针对慢性呼吸系统疾病和后COVID-19的实时远程康复：系统回顾和荟萃分析

IF 3.5 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Journal of Telemedicine and Telecare Pub Date : 2024-04-10 DOI:10.1177/1357633x241241572

Esther F Timoteo, Denise F Silva, Túlio MD de Oliveira, Anderson José, Carla Malaguti

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引用次数: 0

摘要

导言：远程康复可促进肺康复的获得和坚持。鉴于现有远程康复研究的异质性，仍有必要确定最有效、最安全、最具成本效益的临床实施策略，以及远程康复过程中必要的监督水平。本综述旨在确定针对慢性呼吸系统疾病和COVID-19后的实时远程康复与无康复、中心康复或异步远程康复相比的有效性和安全性。结果纳入了 12 项研究，共有 1540 名参与者。极低至中等确定性证据显示，实时远程康复与中心肺康复之间没有差异。纳入本综述的研究报告显示，实时远程康复的坚持率和完成率都很高，与中心肺康复相比没有差异。与不进行康复训练相比，本综述的结果提供了低确定性证据，即实时远程康复训练可能会在干预结束时对运动能力产生潜在影响，但在其他结果方面没有更好的效果。结论实时远程康复是安全的，其效果似乎与中心肺康复相似。然而，这些证据的确定性从很低到中等不等。因此，实时远程康复可作为中心肺康复模式的替代方案。本综述为实时远程康复提供了一个清晰的定义，有助于结果的解释和临床应用。

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Real-time telerehabilitation for chronic respiratory disease and post-COVID-19: A systematic review and meta-analysis

IntroductionTelerehabilitation may facilitate access and adherence to pulmonary rehabilitation. Given the heterogeneity in existing telerehabilitation studies, it is still necessary to identify the most effective, safe, and cost-efficient strategy for clinical implementation, as well as the necessary level of supervision during telerehabilitation. The aim of this review was to determine the effectiveness and safety of real-time telerehabilitation for chronic respiratory diseases and post-COVID-19 compared to no-rehabilitation, center-based rehabilitation or asynchronous telerehabilitation.MethodsA comprehensive search was conducted in six databases until 30 April 2023. Clinical trials of real-time telerehabilitation supervised via videoconference in adults with diagnosis of any chronic respiratory disease or post-COVID-19 were included.ResultsTwelve studies with 1540 participants were included. Very-low to moderate certainty evidence showed no difference between real-time telerehabilitation and center-based pulmonary rehabilitation. Studies included in this review reported high adherence rates to real-time telerehabilitation and completion rate, with no difference compared to center-based pulmonary rehabilitation. When compared to no-rehabilitation, the results of this review provide low-certainty evidence that real-time telerehabilitation may have a potential effect on exercise capacity at the end of the intervention, with no better results in others outcomes. No studies comparing real-time telerehabilitation with asynchronous telerehabilitation were found.ConclusionReal-time telerehabilitation is safe and it seems to promote similar effects to center-based pulmonary rehabilitation. However, the certainty of this evidence ranged from very-low to moderate. Therefore, real-time telerehabilitation offers an alternative to center-based pulmonary rehabilitation models. This review provides a clear definition of real-time telerehabilitation, facilitating results interpretation and clinical applicability.

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来源期刊

Journal of Telemedicine and Telecare 医学-卫生保健

CiteScore

14.10

自引率

10.60%

发文量

174

审稿时长

6-12 weeks

期刊介绍： Journal of Telemedicine and Telecare provides excellent peer reviewed coverage of developments in telemedicine and e-health and is now widely recognised as the leading journal in its field. Contributions from around the world provide a unique perspective on how different countries and health systems are using new technology in health care. Sections within the journal include technology updates, editorials, original articles, research tutorials, educational material, review articles and reports from various telemedicine organisations. A subscription to this journal will help you to stay up-to-date in this fast moving and growing area of medicine.