An innovative telemedicine development for home-based cardiac rehabilitation in heart failure patients

2021 Fiscal Year Final Research Report

• Project/Area Number: 19K11340
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 59010:Rehabilitation science-related
• Research Institution: University of Tsukuba
• Principal Investigator: WU LONGMEI 筑波大学, 附属病院, 病院登録医 (60793528)
• Co-Investigator(Kenkyū-buntansha): 佐藤 明 筑波大学, 医学医療系, 准教授 (30528469) ; 小池 朗 筑波大学, 医学医療系, 教授 (60234655)
• Project Period (FY): 2019-04-01 – 2022-03-31
• Keywords: LAVITA / 在宅心臓リハビリ / 自動送信システム / リアルタイム

Outline of Final Research Achievements

Clinically demonstrated the efficacy of cardiac rehabilitation in patients with chronic heart failure.However, patients who have difficulty in outpatient rehabilitation for some reason may not receive the necessary medical care.To address this problem, we have verified that home rehabilitation training can be performed safely using LAVITA's communicator.
The results showed that the improvement rate of exercise tolerance (PVO2) in the previous outpatient rehabilitation group was 11.8±2, while in the LAVITA group was 14.2±2.
This study provides new information for the safe implementation of home rehabilitation in the future.

Free Research Field

循環器内科、心臓リハビリテーション

Academic Significance and Societal Importance of the Research Achievements

心臓リハビリテーション（心リハ）が慢性心不全患者における有効性は臨床的に証明されている。しかし、何らかの事情により外来心リハの通院が困難な患者様にLAVITAの通信機を利用して在宅 心リハを継続した結果、外来心リハの効果に劣らない結果が得られた。本研究は高齢者社会における慢性心不全患者様が在宅心リハを継続することにより、再入院や要介護を抑制し、国の医療費削減に寄与することが期待できす。