‘Routine’ versus ‘Smart Phone Application Based – Intense’ follow up of patients with acute coronary syndrome undergoing percutaneous coronary intervention: Impact on clinical outcomes and patient satisfaction

Yadav, Satyavir; Sethi, Rishi; Pradhan, Akshyaya; Vishwakarma, Pravesh; Bhandari, Monika; Gattani, Raghav; Chandra, Sharad; Chaudhary, Gaurav; Sharma, Akhil; Dwivedi, Sudhanshu Kumar; Narain, Varun Shankar; Rao, Bhawna; Roy, Ambuj

doi:10.1016/j.ijcha.2021.100832

Cited by 4 publications

(10 citation statements)

References 19 publications

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“…The analysis showed that studies on the use of mobile applications were conducted in the USA (n=7) ( 30 - 36 ), Sweden (n=3) ( 37 - 39 ), Republic of Korea (n=1) ( 40 ), Brazil (n=1) ( 41 ), Norway (n=2) ( 42 , 43 ), Switzerland (n=1) ( 44 ), Belgium (n=1) ( 45 ), China (n=9) ( 22 , 46 - 53 ), Romania (n=1) ( 54 ), Japan (n=1) ( 55 ), Finland (n=1) ( 24 ), France (n=1) ( 56 ), New Zealand (n=1) ( 57 ), Iran (n=2) ( 58 , 59 ), Georgia (n=1) ( 60 ), Spain (n=2) ( 61 , 62 ), Palestine (n=1) ( 63 ) and Germany (n=3) ( 64 - 66 ). Two studies were conducted simultaneously in India (n=2) ( 67 , 68 ).…”

Section: Resultsmentioning

confidence: 99%

“…By category, the research was focused on the following areas: mobile applications for diagnostic purposes (for example, ECG recording ( 30 ), assessment of heart rate ( 31 , 33 , 44 , 65 ). Some studies were carried out to validate the system for urgent care alarm ( 37 ), lifestyle changes ( 43 , 45 , 53 , 62 , 65 ), adherence to treatment ( 35 , 38 , 41 , 47 , 48 , 51 , 53 , 55 , 59 , 60 , 63 , 64 , 67 , 68 ), and physical activity of the patients ( 22 , 32 , 34 , 41 , 45 , 62 ).…”

Section: Resultsmentioning

confidence: 99%

“…In terms of application, mobile applications were designed for patients with diagnoses such as heart failure ( 24 , 46 , 58 ), supraventricular tachycardia ( 30 , 33 ), cardiac arrest ( 37 ), acute coronary syndrome ( 39 , 68 ), hypertension ( 31 , 35 , 41 , 59 - 61 , 63 ), ischemic heart disease ( 36 , 48 , 69 ), coronary artery disease ( 45 , 65 ) or after coronary artery bypass grafting ( 51 ), myocardial infarction ( 38 , 49 , 50 ), atrial fibrillation ( 52 , 55 ), obstructive coronary artery disease ( 70 ), ( 47 ) and general CVD ( 32 , 40 , 53 , 54 , 62 , 64 ).…”

Section: Resultsmentioning

confidence: 99%

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The Recent Advances of Mobile Healthcare in Cardiology Practice

Kulbayeva¹,

Tazhibayeva²,

Seiduanova³

et al. 2022

Acta Inform Med

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Background: Digitalization of healthcare led to the optimization of monitoring, diagnostics, and treatment of the range of disorders. Taking into account recent situation with COVID-19 pandemics, digital technologies allowed to improve management of viral infections via remote monitoring and diagnostics of infected patients. Up to date, various mobile health applications (apps) have been proposed, including apps for the patients diagnosed with cardiovascular pathologies. Objective: The presented review aimed at the analyses of a range of mHealth solutions used to improve primary cardiac care. In addition, we studied the factors driving and hindering the wide introduction of mHealth services in the clinics. Methods: The work was based on the guidelines of the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement. The publication search was carried out using PubMed, Web of Science, Cochrane Library, Scopus, and Google Scholar databases. Studies published during the period from 2014 until January 2022 were selected for the analysis. The evaluation of risk of bias for the included studies was conducted using the Cochrane Collaboration Risk of Bias tool. Results and Discussion: An overall 5513 studies were assessed for eligibility after which 39 studies were included.. The main trend in the mobile health for cardiological applications is the use of different types of wearable devices and Artificial Intelligence-platforms. In fact, mobile technology allows remotely to monitor, interpret, and analyze biomedical data collected from the patient. Conclusion: The results of this literature search demonstrated that patients diagnosed with cardiovascular disorders can potentially benefit from the application of mHealth in cardiology. However, despite the proven advantages of mHealth for cardiology, there are many challenges and concerns regarding effectiveness, safety, reliability and the lack of official regulation and guidelines from official organizations. Such issues require solutions and further work towards a wide implementation of mHealth technologies in cardiac practice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The Recent Advances of Mobile Healthcare in Cardiology Practice

Kulbayeva¹,

Tazhibayeva²,

Seiduanova³

et al. 2022

Acta Inform Med

View full text Add to dashboard Cite

show abstract

“…After removing duplicate studies, the remaining 2979 records were screened. After reading 41 eligible full-text articles, 22 were excluded, and 19 were selected [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47]. A summary of the study characteristics and participant demographics are presented in Multimedia Appendix 3 [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47].…”

Section: Identification Of Studiesmentioning

confidence: 99%

“…In this systematic review, we assessed the impact of eHealth interventions on cardiac surgery recovery based on the results of 19 studies. These studies reported at least an equal (n=6) [29,30,33,38,39,42] or positive effect (n=13) [31,32,[34][35][36][37]40,41,[43][44][45][46][47] of the eHealth intervention compared to conventional care. According to the results of the meta-analysis, when compared with the control group, the eHealth intervention group showed an improvement in both the physical component of quality of life and the depressive status of patients after cardiac surgery.…”

Section: Principal Findingsmentioning

confidence: 99%

Effects of eHealth Interventions on Quality of Life and Psychological Outcomes in Cardiac Surgery Patients: Systematic Review and Meta-analysis

Ni¹,

Liu²,

Huang³

et al. 2022

J Med Internet Res

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Background Patients undergoing heart surgery may experience a range of physiological changes, and the postoperative recovery time is long. Patients and their families often have concerns about quality of life (QoL) after discharge. eHealth interventions may improve patient participation, ensure positive and effective health management, improve the quality of at-home care and the patient's quality of life, and reduce rates of depression. Objective The purpose of this study was to evaluate the effects of eHealth interventions on the physiology, psychology, and compliance of adult patients after cardiac surgery to provide a theoretical basis for clinical practice. Methods We conducted systematic searches of the following 4 electronic databases: PubMed, Embase, CINAHL, and the Cochrane Central Register of Controlled Trials. Mean (SD) values were used to calculate the pooled effect sizes for all consecutive data, including QoL, anxiety, and depression. Where the same results were obtained using different instruments, we chose the standardized mean difference with a 95% CI to represent the combined effect size; otherwise, the mean difference (MD) with a 95% CI was used. Odds ratios were used to calculate the combined effect size for all dichotomous data. The Cohen Q test for chi-square distribution and an inconsistency index (I2) were used to test for heterogeneity among the studies. We chose a fixed-effects model to estimate the effect size if there was no significant heterogeneity in the data (I2≤50%); otherwise, a random-effects model was used. The quality of the included studies was assessed using the Cochrane risk-of-bias tool for randomized trials (RoB 2). Results The search identified 3632 papers, of which 19 met the inclusion criteria. In terms of physical outcomes, the score of the control group was lower than that of the intervention group (MD 0.15, 95% CI 0.03-0.27, I2=0%, P=.02). There was no significant difference in the mental outcomes between the intervention and control groups (MD 0.10, 95% CI –0.03 to 0.24, I2=46.4%, P=.14). The control group’s score was lower than that of the intervention group for the depression outcomes (MD –0.53, 95% CI –0.89 to –0.17, I2=57.1%, P=.004). Compliance outcomes improved in most intervention groups. The results of the sensitivity analysis were robust. Nearly half of the included studies (9/19, 47%) had a moderate to high risk of bias. The quality of the evidence was medium to low. Conclusions eHealth improved the physical component of quality of life and depression after cardiac surgery; however, there was no statistical difference in the mental component of quality of life. The effectiveness of eHealth on patient compliance has been debated. Further high-quality studies on digital health are required. Trial Registration PROSPERO CRD42022327305; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=327305

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The effectiveness of Telemedicine on Patients after Percutaneous Coronary Intervention: a Systematic Review and Meta-analysis of Randomized Controlled Trials (Preprint)

Qiu¹,

Wei²,

Cai³

et al. 2023

Preprint

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BACKGROUND Cardiovascular disease has become the leading cause of death for patients worldwide, and deaths due to cardiovascular disease accounted for one-third of all deaths worldwide in 2019. Percutaneous Coronary Intervention (PCI), as the most commonly used revascularization method for clinical treatment of coronary artery disease, can effectively improve myocardial ischemia and hypoxia symptoms. Telemedicine can enhance patient monitoring, facilitate early identification and analysis of patient conditions, enhancing patient management and quality of care. The European Society of Cardiology (ESC) state that postoperative management such as lipid-lowering therapy, anticoagulation therapy and lifestyle changes can reduce the rate of coronary restenosis in patients. However, patients with low medication adherence and poor self-management after PCI are prone to complications such as restenosis . Studies have shown that home-based telehealth interventions in the postoperative management of PCI patients can effectively improve the lack of post-treatment management , improve patients' medication adherence, and lead to a significant decrease in coronary heart disease mortality and rehospitalization rates. Telemedicine is the support of medical and public health services through mobile wireless network devices, such as the use of cell phones, wearable systems, Personal Digital Assistant, and other wireless devices for patient health management. OBJECTIVE The purpose of this study was to evaluate the effectiveness of telemedicine intervention on patients after percutaneous coronary intervention (PCI). METHODS PubMed, Cochrane Central Register of Controlled Trials, Embase, Web of Science, and four Chinese databases were searched to 1 July 2022. We included randomized controlled trials (RCTs), comparing the prognostic effect of conventional care and telemedicine intervention on patients after PCI. RESULTS Totally 11 studies with 2360 participants were included. The results showed that telemedicine versus conventional treatment led to a reduction in cardiovascular events(Risk Ratio-RR 0.62;95% confidence interval-CI 0.42–0.91; P=.02) and smoking cessation status(RR 1.56; 95 % CI 1.06–2.30; P=.02), improving quality of life(Standard Mean Difference-SMD 2.91; 95% CI 1.22–4.59; P<.001). Both total cholesterol (Mean Difference-MD -0.33; 95%CI -0.54 –-0.12; P<.002) and triglycerides (MD, -0.23; 95% CI -0.31 – -0.14; P<.001) were significantly lower in the telemedicine group than in the control group. There was no significant effect on systolic blood pressure, diastolic blood pressure, low-density lipoprotein, high-density lipoprotein, or body mass index(P＞.05). CONCLUSIONS Telemedicine-based nursing interventions effectively improve cardiovascular events and quality of life in patients after PCI. However, due to the limitations of the number and quality of included studies, the above findings require further investigation.

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‘Routine’ versus ‘Smart Phone Application Based – Intense’ follow up of patients with acute coronary syndrome undergoing percutaneous coronary intervention: Impact on clinical outcomes and patient satisfaction

Abstract: Highlights Smart phone application use in follow up of post intervention acute coronary syndrome patients. This could individualize each patients follow up and shown higher satisfaction and comparable clinical outcomes. This should be explored further for long term benefits.

Cited by 4 publications

References 19 publications

The Recent Advances of Mobile Healthcare in Cardiology Practice

The Recent Advances of Mobile Healthcare in Cardiology Practice

Effects of eHealth Interventions on Quality of Life and Psychological Outcomes in Cardiac Surgery Patients: Systematic Review and Meta-analysis

The effectiveness of Telemedicine on Patients after Percutaneous Coronary Intervention: a Systematic Review and Meta-analysis of Randomized Controlled Trials (Preprint)

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