.familyNameCavalheiro
person.givenNameAna
person.identifier.ciencia-id4B1C-EE10-3237
person.identifier.orcid0000-0002-3116-955X
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication73ceaf58-05c7-4d91-a77d-502f6dd14bce
relation.isAuthorOfPublication.latestForDiscovery73ceaf58-05c7-4d91-a77d-502f6dd14bce

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