+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Home-based versus in-hospital cardiac rehabilitation after cardiac surgery: a nonrandomized controlled study



Home-based versus in-hospital cardiac rehabilitation after cardiac surgery: a nonrandomized controlled study



Physical Therapy 93(8): 1073-1083



Exercise rehabilitation after cardiac surgery has beneficial effects, especially on a long-term basis. Rehabilitative programs with telemedicine plus appropriate technology might satisfy the needs of performing rehabilitation at home. The purpose of this study was to compare exercise capacity after home-based cardiac rehabilitation (HBCR) or in-hospital rehabilitation in patients at low to medium risk for early mortality (EuroSCORE 0-5) following cardiac surgery. A quasi-experimental study was conducted. At hospital discharge, patients were given the option to decide whether to enroll in the HBCR program. Clinical examinations (electrocardiography, cardiac echo color Doppler, chest radiography, blood samples) of patients in the HBCR group were collected during 4 weeks of rehabilitation, and exercise capacity (assessed using the Six-Minute Walk Test [6MWT]) was assessed before and after rehabilitation. A group of patients admitted to the in-hospital rehabilitation program was used as a comparison group. Patients in the HBCR group were supervised at home by a medical doctor and telemonitored daily by a nurse and physical therapist by video conference. Periodic home visits by health staff also were performed. One hundred patients were recruited into the HBCR group. An equal number of patients was selected for the comparison group. At the end of the 4-week study, the 2 groups showed improvement from their respective baseline values only in the 6MWT. No difference was found in time × group interaction. Because patients self-selected to enroll in the HBCR program and because they were enrolled from a single clinical center, the results of the study cannot be generalized. In patients who self-selected HBCR, the program was found to be effective and comparable to the standard in-hospital rehabilitative approach, indicating that rehabilitation following cardiac surgery can be implemented effectively at home when coadministered with an integrated telemedicine service.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 037256041

Download citation: RISBibTeXText

PMID: 23599353

DOI: 10.2522/ptj.20120212


Related references

Cardiac rehabilitation using the Family-Centered Empowerment Model versus home-based cardiac rehabilitation in patients with myocardial infarction: a randomised controlled trial. Open Heart 3(1): E000349, 2016

Home-based versus hospital-based cardiac rehabilitation after myocardial infarction or revascularisation: design and rationale of the Birmingham Rehabilitation Uptake Maximisation Study (BRUM): a randomised controlled trial [ISRCTN72884263. Bmc Cardiovascular Disorders 3: 10, 2003

Home-based cardiac rehabilitation versus hospital-based rehabilitation: a cost effectiveness analysis. International Journal of Cardiology 119(2): 196-201, 2007

Changes in plasma haemostatic markers with hospital-based versus home-based cardiac rehabilitation in patients with coronary heart disease the Birmingham Rehabilitation Uptake Maximization Study. British Journal of Haematology 125(Suppl 1): 51, 2004

Home versus hospital-based cardiac rehabilitation: a systematic review. Rural and Remote Health 11(2): 1532, 2011

Patient preferences for home-based versus hospital-based cardiac rehabilitation. Journal of Cardiopulmonary Rehabilitation 25(1): 24-29, 2005

The effect of home-based versus hospital-based cardiac rehabilitation on 24-hour ambulatory blood pressure and lipid profile in patients with coronary heart disease The Birmingham Rehabilitation Uptake Maximisation Study. American Journal of Hypertension 17(5), 2004

The role of clinical and geographic factors in the use of hospital versus home-based cardiac rehabilitation. International Journal of Rehabilitation Research. Internationale Zeitschrift für Rehabilitationsforschung. Revue Internationale de Recherches de Readaptation 35(3): 220-226, 2012

Home-based versus hospital-based high-intensity interval training in cardiac rehabilitation: a randomized study. European Journal of Preventive Cardiology 21(9): 1070-1078, 2014

A controlled trial of hospital versus home-based exercise in cardiac patients. Medicine and Science in Sports and Exercise 34(10): 1544-1550, 2002

Shared care versus hospital-based cardiac rehabilitation: a cost-utility analysis based on a randomised controlled trial. Open Heart 5(1): E000584, 2018

Clinical and cost-effectiveness of home-based cardiac rehabilitation compared to conventional, centre-based cardiac rehabilitation: Results of the FIT@Home study. European Journal of Preventive Cardiology 24(12): 1260-1273, 2017

Cardiac support and rehabilitation and the older patient A randomised controlled trial of a simple home-based intervention versus usual care. Age & Ageing 28(Suppl. 2): 20, 1999

The Birmingham Rehabilitation Uptake Maximisation study (BRUM): a randomised controlled trial comparing home-based with centre-based cardiac rehabilitation. Heart 95(1): 36-42, 2009

Home-based cardiac rehabilitation is as effective as centre-based cardiac rehabilitation among elderly with coronary heart disease: results from a randomised clinical trial. Age and Ageing 40(1): 78-85, 2011