Physiotherapy Department, University of West Attica, Egaleo, Athens, Greece.
Department of Rehabilitation, University Hospital, Jihlavska 20, Brno 62500, Czech Republic; Department of Public Health, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Heart Lung. 2022 Sep-Oct;55:117-126. doi: 10.1016/j.hrtlng.2022.04.016. Epub 2022 May 6.
Cardiac rehabilitation is an evidence-based intervention that aims to improve health outcomes in cardiovascular disease patients, but it is largely underutilized. One strategy for improving utilization is home-based cardiac rehabilitation (HBCR). Previous research has shown that HBCR programs are feasible and effective. However, there is a lack of evidence on safety issues in different cardiac populations. This systematic review aimed to provide an evidence-based overview of the safety of HBCR.
To examine the incidence and severity of adverse events of HBCR.
The following databases were searched: CINAHL, The Cochrane Library, Embase, MEDLINE, PubMed, Web of Science, Global Health, and Chinese BioMedical Literature Database for randomized controlled trials. The included trials were written in English and analyzed the incidence of adverse events (AEs) as a primary or secondary intervention outcome.
Five studies showed AEs incidence, of which only one study reported severe AE associated with HBCR exercise. The incidence rate of severe AEs from the sample (n = 808) was estimated as 1 per 23,823 patient-hour of HBCR exercise. More than half patients included were stratified into a high-risk group. In the studies were found no deaths or hospitalizations related to HBCR exercise.
The risk of AEs during HBCR seems very low. Our results concerning the safety of HBCR should induce cardiac patients to be more active in their environment and practice physical exercise regularly.
心脏康复是一种基于证据的干预措施，旨在改善心血管疾病患者的健康结果，但它的应用还远远不够。提高利用率的一种策略是家庭心脏康复（HBCR）。先前的研究表明，HBCR 计划是可行且有效的。然而，不同心脏人群的安全性问题证据不足。本系统评价旨在提供 HBCR 安全性的循证概述。
检查 HBCR 的不良事件发生率和严重程度。
检索了以下数据库：CINAHL、Cochrane 图书馆、Embase、MEDLINE、PubMed、Web of Science、全球健康和中国生物医学文献数据库，以获取随机对照试验。纳入的试验用英文书写，并分析了不良事件（AE）的发生率作为主要或次要干预结果。
五项研究显示了 AE 的发生率，其中只有一项研究报告了与 HBCR 运动相关的严重 AE。从样本（n=808）中估计严重 AE 的发生率为每 23823 患者小时 HBCR 运动 1 次。超过一半的纳入患者被分为高危组。在研究中没有发现与 HBCR 运动相关的死亡或住院。
HBCR 期间发生 AE 的风险似乎非常低。我们关于 HBCR 安全性的结果应该促使心脏病患者在其环境中更加活跃，并定期进行体育锻炼。
