减少冠状动脉疾病再入院的数字健康计划:系统性审查和元分析
Justin Braver1,2, Thomas H Marwick1,2, Brian Oldenburg3,4
1Baker Department of Cardiometabolic Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Victoria, Australia.
JACC. Advances
|June 28, 2024
概括
整合到疾病管理计划 (DMP) 中的移动健康 (mHealth) 显著减少了冠状动脉疾病 (CAD) 患者的再入院和急诊次数. 然而,这项研究没有发现对死亡率或主要心血管不良事件的显著影响.
科学领域:
- 心血管医学 心血管医学
- 医疗信息学 医疗信息学
- 数字健康数字健康
背景情况:
- 移动健康 (mHealth) 在医疗保健中的采用正在迅速增加.
- 将mHealth整合到疾病管理计划 (DMP) 中显示出改善冠状动脉疾病 (CAD) 患者结果的前景.
- 需要对用于CAD的mHealth-enabled DMP进行全面评估.
研究的目的:
- 系统地审查和元分析mHealth支持的DMP.
- 为了确定mHealth-enabled DMPs在减少CAD患者的再入院和死亡率方面的有效性.
主要方法:
- 从2007年1月到2021年8月的英语语言研究的系统搜索.
- 包括比较mHealth-enabled DMPs与标准DMPs的研究,至少进行30天的随访.
- 来自18个符合条件的出版物的数据的元分析.
主要成果:
- 支持mHealth的DMP显著减少了因任何原因住院治疗 (RR:0.68) 和与心脏相关的住院治疗 (RR:0.55).
- 随着mHealth的整合,急诊室的访问也大幅减少 (RR:0.37).
- 在死亡结果 (RR: 1.72) 或主要心血管不良事件 (RR: 0.68) 中没有观察到显著的减少.
结论:
- 与mHealth集成的疾病管理计划是CAD患者的有效干预措施.
- 考虑启用mHealth的DMP来改善冠状动脉疾病管理中的患者结果.
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