Second Nationwide Survey of Japanese Cardiac Rehabilitation Training Facilities During the Coronavirus Disease 2019 (COVID-19) Outbreak

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

doi:10.1253/circrep.cr-22-0086

Cited by 4 publications

(1 citation statement)

References 16 publications

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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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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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Online Intensive Cardiac Rehabilitation Program for Japanese Patients With Coronary Artery Disease　― A Pilot Study Protocol ―

Ozasa,

Kaneda,

Washida

et al. 2024

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Real-World Evidence of Feasible Assessment and Intervention in Cardiovascular Physical Therapy for Older Patients With Heart Failure　― Insight From the J-Proof HF of the Japanese Society of Cardiovascular Physical Therapy ―

Kono,

Sakurada,

Iida

et al. 2024

Circ Rep

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Background This study aimed to clarify the feasibility of cardiovascular physical therapy assessment and intervention in older patients with heart failure (HF) in Japan. Methods and Results We performed a secondary analysis of data from a nationwide multicenter registry (the J-Proof HF), and enrolled consecutive HF patients aged ≥65 years who were prescribed cardiovascular physical therapy during hospitalization from December 2020 to March 2022. Of the 9,650 enrolled patients (median age 83.0 years; 49.8% male), the availability rate of comorbidities and assessments was >95%. In the activities of daily living (ADL) assessment, the Barthel Index (BI) and Functional Independence Measure were 97.6% and 60.4%, respectively. The results of the physical therapy assessment indicated completion rates of ≥80%, with lower rates of <60% for gait speed and short-performance physical battery in the group with a BI of <85 points. In physiotherapy intervention, gait training and muscle strength training were performed by >80% of patients, whereas aerobic exercise and resistance training were performed by 35.4% and 2.6% patients, respectively. Conclusions Our results in this study indicated that medical findings, such as comorbidities, echocardiography, and laboratory findings, were considered a feasible assessment that could be confirmed at all hospitals. Gait training, ADL training, and muscle strength training are much more common than exercise training in older patients with HF.

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Second Nationwide Survey of Japanese Cardiac Rehabilitation Training Facilities During the Coronavirus Disease 2019 (COVID-19) Outbreak

Cited by 4 publications

References 16 publications

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

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

Online Intensive Cardiac Rehabilitation Program for Japanese Patients With Coronary Artery Disease　― A Pilot Study Protocol ―

Real-World Evidence of Feasible Assessment and Intervention in Cardiovascular Physical Therapy for Older Patients With Heart Failure　― Insight From the J-Proof HF of the Japanese Society of Cardiovascular Physical Therapy ―

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Second Nationwide Survey of Japanese Cardiac Rehabilitation Training Facilities During the Coronavirus Disease 2019 (COVID-19) Outbreak

Cited by 4 publications

References 16 publications

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

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

Online Intensive Cardiac Rehabilitation Program for Japanese Patients With Coronary Artery Disease ― A Pilot Study Protocol ―

Real-World Evidence of Feasible Assessment and Intervention in Cardiovascular Physical Therapy for Older Patients With Heart Failure ― Insight From the J-Proof HF of the Japanese Society of Cardiovascular Physical Therapy ―

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Product

Resources

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Online Intensive Cardiac Rehabilitation Program for Japanese Patients With Coronary Artery Disease　― A Pilot Study Protocol ―

Real-World Evidence of Feasible Assessment and Intervention in Cardiovascular Physical Therapy for Older Patients With Heart Failure　― Insight From the J-Proof HF of the Japanese Society of Cardiovascular Physical Therapy ―