Hybrid Cardiac Telerehabilitation After Acute Coronary Syndrome: Self-selection Predictors and Outcomes

Authors

  • José Bernardo Ferreira Department of Physical and Rehabilitation Medicine, Centro Hospitalar de Leiria, Portugal
  • Margarida Cabral Cardiology Department, Leiria Hospital Centre, Leiria, Portugal
  • Rita Santos Physical and Rehabilitation Medicine Department, Leiria Hospital Centre, Leiria, Portugal
  • Marta Ferreira Centro de Matemática, Universidade do Minho, Braga, Portugal
  • Rui Fonseca-Pinto 4CiTechcare -Center for Innovative Care and Health Technology, Polytechnic of Leiria, Leiria, Portugal
  • Alexandre Antunes Cardiology Department, Leiria Hospital Centre, Leiria, Portugal; CiTechcare -Center for Innovative Care and Health Technology, Polytechnic of Leiria, Leiria, Portugal
  • Filipa Januário Physical and Rehabilitation Medicine Department, Leiria Hospital Centre, Leiria, Portugal

DOI:

https://doi.org/10.5195/ijt.2023.6475

Keywords:

Acute coronary syndrome, Cardiac rehabilitation, Telerehabilitation

Abstract

Aims: To evaluate the effectiveness of a hybrid cardiac telerehabilitation (HCTR) program after acute coronary syndrome (ACS) on patient quality of life (QoL) and physical activity indices throughout phases 2-3 and establish predictors for hybrid program self-selection.

Methodology: This single-centre longitudinal retrospective study included patients who attended a cardiac rehabilitation program (CRP) between 2018-2021. Patients self-selected between two groups: Group 1 – conventional CRP (CCRP); Group 2 – HCTR. Baseline characteristics were registered. EuroQol-5D (EQ-5D) and International Physical Activity Questionnaire (IPAQ) were applied at three times: T0 – phase 2 onset; T1 – phase 3 onset; T2 – 3 months after T1.

Results: 59 patients participated (Group 1 – 27; Group 2 – 32). We found significant between-group differences regarding occupation (p=0.003). Diabetic patients were less likely to self-select into HCTR (OR=0.21; p<0.05). EQ-5D visual analogue scale and IPAQ result significantly improved between T0-T2 only for HCTR (p=0.001; p=0.021).

Conclusions: HCTR was superior to CCRP on physical activity indices and QoL of ACS patients.

  

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Published

2023-05-11

How to Cite

Ferreira, J. B., Cabral, M., Santos, R., Ferreira, M., Fonseca-Pinto, R., Antunes, A., & Januário, F. (2023). Hybrid Cardiac Telerehabilitation After Acute Coronary Syndrome: Self-selection Predictors and Outcomes. International Journal of Telerehabilitation, 15(1). https://doi.org/10.5195/ijt.2023.6475

Issue

Vol. 15 No. 1 (2023)

Section

Cardiac Telerehabilitation

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Copyright (c) 2023 José Bernardo Ferreira, Margarida Cabral, Rita Santos, Marta Ferreira, Rui Fonseca-Pinto, Alexandre Antunes, Filipa Januário

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This work is licensed under a Creative Commons Attribution 4.0 International License.