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December 3, 2021Journal of Medical Internet ResearchOpen Access

Posthospital HF eHealth yields high adherence and improves quality of life without clearly reducing readmissions.

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Why the study?

Heart failure carries high 30-day readmission risk, and the COVID-19 pandemic highlighted the need for eHealth interventions during hospital-to-home transitions to support self-care, improve quality of life, and reduce readmissions.

Do eHealth interventions improve self-care, quality of life, and readmissions in patients with heart failure posthospitalization?

Population

18 studies of patients with HF posthospitalization

Comparison

eHealth interventions vs not specified

Design

Restricted systematic review

Follow-up

14 days to 12 months

Key result

Posthospitalization eHealth interventions for heart failure achieved adherence levels of 72%-99% and positively affected quality of life, though impact on self-care and readmissions was less evident.

Authors

IMIngvild Margreta MorkenMSMarianne StormJSJon Arne Søreide

Discussion

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Member takes

Overview

eHealth supports QoL gains with high adherence post-HF discharge; extends RCT evidence but leaves self-care and readmission effects open.

Study Design

Type

Systematic Review (n=18)

Structured PICO

Do eHealth interventions improve self-care, quality of life, and readmissions in patients with heart failure posthospitalization?

P
Population
18 studies (16 RCTs) of patients with heart failure posthospitalization
I
Intervention
eHealth interventions (structured telephone calls, interactive voice response, telemonitoring, patient education, counseling, social and emotional support, self-monitoring of symptoms and vital signs) lasting from 14 days to 12 months
O
Outcome
Self-care, quality of life (QoL), and readmissionspatient reported

eHealth interventions for posthospitalization follow-up in heart failure patients show promise in improving quality of life and have high patient adherence, though effects on readmissions and self-care are less clear.

Cite This Study

Morken et al. (2021) conducted a systematic review in Heart failure (n=18). eHealth interventions was evaluated on Patient adherence, self-care, quality of life, and readmissions. Posthospitalization eHealth interventions for heart failure achieved adherence levels of 72%-99% and positively affected quality of life, though impact on self-care and readmissions was less evident.

synapsesocial.com/papers/6a077e36b2d9a7d543079a51https://doi.org/10.2196/32946
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