PMID- 35533492
OWN - NLM
STAT- MEDLINE
DCOM- 20220629
LR  - 20220825
IS  - 1527-3288 (Electronic)
IS  - 0147-9563 (Linking)
VI  - 55
DP  - 2022 Sep-Oct
TI  - Safety of home-based cardiac rehabilitation: A systematic review.
PG  - 117-126
LID - S0147-9563(22)00097-8 [pii]
LID - 10.1016/j.hrtlng.2022.04.016 [doi]
AB  - BACKGROUND: Cardiac rehabilitation is an evidence-based intervention that aims to 
      improve health outcomes in cardiovascular disease patients, but it is largely 
      underutilized. One strategy for improving utilization is home-based cardiac 
      rehabilitation (HBCR). Previous research has shown that HBCR programs are 
      feasible and effective. However, there is a lack of evidence on safety issues in 
      different cardiac populations. This systematic review aimed to provide an 
      evidence-based overview of the safety of HBCR. OBJECTIVES: To examine the 
      incidence and severity of adverse events of HBCR. METHODS: The following 
      databases were searched: CINAHL, The Cochrane Library, Embase, MEDLINE, PubMed, 
      Web of Science, Global Health, and Chinese BioMedical Literature Database for 
      randomized controlled trials. The included trials were written in English and 
      analyzed the incidence of adverse events (AEs) as a primary or secondary 
      intervention outcome. RESULTS: Five studies showed AEs incidence, of which only 
      one study reported severe AE associated with HBCR exercise. The incidence rate of 
      severe AEs from the sample (n = 808) was estimated as 1 per 23,823 patient-hour 
      of HBCR exercise. More than half patients included were stratified into a 
      high-risk group. In the studies were found no deaths or hospitalizations related 
      to HBCR exercise. CONCLUSION: The risk of AEs during HBCR seems very low. Our 
      results concerning the safety of HBCR should induce cardiac patients to be more 
      active in their environment and practice physical exercise regularly.
CI  - Copyright (c) 2022 The Author(s). Published by Elsevier Inc. All rights reserved.
FAU - Stefanakis, Marios
AU  - Stefanakis M
AD  - Physiotherapy Department, University of West Attica, Egaleo, Athens, Greece.
FAU - Batalik, Ladislav
AU  - Batalik L
AD  - Department of Rehabilitation, University Hospital, Jihlavska 20, Brno 62500, 
      Czech Republic; Department of Public Health, Faculty of Medicine, Masaryk 
      University, Brno, Czech Republic. Electronic address: batalik.ladislav@fnbrno.cz.
FAU - Antoniou, Varsamo
AU  - Antoniou V
AD  - Clinical Exercise Physiology and Rehabilitation Laboratory, Department of 
      Physiotherapy, School of Health Sciences, University of Thessaly, Lamia, Greece.
FAU - Pepera, Garyfallia
AU  - Pepera G
AD  - Clinical Exercise Physiology and Rehabilitation Laboratory, Department of 
      Physiotherapy, School of Health Sciences, University of Thessaly, Lamia, Greece.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PT  - Systematic Review
DEP - 20220506
PL  - United States
TA  - Heart Lung
JT  - Heart & lung : the journal of critical care
JID - 0330057
SB  - IM
MH  - *Cardiac Rehabilitation/methods
MH  - *Cardiovascular Diseases
MH  - Exercise
MH  - Exercise Therapy/methods
MH  - Humans
OTO - NOTNLM
OT  - Adverse events
OT  - Cardiac events
OT  - Home-based cardiac rehabilitation
OT  - Safety
OT  - Telerehabilitation
COIS- Declaration of competing interest The authors declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper. Batalik Ladislav reports 
      administrative support and article publishing charges were provided by University 
      Hospital Brno.
EDAT- 2022/05/10 06:00
MHDA- 2022/06/30 06:00
CRDT- 2022/05/09 18:18
PHST- 2022/03/07 00:00 [received]
PHST- 2022/04/07 00:00 [revised]
PHST- 2022/04/24 00:00 [accepted]
PHST- 2022/05/10 06:00 [pubmed]
PHST- 2022/06/30 06:00 [medline]
PHST- 2022/05/09 18:18 [entrez]
AID - S0147-9563(22)00097-8 [pii]
AID - 10.1016/j.hrtlng.2022.04.016 [doi]
PST - ppublish
SO  - Heart Lung. 2022 Sep-Oct;55:117-126. doi: 10.1016/j.hrtlng.2022.04.016. Epub 2022 
      May 6.