Quality of life in patients receiving telemedicine enhanced chronic heart failure management: a meta-analysis

Liam Knox, Rachel Rahman, Christopher Beedie

Allbwn ymchwil: Cyfraniad at gynhadleddCrynodebadolygiad gan gymheiriaid

Crynodeb

Background Previous reviews (Inglis, Clark, McAlister, Stewart, & Cleland, 2011; Kotb, Cameron, Hsieh, & Wells, 2015) have investigated how heart failure (HF) disease management delivered via telemedicine has impacted outcomes including; hospitalizations, mortality rates and disease knowledge. No reviews, however, have aggregated effect sizes for health-related quality of life (QoL). This forms an important outcome of consideration given that research has indicated a relationship between low QoL and poor HF outcomes (Freedland, et al., 2003). Methods All relevant databases were searched using appropriate keywords with reference lists of relevant studies being hand-searched. One reviewer extracted all the data. Randomized controlled trials comparing the delivery methods of any form of telemedicine with usual care for the provision of HF disease-management were identified; where studies had to report QoL for inclusion. Moderator analyses were conducted on telemedicine modality and length. Results 29 studies met all inclusion criteria involving 7,066 participants. When comparing mental and physical QoL, to usual care, telemedicine showed no significant effect (SMD 0.03, (95% CI -0.05-0.12), P = 0.45 and SMD 0.24, (95% CI -0.08-0.56), P = 0.14, respectively). However, comparison of overall QoL with usual care, resulted in telemedicine demonstrating a small significant effect (SMD 0.23, [95% CI 0.09-0.37], P = 0.001). Discussion Compared to usual care, telemedicine significantly increases overall QoL in patients receiving HF disease management. Moderator analyses found that telemedicine delivered longitudinally (≥52 weeks) via remote-monitoring was the most beneficial. This provides preliminary support for the use of telemedicine in the management of heart failure without jeopardising patient well-being.
Iaith wreiddiolSaesneg
Tudalennau72
Nifer y tudalennau1
StatwsCyhoeddwyd - 23 Awst 2016
DigwyddiadEuropean Health Psychology Society and BPS Division of Health Psychology Annual Conference 2016 - Aberdeen, Teyrnas Unedig Prydain Fawr a Gogledd Iwerddon
Hyd: 23 Medi 201627 Medi 2016

Cynhadledd

CynhadleddEuropean Health Psychology Society and BPS Division of Health Psychology Annual Conference 2016
Gwlad/TiriogaethTeyrnas Unedig Prydain Fawr a Gogledd Iwerddon
DinasAberdeen
Cyfnod23 Medi 201627 Medi 2016

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