TY - JOUR
T1 - Home-based exercise rehabilitation with telemedicine following cardiac surgery
AU - Scalvini, Simonetta
AU - Zanelli, Emanuela
AU - Comini, Laura
AU - Tomba, Margherita Dalla
AU - Troise, Giovanni
AU - Giordano, Amerigo
PY - 2009/9
Y1 - 2009/9
N2 - We evaluated the feasibility of a home-based rehabilitation programme, which was designed to resemble an in-hospital rehabilitation programme. Patients who underwent cardiac surgery (EuroSCORE 0-10) followed a one-month home rehabilitation programme supervised by a nurse-tutor and a physiotherapist. Physiotherapy was performed at home with calisthenic exercises and bicycle-ergometer tests. Patients transmitted the recorded ECGs by telephone to a service centre. They also performed a 6-minute walking test and filled in a satisfaction questionnaire at the end of the programme. A total of 47 patients were enrolled in the study. There were 3050 telephone calls, of which 3012 (99%) were scheduled and 38 were unscheduled. No further action was required in 95% of calls. There were 809 sessions for calisthenic exercises and 1039 for exercise training. There was a significant increase in the 6-minute walking test distance at the end of the programme compared to the baseline (404 m vs. 307 m, P, 0.001). Patient satisfaction, as measured in a questionnaire, was about 95% overall. This type of home rehabilitation using telemedicine appears to be worth implementing in selected categories of patients.
AB - We evaluated the feasibility of a home-based rehabilitation programme, which was designed to resemble an in-hospital rehabilitation programme. Patients who underwent cardiac surgery (EuroSCORE 0-10) followed a one-month home rehabilitation programme supervised by a nurse-tutor and a physiotherapist. Physiotherapy was performed at home with calisthenic exercises and bicycle-ergometer tests. Patients transmitted the recorded ECGs by telephone to a service centre. They also performed a 6-minute walking test and filled in a satisfaction questionnaire at the end of the programme. A total of 47 patients were enrolled in the study. There were 3050 telephone calls, of which 3012 (99%) were scheduled and 38 were unscheduled. No further action was required in 95% of calls. There were 809 sessions for calisthenic exercises and 1039 for exercise training. There was a significant increase in the 6-minute walking test distance at the end of the programme compared to the baseline (404 m vs. 307 m, P, 0.001). Patient satisfaction, as measured in a questionnaire, was about 95% overall. This type of home rehabilitation using telemedicine appears to be worth implementing in selected categories of patients.
UR - http://www.scopus.com/inward/record.url?scp=70349663857&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=70349663857&partnerID=8YFLogxK
U2 - 10.1258/jtt.2009.090208
DO - 10.1258/jtt.2009.090208
M3 - Article
C2 - 19720767
AN - SCOPUS:70349663857
VL - 15
SP - 297
EP - 301
JO - Journal of Telemedicine and Telecare
JF - Journal of Telemedicine and Telecare
SN - 1357-633X
IS - 6
ER -