Cochrane corner: centre versus telemedicine approaches to cardiac rehabilitation

Introduction Centre-based cardiac rehabilitation (CBCR) is typically offered to individuals post cardiac event or diagnosis to support recovery and reduce risk of future cardiovascular events. Despite strong recommendations for referral of individuals with coronary heart disease (CHD) and heart failure (HF) to cardiac rehabilitation (CR) programmes in clinical guidelines, global access remains limited, and participation remains poor. Home-based CR (HBCR) programmes, including those supported by technology and facilitated by healthcare professionals, are increasingly being used as alternative modes to CBCR in an attempt to widen access to, and uptake of, CR. In 2017, a Cochrane review reported HBCR and CBCR to be equally effective in improving health outcomes.1 Since the SARS-CoV-2 pandemic, there has been an increased use of, and body of evidence emerging for, HBCR. Therefore, we sought to update the previous Cochrane review. Objective To compare the effect of HBCR (including digital/telehealth technology)...
Source: Heart - Category: Cardiology Authors: Tags: Cochrane Corner Source Type: research