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

IF 4.7 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2023-05-11 eCollection Date: 2023-01-01 DOI:10.5195/ijt.2023.6475

José Bernardo Ferreira, Margarida Cabral, Rita Santos, Marta Ferreira, Rui Fonseca-Pinto, Alexandre Antunes, Filipa Januário

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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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急性冠脉综合征后的混合心脏远程康复:自我选择预测因素和结果

目的:评价急性冠脉综合征(ACS)后混合心脏远程康复(HCTR)方案对患者2-3期生活质量(QoL)和体力活动指标的影响，建立混合方案自我选择的预测指标。方法:这项单中心纵向回顾性研究纳入了2018-2021年间参加心脏康复计划(CRP)的患者。患者自行选择两组:1组-常规CRP (CCRP);第二组- HCTR。记录基线特征。EuroQol-5D (EQ-5D)和国际身体活动问卷(IPAQ)应用于3次:T0 - 2期发病;T1 -第3期发病;T2 - T1后3个月。结果:59例患者参与研究(1 ~ 27组;第2 - 32组)。我们发现在职业方面组间差异显著(p=0.003)。糖尿病患者自我选择进入HCTR的可能性较小(OR=0.21;p < 0.05)。仅HCTR在T0-T2期间EQ-5D视觉模拟量表和IPAQ结果显著改善(p=0.001;p = 0.021)。结论:HCTR在ACS患者的身体活动指标和生活质量方面优于CCRP。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.