Home-based exercise rehabilitation with telemedicine following cardiac surgery

Simonetta Scalvini, Emanuela Zanelli, Laura Comini, Margherita Dalla Tomba, Giovanni Troise, Amerigo Giordano

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)297-301
Number of pages5
JournalJournal of Telemedicine and Telecare
Volume15
Issue number6
DOIs
Publication statusPublished - Sep 2009

ASJC Scopus subject areas

  • Health Informatics

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