Effectiveness of Telehealth Cardiac Rehabilitation Programs on Health Outcomes of Patients With Coronary Heart Diseases: AN UMBRELLA REVIEW.
Wendan ShiHeidi GreenNqobile SikhosanaRitin FernandezPublished in: Journal of cardiopulmonary rehabilitation and prevention (2023)
From 1301 identified reviews, 13 systematic reviews (10 meta-analyses) comprised 132 primary studies conducted in 28 countries. All the included reviews have high quality, with scores ranging 73-100%. Findings to the health outcomes remained inconclusive, except solid evidence was found in the significant improvement in physical activity (PA) levels and behaviors from telehealth interventions, exercise capacity from mobile health (m-health) only and web-based only interventions, and medication adherence from m-health interventions. Telehealth CR programs, work adjunct or in addition to traditional CR and standard care, are effective in improving health behaviors and modifiable CHD risk factors, particularly in PA. In addition, it does not increase the incidence in terms of mortality, adverse events, hospital readmission, and revascularization.
Keyphrases
- meta analyses
- physical activity
- public health
- healthcare
- risk factors
- systematic review
- mental health
- randomized controlled trial
- palliative care
- coronary artery
- body mass index
- coronary artery bypass grafting
- coronary artery disease
- health promotion
- percutaneous coronary intervention
- risk assessment
- human health
- cardiovascular disease
- emergency department
- acute coronary syndrome
- social media
- ejection fraction
- case control
- acute care
- body composition