Effect of eHealth cardiac rehabilitation on health outcomes of coronary heart disease patients: A systematic review and meta‐analysis

Su, Jing Jing; Yu, Doris S.F.; Paguio, Jenniffer Torralba

doi:10.1111/jan.14272

Cited by 80 publications

(118 citation statements)

References 59 publications

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“…In other studies, the effect of mHealth-based interventions on QoL was unclear. Some meta-analyses have reported that mHealth-based interventions did not improve QoL in cancer survivors [42,43], while another study reported improved QoL in patients with coronary heart disease [44]. Therefore, the long-term effect of mHealth interventions on QoL should be investigated further.…”

Section: Principal Findingsmentioning

confidence: 99%

Effectiveness of Mobile Health–Based Exercise Interventions for Patients with Peripheral Artery Disease: Systematic Review and Meta-Analysis

Kim

et al. 2021

JMIR Mhealth Uhealth

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Background Peripheral artery disease (PAD) affects over 236 million people worldwide, and exercise interventions are commonly used to alleviate symptoms of this condition. However, no previous systematic review has evaluated the effects of mobile health (mHealth)–based exercise interventions for patients with PAD. Objective This study aimed to assess the effect of mHealth-based exercise interventions on walking performance, functional status, and quality of life in patients with PAD. Methods A systematic review and meta-analysis were conducted. We searched in seven databases to identify randomized controlled trials of patients with PAD published in English up to December 4, 2020. Studies were included if patients participated in mHealth-based exercise interventions and were assessed for walking performance. We analyzed pooled effect size on walking performance, functional status, and quality of life based on the standardized mean differences between groups. Results A total of seven studies were selected for the systematic review, and six studies were included in the meta-analysis. The duration of interventions in the included studies was 12 to 48 weeks. In the pooled analysis, when compared with the control groups, the mHealth-based exercise intervention groups were associated with significant improvements in pain-free walking (95% CI 0.13-0.88), maximal walking (95% CI 0.03-0.87), 6-minute walk test (6MWT) distance (95% CI 0.59-1.24), and walking distance (95% CI 0.02-0.49). However, benefits of the interventions on walking speed, stair-climbing ability, and quality of life were not observed. Conclusions mHealth-based exercise interventions for patients with PAD were beneficial for improving pain-free walking, maximal walking, and 6MWT distance. We found that exercise interventions using mHealth are an important strategy for improving the exercise effectiveness and adherence rate of patients with PAD. Future studies should consider the use of various and suitable functions of mHealth that can increase the adherence rates and improve the effectiveness of exercise.

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Section: Principal Findingsmentioning

confidence: 99%

Effectiveness of Mobile Health–Based Exercise Interventions for Patients with Peripheral Artery Disease: Systematic Review and Meta-Analysis

Kim

et al. 2021

JMIR Mhealth Uhealth

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“…Several articles show promising results when eHealth is being used in medical fields [ 2 - 11 ]. For instance, it has been shown that eHealth interventions help to improve medication adherence [ 4 ], glycemic control in diabetes patients [ 6 ], and self-care among heart failure patients as well as improve the outcomes of cardiac rehabilitation among coronary heart disease patients [ 7 , 8 ] and improve mental health [ 9 , 10 ]. Teleconsultation by general practitioners has been proven as an alternative to face-to-face consultations in certain situations [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Understanding Medical Students’ Attitudes Toward Learning eHealth: Questionnaire Study

Vossen¹,

Rethans²,

Kuijk³

et al. 2020

JMIR Med Educ

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Background Several publications on research into eHealth demonstrate promising results. Prior researchers indicated that the current generation of doctors is not trained to take advantage of eHealth in clinical practice. Therefore, training and education for everyone using eHealth are key factors to its successful implementation. We set out to review whether medical students feel prepared to take advantage of eHealth innovations in medicine. Objective Our objective was to evaluate whether medical students desire a dedicated eHealth curriculum during their medical studies. Methods A questionnaire assessing current education, the need for education about eHealth topics, and the didactical forms for teaching these topics was developed. Questionnaire items were scored on a scale from 1 (fully disagree with a topic) to 10 (fully agree with a topic). This questionnaire was distributed among 1468 medical students of Maastricht University in the Netherlands. R version 3.5.0 (The R Foundation) was used for all statistical procedures. Results A total of 303 students out of 1468, representing a response rate of 20.64%, replied to our questionnaire. The aggregate statement “I feel prepared to take advantage of the technological developments within the medical field” was scored at a mean value of 4.8 out of 10. Mean scores regarding the need for education about eHealth topics ranged from 6.4 to 7.3. Medical students did not favor creating their own health apps or mobile apps; the mean score was 4.9 for this topic. The most popular didactical option, with a mean score 7.2, was to remotely follow a real-life patient under the supervision of a doctor. Conclusions To the best of our knowledge, this is the largest evaluation of students’ opinions on eHealth training in a medical undergraduate curriculum. We found that medical students have positives attitudes toward incorporating eHealth into the medical curriculum.

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“…3 Early diagnosis and treatment of this condition are important for the prognosis of patients. 4 Coronary artery bypass grafting (CABG) is often used to treat coronary heart disease in the surgical department. CABG can effectively relieve the symptoms of angina pectoris, improve myocardial ischemia, avoid occurrence of myocardial infarction, and improve the quality of life.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for acute pulmonary embolism in patients with off-pump coronary artery bypass grafting: implications for nursing

Zhou

Cao

et al. 2020

J Int Med Res

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Objective Acute pulmonary embolism (APE) is a serious complication after off-pump coronary artery bypass grafting (OPCABG). We aimed to analyze the risk factors for APE in patients with OPCABG. Methods In this retrospective, observational study, patients with OPCABG who were treated in our hospital from 1 January 2018 to 31 March 2020 were included. The basic characteristics of patients and results of preoperative laboratory examinations were collected and analyzed. Results A total of 707 patients with OPCABG were included and the incidence of APE was 3.21%. Left ventricular ejection fraction (LVEF), a history of smoking, number of bypass grafting, duration of surgery, and age were significant risk factors for APE in patients with OPCABG. The areas under the curves of LVEF, number of bypass grafting, duration of surgery, and age were 0.773, 0.759, 0.738, and 0.723, respectively. The cutoff values of LVEF, number of bypass grafting, duration of surgery, and age were 59.84, 3.18, 237.42, and 73.28, respectively. Conclusions LVEF, a history of smoking, number of bypass grafting, duration of surgery, and age may be risk factors for APE in patients with OPCABG. Early measures should be taken to target these risks to prevent APE.

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Effect of eHealth cardiac rehabilitation on health outcomes of coronary heart disease patients: A systematic review and meta‐analysis

Cited by 80 publications

References 59 publications

Effectiveness of Mobile Health–Based Exercise Interventions for Patients with Peripheral Artery Disease: Systematic Review and Meta-Analysis

Effectiveness of Mobile Health–Based Exercise Interventions for Patients with Peripheral Artery Disease: Systematic Review and Meta-Analysis

Understanding Medical Students’ Attitudes Toward Learning eHealth: Questionnaire Study

Risk factors for acute pulmonary embolism in patients with off-pump coronary artery bypass grafting: implications for nursing

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