Alternative Models of Cardiac Rehabilitation to Promote Secondary Prevention in Patients With Coronary Heart Disease After Percutaneous Coronary Intervention: A Scoping Review.
Ahmed Mohammed Almoghairi, Jane O'Brien, Mukhlid Alshammari and 1 others
PMID 39932682WHAT IT FOUND
Home-based cardiac rehab after PCI used phone calls, websites, apps, devices, and education.
Across 23 studies, patients often engaged and reported satisfaction, but the review did not compare models or show which works.
Key findings
01The review included 23 studies that met its criteria for home-based cardiac rehabilitation models.
02Seventeen studies used technology-driven tools, including websites, smartphone apps, and social media.
03All included studies reported favorable adherence to secondary prevention.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for RNs
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What it does not show
The review mapped the literature and did not compare home-based cardiac rehabilitation models head-to-head. Only English-language studies were included, so models from non-English-speaking settings may be missing. Most participants were men, and most studies were in advanced Western health settings, so the findings may not fit women or other settings. Implementation reporting was inadequate, making practical reproduction difficult. The included studies used different designs, populations, durations, and outcomes, so their reported favorable results cannot be combined into one effect.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that home-based cardiac rehabilitation after PCI is proven better than center-based care. This review mapped 23 studies and did not compare the different home-based models head-to-head; favorable outcomes were reported by the included studies, not established by this review.