Riley H, Stabile L, Wu WC. Transition to Home-Based Treatment Plans for Center-Based Cardiac, Pulmonary, and
Vascular Rehabilitation during COVID-19.
R I Med J (2013) 2020;
103:30-33. [PMID:
33126784]
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Abstract
BACKGROUND
Traditional rehabilitation services, whether they are cardiac, pulmonary, or vascular, consist of 6-36 center-based, supervised sessions; however, due to COVID-19, in-person visits were suspended. This study sought to implement a transitional home-based treatment plan (HBTP) to patients.
METHOD
Patients enrolled in a rehabilitation service at the Miriam Hospital during the time of temporary closure were provided with a HBTP that was individualized to their needs and multi-disciplinary in nature. Patients were called weekly for continual guidance and support.
RESULTS
Of the 129 patients that received a HBTP, 115 (89%) participated in follow-up correspondence (63±12 years, 83% white, 66% male, 81% enrolled in cardiac rehab). Nearly 70% of patients continued to participate in regular exercise and upon re-opening, 69 (60%) of patients returned to center-based care. Psychosocial factors appeared to inhibit treatment adherence.
CONCLUSIONS
Patients are receptive to an HBTP and subsequent follow-up throughout temporary closure of rehabilitation services.
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