PMID- 29608430
OWN - NLM
STAT- Publisher
LR  - 20240227
IS  - 1556-3669 (Electronic)
IS  - 1530-5627 (Linking)
DP  - 2018 Apr 2
TI  - Mobile Technologies for Managing Heart Failure: A Systematic Review and 
      Meta-analysis.
LID - 10.1089/tmj.2017.0269 [doi]
AB  - BACKGROUND: Randomized clinical trials (RCTs) conducted among heart failure (HF) 
      patients have reported that mobile technologies can improve HF-related outcomes. 
      Our aim was to conduct a meta-analysis to evaluate m-Health's impact on 
      healthcare services utilization, mortality, and cost. METHODS: We searched 
      MEDLINE, Cochrane, CINAHL, and EMBASE for studies published between 1966 and 
      May-2017. We included studies that compared the use of m-Health in HF patients to 
      usual care. m-Health is defined as the use of mobile computing and communication 
      technologies to record and transmit data. The outcomes were HF-related and 
      all-cause hospital days, cost, admissions, and mortality. RESULTS: Our search 
      strategy resulted in 1,494 articles. We included 10 RCTs and 1 quasi-experimental 
      study, which represented 3,109 patients in North America and Europe. Patient 
      average age range was 53-80 years, New York Heart Association (NYHA) class III, 
      and Left Ventricular Ejection Fraction <50%. Patients were mostly monitored daily 
      and followed for an average of 6 months. A reduction was seen in HF-related 
      hospital days. Nonsignificant reductions were seen in HF-related cost, 
      admissions, and mortality and total mortality. We found no significant 
      differences for all-cause hospital days and admissions, and an increase in total 
      cost. CONCLUSIONS: m-Health reduced HF-related hospital days, showed reduction 
      trends in total mortality and HF-related admissions, mortality and cost, and 
      increased total costs related to more clinic visits and implementation of new 
      technologies. More studies reporting consistent quality outcomes are warranted to 
      give conclusive information about the effectiveness and cost-effectiveness of 
      m-Health interventions for HF.
FAU - Carbo, Anisleidy
AU  - Carbo A
AD  - 1 Division of Internal Medicine, GRECC, Veterans Affairs Medical Center , Miami, 
      Florida.
FAU - Gupta, Manish
AU  - Gupta M
AD  - 1 Division of Internal Medicine, GRECC, Veterans Affairs Medical Center , Miami, 
      Florida.
FAU - Tamariz, Leonardo
AU  - Tamariz L
AD  - 1 Division of Internal Medicine, GRECC, Veterans Affairs Medical Center , Miami, 
      Florida.
AD  - 2 Division of Population Health and Computational Medicine, Miller School of 
      Medicine, University of Miami , Miami, Florida.
FAU - Palacio, Ana
AU  - Palacio A
AD  - 1 Division of Internal Medicine, GRECC, Veterans Affairs Medical Center , Miami, 
      Florida.
AD  - 2 Division of Population Health and Computational Medicine, Miller School of 
      Medicine, University of Miami , Miami, Florida.
FAU - Levis, Silvina
AU  - Levis S
AD  - 1 Division of Internal Medicine, GRECC, Veterans Affairs Medical Center , Miami, 
      Florida.
FAU - Nemeth, Zsuzsanna
AU  - Nemeth Z
AD  - 3 Department of Health Informatics, Calder Memorial Library, Miller School of 
      Medicine, University of Miami , Miami, Florida.
FAU - Dang, Stuti
AU  - Dang S
AD  - 1 Division of Internal Medicine, GRECC, Veterans Affairs Medical Center , Miami, 
      Florida.
AD  - 4 Division of Geriatrics and Palliative Care, Department of Internal Medicine, 
      Miller School of Medicine, University of Miami, Miami, Florida.
LA  - eng
PT  - Journal Article
DEP - 20180402
PL  - United States
TA  - Telemed J E Health
JT  - Telemedicine journal and e-health : the official journal of the American 
      Telemedicine Association
JID - 100959949
OTO - NOTNLM
OT  - e-Health
OT  - m-Health
OT  - technology
OT  - telehealth
OT  - telemedicine
EDAT- 2018/04/03 06:00
MHDA- 2018/04/03 06:00
CRDT- 2018/04/03 06:00
PHST- 2018/04/03 06:00 [pubmed]
PHST- 2018/04/03 06:00 [medline]
PHST- 2018/04/03 06:00 [entrez]
AID - 10.1089/tmj.2017.0269 [doi]
PST - aheadofprint
SO  - Telemed J E Health. 2018 Apr 2. doi: 10.1089/tmj.2017.0269.