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 wreiddiol | Saesneg |
---|---|
Tudalennau | 72 |
Nifer y tudalennau | 1 |
Statws | Cyhoeddwyd - 23 Awst 2016 |
Digwyddiad | European Health Psychology Society and BPS Division of Health Psychology Annual Conference 2016 - Aberdeen, Teyrnas Unedig Prydain Fawr a Gogledd Iwerddon Hyd: 23 Medi 2016 → 27 Medi 2016 |
Cynhadledd
Cynhadledd | European Health Psychology Society and BPS Division of Health Psychology Annual Conference 2016 |
---|---|
Gwlad/Tiriogaeth | Teyrnas Unedig Prydain Fawr a Gogledd Iwerddon |
Dinas | Aberdeen |
Cyfnod | 23 Medi 2016 → 27 Medi 2016 |