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Effectiveness of mobile telemonitoring applications in heart failure patients: systematic review of literature and meta-analysis

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dc.contributor.authorRebolledo Del Toro, Martín
dc.contributor.authorHerrera Leaño, Nancy M.
dc.contributor.authorBarahona-Correa, Julian E.
dc.contributor.authorMuñoz, Óscar
dc.contributor.authorFernández-Ávila, Daniel
dc.contributor.authorGarcia-Pena, A.A.
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Medicina Internaspa
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Cardiología
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Reumatología
dc.contributor.javerianateacherMuñoz, Óscar
dc.contributor.javerianateacherFernández-Ávila, Daniel
dc.contributor.javerianateacherGarcia-Pena, A.A.
dc.coverage.temporal2000-2021spa
dc.date.accessioned2023-08-30T18:35:15Z
dc.date.available2023-08-30T18:35:15Z
dc.date.created2023-01-18
dc.description.abstractenglishClose and frequent follow-up of heart failure (HF) patients improves clinical outcomes. Mobile telemonitoring applications are advantageous alternatives due to their wide availability, portability, low cost, computing power, and interconnectivity. This study aims to evaluate the impact of telemonitoring apps on mortality, hospitalization, and quality of life (QoL) in HF patients. We conducted a registered (PROSPERO CRD42022299516) systematic review of randomized clinical trials (RCTs) evaluating mobile-based telemonitoring strategies in patients with HF, published between January 2000 and December 2021 in 4 databases (PubMed, EMBASE, BVSalud/LILACS, Cochrane Reviews). We assessed the risk of bias using the RoB2 tool. The outcome of interest was the effect on mortality, hospitalization risk, and/or QoL. We performed meta-analysis when appropriate; heterogeneity and risk of publication bias were evaluated. Otherwise, descriptive analyses are offered. We screened 900 references and 19 RCTs were included for review. The risk of bias for mortality and hospitalization was mostly low, whereas for QoL was high. We observed a reduced risk of hospitalization due to HF with the use of mobile-based telemonitoring strategies (RR 0.77 [0.67; 0.89]; I2 7%). Non-statistically significant reduction in mortality risk was observed. The impact on QoL was variable between studies, with different scores and reporting measures used, thus limiting data pooling. The use of mobile-based telemonitoring strategies in patients with HF reduces risk of hospitalization due to HF. As smartphones and wirelessly connected devices are increasingly available, further research on this topic is warranted, particularly in the foundational therapy.spa
dc.description.comunidadPacientes con Insuficiencia cardiacaspa
dc.description.esciNospa
dc.description.indexingRevista Internacional - Indexadaspa
dc.description.orcidhttps://orcid.org/0000-0002-4189-4317spa
dc.description.orcidhttps://orcid.org/0000-0002-8244-2958spa
dc.description.orcidhttps://orcid.org/0000-0001-5401-0018spa
dc.description.orcidhttps://orcid.org/0000-0003-1490-1822spa
dc.description.orcidhttps://orcid.org/0000-0002-3606-2102spa
dc.description.publindexA1spa
dc.description.quartilescopusQ1spa
dc.description.quartilewosQ2spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.identifierhttps://link.springer.com/article/10.1007/s10741-022-10291-1#citeasspa
dc.identifier.doihttps://doi.org/10.1007/s10741-022-10291-1spa
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.issn1382-4147 / 1573-7322 (Electrónico)spa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.identifier.urihttp://hdl.handle.net/10554/65351
dc.language.isoengspa
dc.relation.citationendpage452spa
dc.relation.citationissue2spa
dc.relation.citationstartpage431spa
dc.relation.citationvolume28spa
dc.relation.ispartofjournalHeart Failure Reviewsspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.keywordHeart failurespa
dc.subject.keywordTelemonitoringspa
dc.subject.keywordMobile applicationsspa
dc.subject.keywordSmartphonesspa
dc.subject.keywordmHealthspa
dc.subject.keywordSelf-managementspa
dc.titleEffectiveness of mobile telemonitoring applications in heart failure patients: systematic review of literature and meta-analysisspa
dc.type.coarhttp://purl.org/coar/resource_type/c_dcae04bcspa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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