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eHealth-supported Self-management and Telemonitoring in Heart Failure: A Systematic Review and Meta-analysis of
Derren Rampengan1, Stevanus Surya2, Diski Saisa3
1Medical Doctor Program, Faculty of Medicine, Universitas Sam Ratulangi - Prof Dr RD Kandou Central General Hospital, Manado, North Sulawesi, Indonesia.
Heart International
|December 11, 2025
Summary
eHealth interventions significantly reduce hospital admissions for heart failure (HF) patients. While effects on mortality and quality of life need further investigation, eHealth is a valuable tool for improving HF self-management.
Area of Science:
- Cardiology
- Digital Health
- Health Services Research
Background:
- eHealth facilitates health information exchange, home monitoring, and patient empowerment for heart failure (HF) self-management.
- Effective self-management is crucial for patients with chronic conditions like HF.
Purpose of the Study:
- To evaluate the effectiveness of eHealth interventions in improving self-management among patients with heart failure.
Main Methods:
- Systematic review and meta-analysis of 37 randomized controlled trials involving 13,366 participants.
- Searched multiple databases (Cochrane, PubMed, Scopus, etc.) up to February 25, 2025.
- Assessed study quality using Cochrane Risk of Bias 2.0 and analyzed data using Review Manager software.
Main Results:
- eHealth interventions significantly reduced HF-related hospital admissions (OR: 0.73).
- No significant differences were observed in all-cause mortality (OR: 0.93), cardiovascular mortality (OR: 0.85), or HF-related knowledge (SMD: 0.53).
- Quality of life showed a borderline improvement on the Minnesota total score (MD: -7.25).
Conclusions:
- Incorporating eHealth, especially telemedicine, into standard HF care substantially decreases hospital admissions.
- The impact of eHealth on mortality, quality of life, and knowledge requires further research.
- Standardized eHealth integration is a pragmatic strategy to enhance HF management and patient outcomes.
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