Effect of educational interventions to reduce readmissions due to heart failure decompensation in adults : a systematic review and meta-analysis
ABSTRACT: Objective. To estimate the combined effect of educational interventions (EI) on decreased readmissions and time of hospital stay in adults with heart failure, compared with usual care. Methods. Systematic review (SR) and meta-analysis (MA) of randomized controlled trials that followed the...
- Autores:
-
Cañon Montañez, Wilson
Duque Cartagena, Tatiana
Rodríguez Acelas, Alba Luz
- Tipo de recurso:
- Review article
- Fecha de publicación:
- 2021
- Institución:
- Universidad de Antioquia
- Repositorio:
- Repositorio UdeA
- Idioma:
- eng
- OAI Identifier:
- oai:bibliotecadigital.udea.edu.co:10495/24509
- Acceso en línea:
- http://hdl.handle.net/10495/24509
- Palabra clave:
- Insuficiencia Cardíaca
Heart Failure
Autocuidado
Self Care
Revisión Sistemática
Systematic Review
Readmisión del Paciente
Patient Readmission
Educación del Paciente como Asunto
Patient Education as Topic
- Rights
- openAccess
- License
- http://creativecommons.org/licenses/by-nc-sa/2.5/co/
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| dc.title.spa.fl_str_mv |
Effect of educational interventions to reduce readmissions due to heart failure decompensation in adults : a systematic review and meta-analysis |
| dc.title.alternative.spa.fl_str_mv |
Efecto de intervenciones educativas para reducir readmisiones debido a descompensación de falla cardiaca en adultos : una revisión sistemática y meta-análisis |
| title |
Effect of educational interventions to reduce readmissions due to heart failure decompensation in adults : a systematic review and meta-analysis |
| spellingShingle |
Effect of educational interventions to reduce readmissions due to heart failure decompensation in adults : a systematic review and meta-analysis Insuficiencia Cardíaca Heart Failure Autocuidado Self Care Revisión Sistemática Systematic Review Readmisión del Paciente Patient Readmission Educación del Paciente como Asunto Patient Education as Topic |
| title_short |
Effect of educational interventions to reduce readmissions due to heart failure decompensation in adults : a systematic review and meta-analysis |
| title_full |
Effect of educational interventions to reduce readmissions due to heart failure decompensation in adults : a systematic review and meta-analysis |
| title_fullStr |
Effect of educational interventions to reduce readmissions due to heart failure decompensation in adults : a systematic review and meta-analysis |
| title_full_unstemmed |
Effect of educational interventions to reduce readmissions due to heart failure decompensation in adults : a systematic review and meta-analysis |
| title_sort |
Effect of educational interventions to reduce readmissions due to heart failure decompensation in adults : a systematic review and meta-analysis |
| dc.creator.fl_str_mv |
Cañon Montañez, Wilson Duque Cartagena, Tatiana Rodríguez Acelas, Alba Luz |
| dc.contributor.author.none.fl_str_mv |
Cañon Montañez, Wilson Duque Cartagena, Tatiana Rodríguez Acelas, Alba Luz |
| dc.subject.decs.none.fl_str_mv |
Insuficiencia Cardíaca Heart Failure Autocuidado Self Care Revisión Sistemática Systematic Review Readmisión del Paciente Patient Readmission Educación del Paciente como Asunto Patient Education as Topic |
| topic |
Insuficiencia Cardíaca Heart Failure Autocuidado Self Care Revisión Sistemática Systematic Review Readmisión del Paciente Patient Readmission Educación del Paciente como Asunto Patient Education as Topic |
| description |
ABSTRACT: Objective. To estimate the combined effect of educational interventions (EI) on decreased readmissions and time of hospital stay in adults with heart failure, compared with usual care. Methods. Systematic review (SR) and meta-analysis (MA) of randomized controlled trials that followed the recommendations of the PRISMA statement. The protocol was registered on PROSPERO (CRD42019139321). Searches were made from inception until July 2019 in the databases of PubMed/ Medline, Embase, Cochrane CENTRAL, Lilacs, Web of Science, and Scopus. The MA was conducted through the random effects model. The effect measure used for the dichotomous outcomes was relative risk (RR) and for continuous outcomes the mean difference (MD) was used, with 95% confidence intervals (CI). Heterogeneity was evaluated through the inconsistency statistic (I2). Results. Of 2369 studies identified, 45 were included in the SR and 43 in the MA. The MA of studies with follow-up at six months showed a decrease in readmissions of 30% (RR: 0.70; 95% CI: 0.58 to 0.84; I2: 0%) and the 12-month follow-up evidenced a reduction of 33% (RR: 0.67; 95% CI: 0.58 to 0.76; I2: 52%); both analyses in favor of the EI group. Regarding the time of hospital stay, a reduction was found of approximately two days in patients who received the EI (MD: -1.98; 95% CI: -3.27 to -0.69; I2: 7%). Conclusion. The findings support the benefits of EI to reduce readmissions and days of hospital stay in adult patients with heart failure. |
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2021 |
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2021-12-01T22:47:57Z |
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2021-12-01T22:47:57Z |
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2021 |
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Cañon-Montañez W, Duque-Cartagena T, Rodríguez-Acelas AL. Effect of educational interventions to reduce readmissions due to heart failure decompensation in adults: a systematic review and meta-analysis. Invest. Educ. Enferm. [Internet]. 2021Jun.12; 39(2). Available from: https://revistas.udea.edu.co/index.php/iee/article/view/346562 |
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0120-5307 |
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http://hdl.handle.net/10495/24509 |
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10.17533/udea.iee.v39n2e05 |
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2216-0280 |
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Cañon-Montañez W, Duque-Cartagena T, Rodríguez-Acelas AL. Effect of educational interventions to reduce readmissions due to heart failure decompensation in adults: a systematic review and meta-analysis. Invest. Educ. Enferm. [Internet]. 2021Jun.12; 39(2). Available from: https://revistas.udea.edu.co/index.php/iee/article/view/346562 0120-5307 10.17533/udea.iee.v39n2e05 2216-0280 |
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eng |
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eng |
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Invest. Educ. Enferm. |
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Universidad de Antioquia, Facultad de Enfermería |
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Grupo de Investigación la Práctica de Enfermería en el Contexto Social |
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Medellín, Colombia |
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Universidad de Antioquia |
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Cañon Montañez, WilsonDuque Cartagena, TatianaRodríguez Acelas, Alba Luz2021-12-01T22:47:57Z2021-12-01T22:47:57Z2021Cañon-Montañez W, Duque-Cartagena T, Rodríguez-Acelas AL. Effect of educational interventions to reduce readmissions due to heart failure decompensation in adults: a systematic review and meta-analysis. Invest. Educ. Enferm. [Internet]. 2021Jun.12; 39(2). Available from: https://revistas.udea.edu.co/index.php/iee/article/view/3465620120-5307http://hdl.handle.net/10495/2450910.17533/udea.iee.v39n2e052216-0280ABSTRACT: Objective. To estimate the combined effect of educational interventions (EI) on decreased readmissions and time of hospital stay in adults with heart failure, compared with usual care. Methods. Systematic review (SR) and meta-analysis (MA) of randomized controlled trials that followed the recommendations of the PRISMA statement. The protocol was registered on PROSPERO (CRD42019139321). Searches were made from inception until July 2019 in the databases of PubMed/ Medline, Embase, Cochrane CENTRAL, Lilacs, Web of Science, and Scopus. The MA was conducted through the random effects model. The effect measure used for the dichotomous outcomes was relative risk (RR) and for continuous outcomes the mean difference (MD) was used, with 95% confidence intervals (CI). Heterogeneity was evaluated through the inconsistency statistic (I2). Results. Of 2369 studies identified, 45 were included in the SR and 43 in the MA. The MA of studies with follow-up at six months showed a decrease in readmissions of 30% (RR: 0.70; 95% CI: 0.58 to 0.84; I2: 0%) and the 12-month follow-up evidenced a reduction of 33% (RR: 0.67; 95% CI: 0.58 to 0.76; I2: 52%); both analyses in favor of the EI group. Regarding the time of hospital stay, a reduction was found of approximately two days in patients who received the EI (MD: -1.98; 95% CI: -3.27 to -0.69; I2: 7%). Conclusion. The findings support the benefits of EI to reduce readmissions and days of hospital stay in adult patients with heart failure.RESUMEN: Objetivo. Estimar el efecto combinado de las intervenciones educativas (IE) en la disminución de readmisiones y tiempo de estancia hospitalaria en adultos con falla cardiaca comparado con el cuidado usual. Métodos. Revisión Sistemática (RS) y meta-análisis (MA) de ensayos clínicos aleatorizados que siguieron las recomendaciones de la declaración PRISMA. El protocolo se registró en PROSPERO (CRD42019139321). Se realizaron búsquedas desde el inicio hasta julio de 2019, en las bases de datos PubMed/Medline, Embase, Cochrane CENTRAL, Lilacs, Web of Science y Scopus. El MA se realizó mediante modelo de efectos aleatorios. La medida de efecto utilizada para los desenlaces dicotómicos fue el riesgo relativo (RR) y para desenlaces continuos se usó la diferencia de medias (DM), con sus intervalos de confianza (IC) del 95%. La heterogeneidad se evaluó mediante el estadístico de inconsistencia (I2). Resultados. De 2369 estudios identificados, 45 se incluyeron en la RS y 43 en el MA. El MA de estudios con seguimiento a seis meses mostró una disminución en las readmisiones de 30% (RR: 0.70; IC 95%: 0.58 a 0.84; I2: 0%) y el seguimiento a doce meses evidenció una reducción de 33% (RR: 0.67; IC 95%: 0.58 a 0.76; I2: 52%), ambos análisis a favor del grupo de IE. Referente al tiempo de estancia hospitalaria, se encontró una reducción de aproximadamente dos días en los pacientes que recibieron las IE (DM: -1.98; IC 95%: -3.27 a -0.69; I2: 7%). Conclusión. Los hallazgos soportan los beneficios de las IE para la disminución de readmisiones y días de estancia hospitalaria en pacientes adultos con falla cardiaca.COL014682222application/pdfengUniversidad de Antioquia, Facultad de EnfermeríaGrupo de Investigación la Práctica de Enfermería en el Contexto SocialMedellín, Colombiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_dcae04bchttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTREVArtículo de revisiónhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-sa/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-sa/4.0/Effect of educational interventions to reduce readmissions due to heart failure decompensation in adults : a systematic review and meta-analysisEfecto de intervenciones educativas para reducir readmisiones debido a descompensación de falla cardiaca en adultos : una revisión sistemática y meta-análisisInsuficiencia CardíacaHeart FailureAutocuidadoSelf CareRevisión SistemáticaSystematic ReviewReadmisión del PacientePatient ReadmissionEducación del Paciente como AsuntoPatient Education as TopicInvest. Educ. Enferm.Investigación y Educación en Enfermería122392CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-81051https://bibliotecadigital.udea.edu.co/bitstream/10495/24509/2/license_rdfe2060682c9c70d4d30c83c51448f4eedMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://bibliotecadigital.udea.edu.co/bitstream/10495/24509/3/license.txt8a4605be74aa9ea9d79846c1fba20a33MD53ORIGINALCañonWilson_2021_HeartFailureAdults.pdfCañonWilson_2021_HeartFailureAdults.pdfArtículo de revisiónapplication/pdf1048434https://bibliotecadigital.udea.edu.co/bitstream/10495/24509/1/Ca%c3%b1onWilson_2021_HeartFailureAdults.pdf040518ab12d7537ff1d9df399aaf915fMD5110495/24509oai:bibliotecadigital.udea.edu.co:10495/245092021-12-01 17:47:57.47Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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 |