Effectiveness and feasibility of telerehabilitation in patients with COVID-19: a systematic review and meta-analysis.
Effectiveness and feasibility of telerehabilitation in patients with COVID-19: a systematic review and meta-analysis.
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DOI：
10.1136/bmjopen-2022-063961
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发表时间：
2022-10-05
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
--
作者：
确定COVID-19患者远程康复的综合有效性和可行性。随机对照试验（RCT）的系统综述和荟萃分析。对PubMed、CINAHL、Science Direct、PEDro、Google Scholar和科克伦图书馆数据库进行了系统检索，检索截止日期为2022年3月底。纳入了研究远程康复在COVID-19患者管理中的效果的RCT。感兴趣的结果是功能能力，心肺运动试验，生活质量和其他变量的数据可用。两名评价者独立筛选、提取数据并进行方法学质量评估。使用修订后的科克伦偏倚风险工具评估偏倚风险。使用Review Manager V.5.4和Stata V.14.0软件进行统计分析。使用平均差异（MD）和95% CI以及相应的p值确定组间的治疗效果。所有变量均采用固定效应模型，因为未观察到显著异质性。纳入了4项研究，共334例COVID-19患者。远程康复的汇总结果显示，6分钟步行试验的改善具有统计学意义（MD 75.50; 95% CI 54.69至96.30; p = 0.48），30秒坐立测试（MD 1.76; 95% CI 1.47 - 2.04; p = 0.30）、博格量表（MD 2.49; 95% CI 2.16 - 2.83; p = 0.28）和呼吸困难水平（MD 6.26; 95% CI 5.42 - 7.10; p = 0.66）。总体治疗完成率为88.46%，随机化后退出的最常见原因是失访或不合作。研究结果表明，远程康复干预可以改善受COVID-19影响的患者的功能能力和运动感知，并且可以以较高的完成率和最低的不良事件实施。然而，需要更多的研究来调查心肺功能，生活质量，焦虑，抑郁和其他变量的影响。CRD 42021287975。
To determine the pooled effectiveness and feasibility of telerehabilitation in patients with COVID-19. Systematic review and meta-analysis of randomised controlled trials (RCTs). PubMed, CINAHL, Science Direct, PEDro, Google Scholar and Cochrane Library databases were systematically searched to the end of March 2022. RCTs investigating the effects of telerehabilitation in the management of patients with COVID-19 were included. The outcomes of interest were functional capacity, cardiopulmonary exercise tests, quality of life and other variables where data are available. Two reviewers screened, extracted data and performed methodological quality assessment independently. The revised Cochrane Risk of Bias tool was used to assess the risk of bias. Review Manager V.5.4 and Stata V.14.0 software were used for statistical analysis. Mean difference (MD) with 95% CI and the corresponding p value were used to determine the treatment effect between groups. A fixed-effect model was used for all variables as no significant heterogeneity was observed. Four studies with 334 patients with COVID-19 were included. The pooled result of telerehabilitation showed statistically significant improvement on 6-minute walking test (MD 75.50; 95% CI 54.69 to 96.30; p=0.48), 30-second sit-to-stand test (MD 1.76; 95% CI 1.47 to 2.04; p=0.30), Borg Scale (MD 2.49; 95% CI 2.16 to 2.83; p=0.28) and level of dyspnoea (MD 6.26; 95% CI 5.42 to 7.10; p=0.66). The overall treatment completion rate was 88.46%, and the most common reason for withdrawal after randomisation was lost to follow-up or uncooperativeness. The findings showed that telerehabilitation interventions could improve functional capacity and exercise perception among patients affected by COVID-19 and can be implemented with a high completion rate and minimal adverse events. However, more studies are required to investigate the effects on cardiopulmonary function, quality of life, anxiety, depression and other variables. CRD42021287975.
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DOI：
10.3390/ijerph18147511
发表时间：
2021-07-14
影响因子：
--
作者：
Gonzalez-Gerez JJ;Saavedra-Hernandez M;Anarte-Lazo E;Bernal-Utrera C;Perez-Ale M;Rodriguez-Blanco C
通讯作者：
Rodriguez-Blanco C
DOI：
10.3390/medicina57070684
发表时间：
2021-07-03
期刊：
Medicina (Kaunas, Lithuania)
影响因子：
--
作者：
Rodriguez-Blanco C;Gonzalez-Gerez JJ;Bernal-Utrera C;Anarte-Lazo E;Perez-Ale M;Saavedra-Hernandez M
通讯作者：
Saavedra-Hernandez M
影响因子：
2.9
作者：
Seid AA;Aychiluhm SB;Mohammed AA
通讯作者：
Mohammed AA
影响因子：
3
作者：
Rodriguez-Blanco, Cleofas;Bernal-Utrera, Carlos;Jose Gonzalez-Gerez, Juan
通讯作者：
Jose Gonzalez-Gerez, Juan
影响因子：
1.7
作者：
Turan, Zeynep;Topaloglu, Mahir;Ozyemisci Taskiran, Ozden
通讯作者：
Ozyemisci Taskiran, Ozden