Intervenciones educativas para el manejo de la falla cardiaca: estrategias para mejorar los desenlaces clínicos de los pacientes

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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“…The aforementioned is based on nurses being the professionals called on to provide primary care in patients with chronic diseases. ( 58 , 59 )…”

Section: Discussionmentioning

confidence: 99%

Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis

Cañón-Montañéz

Duque-Cartagena

Acelas

2021

invest. educ. enferm

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Intervenciones educativas para el manejo de la falla cardiaca: estrategias para mejorar los desenlaces clínicos de los pacientes

Abstract: Intervenções educativas para o manejo da insuficiência cardíaca: estratégias para melhorar os desfechos clínicos dos pacientesEducational interventions for the management of heart failure: Strategies to improve the clinical outcomes of patients

Cited by 1 publication

References 14 publications

Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis

Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis

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