Use of Telehealth During Physical Rehabilitation for Patients With Chf: A Systematic Review

Abstract

(colorful, memorable cues placed at key decision points) cue conditions. The results showed that there was a significant interaction among group, day, and trial (F (8, 987) = 8.049; p < .0001 indicating that the subjects in the control group found their way faster over days and trials in both cue conditions when compared to the AD/MCI group. The control group found the goal significantly more often (M = 16.1, SD = 2.23) than the AD/MCI group (M = 6.45, SD = 5.43); t (68) = 25.806, p < .001. There was an interaction among cue condition, day, and trial; F (4, 986) = 2.534, p = .039, with subjects finding the goal location the fastest in the salient cue condition. Both groups had more goal acquisitions and a faster time to acquire the goal in the salient cue condition when compared to the standard cue condition. The purpose of this systematic review was to discuss telehealth as a viable adjunct for improving physical outcomes in patients with congestive heart failure (CHF) as compared to patients receiving cardiac rehabilitation in traditional hospital settings. A comprehensive literature search was completed using PubMed, CINAHL, PEDro, Cochrane Central Register of Control Trials, and Google Scholar. Articles were assessed by three reviewers for quality using the PEDro scale. Five randomized controlled trials were selected and analyzed. The results focused on the affect telemonitored home programs (THP) had on select physical outcome measures (i.e. VO 2 peak, Six Minute Walk Test, and ECG monitoring). The articles reviewed all characterize THP as a safe alternative to hospital-based cardiac rehabilitation in patients with CHF. Four of the studies revealed significantly greater improvements in VO 2 peak for THP when compared to hospital-based groups. All studies characterize THP to be as safe as, and sometimes superior to, hospital-based cardiac rehabilitation programs. Improvements in physical outcome measures for aerobic power and functional mobility were consistent throughout. The opportunity for telemonitored patients to receive direct feedback from healthcare professionals regarding physical responses to exercise clearly added to patient confidence. There were no untoward ECG-related events reported in patients participating in cardiac rehabilitation either at home or at a hospital. We conclude THP is an efficacious rehabilitation adjunct for patients with CHF when compared to cardiac rehabilitation received in traditional hospital settings. Background: There are few studies concentrating on the influence of health system factors on long-term care admissions of people with dementia. We address this absence by examining how inadequacies in the healthcare system impact on long-term care admissions of people with dementia. This is in the context of the Irish healthcare system which has been greatly impacted by the economic crisis and austerity. THE CRITICAL ROLE OF THE HEALTHCARE SYSTEM ON LONG-TERM CARE ADMISSIONS OF PEOPLEMethods: Thirty-eight qualitative in-depth interviews with healthcare professionals and fa...

Comparison of Patient Satisfaction Between Virtual Visits During the COVID-19 Pandemic and In-person Visits Pre-pandemic

“…[1][2][3][4][5][6][7][8][9] Prior to the COVID-19 pandemic, the practice of telehealth was shown to be cost-effective, especially in the treatment of chronic diseases like diabetes mellitus and obesity. [10][11][12][13][14] With the emphasis on remote care during the COVID-19 pandemic, many practices and hospitals produced policy changes to apply telehealth in both medical and surgical fields. 15 Unfortunately, the field of otolaryngology has many unique challenges when migrating to telehealth, especially given the importance of physical exams as well as the frequent use of endoscopy and microscopy during complete head and neck evaluations.…”

“…1-9 Prior to the COVID-19 pandemic, the practice of telehealth was shown to be cost-effective, especially in the treatment of chronic diseases like diabetes mellitus and obesity. 10-14 With the emphasis on remote care during the COVID-19 pandemic, many practices and hospitals produced policy changes to apply telehealth in both medical and surgical fields. 15…”

Assessment of Patient Experiences in Otolaryngology Virtual Visits During the COVID‐19 Pandemic

“…[1][2][3][4][5][6][7][8][9] Previous studies demonstrated telehealth to be cost-effective and useful. [10][11][12][13][14] Given the perceived utility of remote care under these circumstances, policy changes have readily promoted its increased use across specialties. 15 Implementing telehealth on a wide scale presents unique challenges to otolaryngologists given routine use of endoscopy and microscopy.…”

“…With the coronavirus disease 2019 (COVID‐19) pandemic, otolaryngologists, among other specialties, implemented telehealth strategies to adapt to physical distancing guidelines 1–9 . Previous studies demonstrated telehealth to be cost‐effective and useful 10–14 . Given the perceived utility of remote care under these circumstances, policy changes have readily promoted its increased use across specialties 15…”