NYMC Faculty Publications

Exploring Cardiopulmonary Rehabilitation in the Middle East and North Africa Region: A Narrative Review of Challenges and Opportunities

Author Type(s)

Faculty

DOI

10.1016/j.cpcardiol.2024.102829

Journal Title

Current Problems in Cardiology

Document Type

Article

Publication Date

12-1-2024

Department

Neurology

Keywords

Cardiopulmonary rehabilitation, Challenges, Emerging trends, Middle East and North Africa, Telehealth

Disciplines

Medicine and Health Sciences

Abstract

Background and Objectives: Cardiopulmonary Rehabilitation (CR) is crucial for managing conditions like congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and post-COVID-19 complications. This review examines CR practices in the Middle East and North Africa (MENA) region, exploring challenges, disparities, and emerging trends. Methods: A comprehensive literature search was conducted in PubMed, Scopus, and Web of Science to identify studies published between date of inception and April 24th, 2024, focusing on CR programs, outcomes, challenges, and strategies specific to the MENA region. Data extraction included study design, population characteristics, CR interventions, and key findings. Results: CR programs in the MENA region vary widely in scope and execution. While efforts are underway to integrate CR services into national healthcare policies, significant challenges persist, including limited infrastructure, shortages of trained professionals, and cultural barriers. Emerging trends include the use of telehealth and digital monitoring tools to expand access to CR services and policy reforms aimed at improving service delivery and patient access. Conclusion: CR plays a crucial role in improving the quality of life and health outcomes for cardiopulmonary patients, including those in the MENA region. However, significant challenges hinder the widespread adoption and effectiveness of CR programs. Addressing these challenges requires efforts to increase public education, reduce costs, expand funding, and enhance interprofessional collaboration. Future research should assess virtual rehabilitation, cultural adjustments, and long-term outcomes to tailor interventions to MENA's needs, ultimately enhancing CR accessibility and patient outcomes.

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