Nationwide Survey of Japanese Cardiac Rehabilitation Training Facilities During the Coronavirus Disease 2019 Outbreak

Kida, Kenji; Nishitani‐Yokoyama, Miho; Oishi, Shogo; Kono, Yuji; Kamiya, Kentaro; Kishi, Takuya; Node, Koichi; Makita, Shigeru; Kimura, Yutaka

doi:10.1253/circrep.cr-21-0042

Cited by 8 publications

(6 citation statements)

References 14 publications

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“…For cardiac rehabilitation (CR) also, Japan has been slow to adopt digital technology. According to a nationwide survey of CR facilities, group ambulatory CR was suspended in 70% of the facilities (41). Despite the suspension, only 8% offered remote CR programs, and, what is worse, only 30% of facilities not providing telerehabilitation had specific future plans for implementation.…”

Section: Telemedicinementioning

confidence: 99%

Cardiovascular considerations during the COVID-19 pandemic: A focused review for practice in Japan

Tomidokoro

Hiroi

2022

GHM

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Previous reports from around the world have shown that cardiovascular risk factors including male sex, advanced age, diabetes, hypertension, and obesity also pose a risk for poor prognosis in COVID-19 patients. Not surprisingly, cardiovascular comorbidities are also a predictor of severe illness. In one of the largest multinational cohort studies of over 20,000 patients, the adjusted risk ratio for in-hospital mortality was 1.19 (101)

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Section: Telemedicinementioning

confidence: 99%

Cardiovascular considerations during the COVID-19 pandemic: A focused review for practice in Japan

Tomidokoro

Hiroi

2022

GHM

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“…Outpatient CR has problems on the medical side, such as the limited number of medical facilities that can provide it, and problems on the patient side, such as the difficulty of patients attending a hospital in a group setting at a given time [4,5]. In recent years, the spread of coronavirus disease 2019 (COVID- 19) has exacerbated the problem of low adoption and implementation rates of outpatient CR [6][7][8]. To solve the problems related to outpatient CR, home-based CR initiatives in which voluntary exercise is performed under the guidance of a medical practitioner have been implemented.…”

Section: Introductionmentioning

confidence: 99%

Safety and Feasibility of Tele-Cardiac Rehabilitation Using Remote Biological Signal Monitoring System: A Pilot Study

et al. 2023

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Background: Cardiac rehabilitation (CR) is categorized as a class I recommendation in the guidelines for the management of patients with cardiovascular disease (CVD). However, the penetration rate of outpatient CR is low in Japan. We designed a pilot study to evaluate the safety and feasibility of tele-CR using a remote biological signal monitoring system. Methods: A total of nine patients (median aged 70.0 (66.0 -76.0) years (male = 6) with CVD who participated in phase II CR for 1 month under the exercise prescription using the cardiopulmonary exercise test (CPET) were analyzed. They participated in the tele-CR program with a remote biological signal monitoring system (Nipro HeartLineTM, Osaka, Japan, and Duranta, Miyagi, Japan) in the CR room and were instructed by the CR staff from a separate room in the hospital. We evaluated the occurrence and degree of remote biological signal monitoring defects as safety evaluation items, i.e., whether the patients could set the remote biological signal monitoring equipment, as a feasibility evaluation item during a 3-month period. We also performed CPET at the baseline and follow-up. Following the 3-month tele-CR program, a total of 122 remote CR programs were performed using the remote biological signal monitoring system. Results:No patient experienced a lack of remote biological signal monitoring during exercise therapy. Significant improvement was noted in the exercise capacity, as assessed using the cardiopulmonary test (from 19.5 (16.7 -20.2) mL/kg/min to 21.1 (17.3 -22.8) mL/kg/ min, P = 0.01, age ratio from 86% (75-96%) to 99% (78-104%), P = 0.01). One patient required support using the remote biological signal monitoring system, including information technology literacy. Conclusions:This study suggests the safety and feasibility of tele-CR using the remote biological signal monitoring system. However, further investigations are required to explore the suitability, effects, and cost-effectiveness of tele-CR as an alternative to center-based CR in the future.

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“…Furthermore, the coronavirus disease 2019 (COVID-19) pandemic had a great impact on the care of patients with cardiovascular disease as well as on CR [ 8 ]. Center-based outpatient phase 2 CR (CBCR) has been interrupted in many areas owing to recommendations for physical distancing [ 9 ]. Thus, an alternative system to CBCR is required.…”

Section: Introduction: Why Is Cardiac Telerehabilitation Needed?mentioning

confidence: 99%

Telemonitoring during Exercise Training in Cardiac Telerehabilitation: A Review

Shimbo¹,

Amiya²,

Komuro³

2023

Rev. Cardiovasc. Med.

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Comprehensive cardiac rehabilitation (CR) is promising strategy for various cardiovascular diseases. Despite these benefits and the recommendation, adherence to outpatient CR remains low. Home-based CR with telemedicine (tele-CR) is emerging concept that is a good alternative to conventional center-based CR. With the development of e-health and e-Cardiology, real-time telemonitoring of patients' parameters such as vital signs and supervising by healthcare professionals during exercise training via internet might make it possible for safe and effective tele-CR to be performed. Therefore, the present study reviews the literature to summarize the current situation and methodology of patient telemonitoring in tele-CR.

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Nationwide Survey of Japanese Cardiac Rehabilitation Training Facilities During the Coronavirus Disease 2019 Outbreak

Cited by 8 publications

References 14 publications

Cardiovascular considerations during the COVID-19 pandemic: A focused review for practice in Japan

Cardiovascular considerations during the COVID-19 pandemic: A focused review for practice in Japan

Safety and Feasibility of Tele-Cardiac Rehabilitation Using Remote Biological Signal Monitoring System: A Pilot Study

Telemonitoring during Exercise Training in Cardiac Telerehabilitation: A Review

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