Publications by authors named "S Scalvini"
Effects of an In-Hospital Motivational Programme on Physical Activity Levels of Individuals with Chronic Heart Failure or Chronic Obstructive Pulmonary Disease Undergoing Rehabilitation: A Randomized Controlled Trial.
Michele Vitacca Mara Paneroni Emanuela Zanelli Beatrice Salvi Gloria Fiorini Aloisi Simonetta Scalvini
Arch Bronconeumol
November 2024
Article Synopsis
- The study investigates a telemedicine program designed to manage heart failure and type 2 diabetes at home, promoting lifestyle changes such as exercise and better blood sugar control.
- Eligible patients are randomly assigned to an intervention group, which receives structured teleassistance from healthcare professionals, or a control group that gets routine care.
- The primary goal is to measure improvements in physical activity, specifically the distance walked in a 6-minute walk test, and also assess changes in disease status and physical activity after 6 months.
Article Synopsis
- Researchers aimed to create a predictive model to estimate the maximal work rate (MWR) in patients with chronic heart failure (CHF) since not everyone can undergo common exercise tests due to cost or availability constraints.
- The study involved 600 patients in a cardiac rehabilitation program who completed both cardiopulmonary exercise testing (CPX) and the 6-minute walk test (6 MWT) to determine the effectiveness of the predictive model using various clinical factors.
- The resulting model had limited accuracy, often overestimating low MWR values and underestimating high ones, indicating that direct measurement of MWR through CPX or symptom-limited tests is still crucial for effective exercise training prescription.
Background: The best exercise program for individuals with effort intolerance or hypoxia at rest and/or during exercise post-COVID-19 treatment who have already had in-hospital rehabilitation remains unknown.
Objective: We evaluated the efficacy of a home-based rehabilitation exercise program intervention that included teleconsultations with a specialist nurse.
Methods: This was a multicenter randomized controlled trial for individuals who had been diagnosed with, and treated for, COVID-19.