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Long-term effects of e-Health secondary prevention on cardiovascular health: a systematic review and meta-analysis.
- Source :
-
European Journal of Cardiovascular Nursing . Aug2023, Vol. 22 Issue 6, p562-574. 13p. - Publication Year :
- 2023
-
Abstract
- Aims Despite the well-documented short-to-medium-term effectiveness of e-Health (electronic health) secondary prevention interventions on patients with cardiovascular disease (CVD), there is limited empirical evidence regarding long-term effectiveness. This review aims to evaluate the long-term effects of e-Health secondary prevention interventions on the health outcomes of patients with CVD. Methods and results This systematic review and meta-analysis followed Cochrane Handbook for Systematic Reviews of Interventions. EMBASE, Medline, Web of Science, and Scopus were searched from 1990 to May 2022. Randomized controlled trials investigating the effects of e-Health secondary prevention on health outcomes of CVD patients that collected endpoint data at ≥ 12 months were included. RevMan 5.3 was used for risk of bias assessment and meta-analysis. Ten trials with 1559 participants were included. Data pooling suggested that e-Health programmes have significantly reduced LDL cholesterol [ n = 6; SMD = −0.26, 95% confidence interval (CI): (−0.38, −0.14), I2 = 17%, P < 0.001]; systolic blood pressure [ n = 5; SMD = −0.46, 95% CI: (−0.84, −0.08), I2 = 90%, P = 0.02]; and re-hospitalization, reoccurrence, and mortality [risk ratio = 0.36, 95% CI: (0.17, 0.77), I2 = 0%, P = 0.009]. Effects on behavioural modification, physiological outcomes of body weight and blood glucose, and quality of life were inconclusive. Conclusion e-Health secondary prevention is effective in improving long-term management of risk factors and reducing the reoccurrence of cardiac events in patients with CVD. Results are inconclusive for behaviour modification and quality of life. Exploring, implementing, and strengthening strategies in e-Health secondary prevention programmes that focus on maintaining behaviour changes and enhancing psychosocial elements should be undertaken. Registration PROSPERO CRD42022300551. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CARDIOVASCULAR disease prevention
*HYPERCHOLESTEREMIA prevention
*EVALUATION of medical care
*CARDIOVASCULAR diseases risk factors
*MEDICAL databases
*HYPERTENSION
*HEALTH education
*RELATIVE medical risk
*META-analysis
*MEDICAL information storage & retrieval systems
*SOCIAL support
*CONFIDENCE intervals
*SMOKING cessation
*MAJOR adverse cardiovascular events
*SYSTEMATIC reviews
*SYSTOLIC blood pressure
*PATIENT readmissions
*LDL cholesterol
*DISEASE relapse
*QUALITY of life
*DESCRIPTIVE statistics
*HEALTH behavior
*DRUGS
*MEDLINE
*DATA analysis software
*STATISTICAL models
*PATIENT compliance
*TELEMEDICINE
*HEALTH promotion
*BEHAVIOR modification
CARDIOVASCULAR disease related mortality
Subjects
Details
- Language :
- English
- ISSN :
- 14745151
- Volume :
- 22
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- European Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 172849850
- Full Text :
- https://doi.org/10.1093/eurjcn/zvac116