Impact Of Telecardiology And Remote Patient Monitoring On Hospital Readmissions And Mortality In Chronic Heart Failure: A Systematic Review
Notice bibliographique
Résumé
Background:According to the new pharmacological as well as device based treatments, chronic heart failure (CHF) has remained to be one of the significant reasons of hospital rehospitalizations and other deaths in the world. The innovative tools that have been proposed to contribute to the improvement of clinical outcomes are telecardiology and remote patient monitoring (RPM) as they have been argued that they would be effective to assist in the early detection of decompensation, enhanced involvement with patients, and persistent clinical monitoring. It is a systematic review of how telecardiology and RPM have an effect on hospital readmissions and all cause mortality among CHF populations. Methods: The systematic search of the databases PubMed, Scopus, Web of Science, and Google Scholar was carried out in order to locate articles published in 2010-2021 according to the recommendations of PRISMA 2020. The studies that passed the eligibility criteria were randomized controlled studies, cohort studies, and systematic reviews investigating the telecardiology interventions or RPM interventions among the adults with CHF. The readmission, mortality, compliance and patient participation in the hospitals were the data mining targets. The quality of methods evaluation was performed with assistance of Newcastle-Ottawa Scale (NOS) and Cochrane Risk of Bias 2. Results: They incorporated 22 (n = 8,450 patients) studies. Telecardiology and RPM interventions continued to reduce hospital readmission, and the relative risk was reduced by 21%. The outcomes of mortality showed that all-cause mortality reduced by 12 per cent (HR = 0.88; 95 per cent CI: 0.790.97) and the high-risk patients (NYHA class III-IV) in particular. The domain score was the most related with the engagement and adherence (3.62) and engagement was positively related with the decreased readmissions (r = 0.72). Still, the lowest score was credibility in digital systems (2.94), which reflects the remaining panic over data privacy and reliability and integration of digital systems into clinical processes. Conclusion: The presented systematization review demonstrates that telecardiology and RPM have the potential to eliminate readmissions and yield relatively better survival outcomes in CHF patients, especially those with more severe stages of the disease. The involvement of the patients turned out to be the mediator of the outcomes and the lack of the trust and the inconsistency of the implementation are taken as the key barriers. The upcoming research ought to focus on long-term trials and normal outcomes reporting, and the way of improving patient trust and system integration. Telecardiology is a potentially disruptive component of CHF management, and its success in implementation must be based on a patient-centered design, equal access, and comprehensive policy support
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,008 | 0,032 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,009 | 0,009 |
| Bibliométrie | 0,007 | 0,008 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,002 | 0,002 |
| Science ouverte | 0,002 | 0,001 |
| Intégrité de la recherche | 0,002 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».