Hybrid Cardiac Rehabilitation: A First French experience.
Résumé
Background
The current pandemic imposes changes in the management of cardiac pathologies. Cardiac rehabilitation had to think about new protocols in order to welcome patients back. In connection with the observations of the European Association of Preventive Cardiology, the choice of cardiac telerehabilitation appeared to be unavoidable.
Purpose
This retrospective research based on data from the Medicalization of Information Systems Programme and the electronic medical record allows to analyse the effect of Hybrid Cardiac Rehabilitation.
Methods
One hundred and ninety-two patients (29 females and 163 males) with an average of 56.9 years old (± 10.3) and with Risk of Activity Related Events (RARE) score below 4 were able to benefit from a Hybrid Cardiac Rehabilitation programme. Patients underwent 20 cardiac rehabilitation sessions: alternatively, patients underwent 10 classical cardiac rehabilitation sessions in the clinic and 10 cardiac telerehabilitation sessions at home. The data concerning the Stress Test, the Wall Squat Test and the reach test were collected.
Results
We have noticed that patients had improved their cardiorespiratory capacity on the initial and final Stress Test 6.6 (± 1.8) MET to 8.2 (± 1.9) MET (P < 0.0001). We also found that patients improved lower limb muscle strength 75.1 (± 44.8) seconds to 105.7 (± 49.7) seconds (P < 0.0001). Finally, there increase in flexibility 25.9 (± 11.9) centimeters to 20.5 (± 10.5) (P < 0.0001) (Table 1).
Conclusions
Hybrid Cardiac Rehabilitation protocols can be set up for patients with low cardiovascular risk. The programme effectiveness appears to be comparable to the traditional model. However, additional studies are needed to determine the effectiveness of this programme in the long term and an evaluation of the Therapeutic patient education.