心血管疾病与诊断

A Meta-Analysis to Determine Enhancement of Adherence to Telemonitoring by Congestive Heart Failure Patients

Abstract

Uddin WM and Gu X

Background: Chronic heart failure (CHF) is one of the most life-threatening conditions. Patient populations living with the disease experience high rates of mortality and cardiac morbidities. Research examining the compliance of CHF patients to telemonitoring programs such as cardiac rehabilitation programs, reveals that patients, especially of older ages, tend to show less compliance and more drop out of these programs.

Methods: The researcher used 8 out of 16 randomized controlled trials identified from the following databases until April 2019: The Cochrane Library, CINAHL, and Medline. The researcher used various randomized controlled trials identified from the following databases until April 2019: The Cochrane Library, CINAHL, and Medline. The meta-analysis will investigate the various ways to upgrade the compliance of CHF patients. The RCTs from the identified studies were then fully reviewed and included in the meta-analysis if they satisfied the criteria below had prospectively enrolled patients with confirmed congestive heart failure, reviewed patient randomized to access telemonitoring programs, and discusses more than one of the primary and secondary outcomes. To assess the progress of compliance, the patients can be monitored for various factors including self-reporting of daily measurements of healthcare parameters, use of healthcare resources and the actual usage of the technology used in telemonitoring.

Limitations: The reviewed evidence mainly focuses on the compliance of heart failure patients and does not assess the process of telemonitoring.

Conclusion: Currently more innovative technology, other than telephone calls and the use of mobile phone applications is being investigated for possible future use. Accordingly, the use of artificial intelligence is being investigated to support clinical decision making and imaging interpretations by the patient. Socio-economic factors, patient related factors such as age and were also reported to implicate compliance. Accordingly, elderly was more likely to suffer cognition and physical impairments implicating their ability to effectively understand and interpret the processes involved in the telemonitoring program.