Maarten van Egmond

91 The effectiveness of physiotherapy with telerehabilitation 5 Outcomes Results a Conclusion Control Primary Secondary Hospital: super- vised exercise sessions Peak oxygen uptake · QoL (SF36) · Social sup- port · Peak VO 2 was not significant · Social support 6 months: 36.0 (SD 4.9) vs 34.6 (SD 6.4); P = .05 · QoL: 51.2 (SD 6.4) vs 48.6 (SD 7.1); P = .004 Low-risk CABG surgery patients may be served as well or better with a monitored, home-based exercise programme than with an institu- tion-based programme Home health care · Physiologic Functioning · Psychosocial Functioning (MOS-SF36) Not specified · General health func- tion: F 8.41, P = <0.01 · Physical: F 9.42, P = < 0.001 · Role-physical: F 5.74, P < .05 · Mental health function: F 7.97, P < 0.001 Findings demonstrate the potential benefit of using home communi- cation intervention to augment outcomes of patients undergoing CABG Usual care Anxiety (BAI) n/a Greater than minimal anx- iety: (39% vs 57%) (Chi 2 = 4.174, df = 1, P < .041 ) The Intervention effect is most present in the early period after dis- charge– the time most affected by reduced lengths of stay Regular conven- tional in-hospital rehabilitation · Physical perfor- mance · QoL (SF36) · Complication · Costs All items had increased with statistical significance in favor of the intervention An ambulatory rehabili- tation improves physical performance, QoL, and is safe and cheap Ordinary medi- cal therapy, diet control, and ex- ercise at home on their own · Exercise Capac- ity · QoL (SF36) Not specified · Exercise capacity: increase in metabolic equivalent of the tasks (+2.47 vs +1.43, P = .021 ) maximal exercise time (+169.68 vs +88.31 second, P = .012 ) · QoL: +4.81 vs +0.89, P = .022 The finding that patients were able to reduce their anxiety by using the wireless monitor- ing equipment during exercise at home is considered clinically meaningful