Irene Nabutovsky
The Department of Health Systems Management, Faculty of Health Sciences, Ariel University, Israel
Title: Feasibility, Safety, and Effectiveness of a Novel Mobile Application in Cardiac Rehabilitation
Biography
Biography: Irene Nabutovsky
Abstract
In a pilot study, we assessed the feasibility, safety, and effectiveness of a cardiac rehabilitation program, using a combination of mobile application and multidisciplinary caregiver control center. We also evaluated clinical and physiological outcomes as well as adherence to the exercise program in patients with low cardiovascular risk. Methods: A total of 22 patients with established coronary artery disease participated in a 6-month tele-cardiac rehabilitation (tele-CR) program. Datos Health, a novel digital health application and care-team dashboard, was used for remote monitoring, communication and management of the patient. Results: Following the 6-month tele-CR intervention, there was a significant improvement in exercise capacity, assessed by estimated Metabolic Equivalents (METS). High-density lipoproteins (HDL) levels significantly improved, whereas low-density lipoproteins (LDL), triglyceride (TG) glycosylated hemoglobin (HbA1c), systolic (SBP) and diastolic (DBP) blood pressures levels were not significantly changed. Exercise adherence was consistent among patients, with more than 63% of patents who participated in a program of moderately intense exercise for 150 minutes per week. Conclusion:
Patients who participated in tele-CR adhere well to the exercise program and attained good functional improvement. Tele-CR program is a viable option for populations that cannot, or elect not to participate in center based tele-CR programs.