Outcomes of electronic health interventions for patients with heart failure: a network meta-analysis.

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Herz Pub Date : 2025-05-06 DOI:10.1007/s00059-025-05301-5

Jiamin Tang, Danni Ma, Meng Li, Yiqi Ding, Xuemei Zhou, Hong He

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引用次数: 0

Abstract

Aims: The aim of this study was to compare the effectiveness of different types of tele-interventions in improving exercise capacity and cardiac function in patients with heart failure.

Methods: We searched five databases from inception to September 2024 for randomized controlled trials (RCTs) of telerehabilitation in people with heart failure. The primary outcomes were 6‑min walk distance (6MWD) and left ventricular ejection fraction (LVEF). The secondary outcome was patient adherence to rehabilitation. We used Review Manager (RevMan) 5.4 and Stata 16.0 for the analyses.

Results: Overall, 17 studies with a total of four telerehabilitation interventions were included in the final analysis. Network meta-analysis showed that remote monitoring (mean difference [MD] = 29.03 [7.94, 50.13]) and combined interventions (MD = 28.86 [4.85, 53.86]) were more effective than usual rehabilitation in improving 6MWD. Remote monitoring (MD = 2.45 [0.14, 4.76]) was superior to usual rehabilitation in improving LVEF. The surface under the cumulative ranking curve (SUCRA) results showed that remote monitoring is the most effective way to improve the 6MWD (SUCRA = 71.7%) and LVEF (SUCRA = 76.3%) in patients with heart failure.

Conclusion: The results of this study indicate that remote cardiac rehabilitation is effective in improving heart function and enhancing exercise capacity in patients with heart failure. Based on our data and the accessibility of remote rehabilitation equipment, telemedicine may be a useful and significant way to increase patient participation in cardiac rehabilitation.

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心力衰竭患者电子健康干预的结果：网络荟萃分析

目的：本研究的目的是比较不同类型的远程干预在改善心力衰竭患者的运动能力和心功能方面的有效性。方法：我们检索了5个数据库，从建立到2024年9月，随机对照试验（rct）在心力衰竭患者的远程康复。主要结局为6分钟步行距离（6MWD）和左心室射血分数（LVEF）。次要结果是患者对康复的依从性。我们使用Review Manager (RevMan) 5.4和Stata 16.0进行分析。结果：总共有17项研究，总共有4种远程康复干预措施被纳入最终分析。网络荟萃分析显示，远程监测（平均差值[MD] = 29.03[7.94,50.13]）和联合干预（MD = 28.86[4.85,53.86]）改善6MWD的效果优于常规康复。远程监测（MD = 2.45[0.14,4.76]）在改善LVEF方面优于常规康复。累积排序曲线下曲面（SUCRA）结果显示，远程监护是改善心力衰竭患者6MWD （SUCRA = 71.7%）和LVEF （SUCRA = 76.3%）的最有效方式。结论：本研究结果表明，远程心脏康复治疗对心力衰竭患者心功能的改善和运动能力的增强是有效的。根据我们的数据和远程康复设备的可及性，远程医疗可能是增加患者参与心脏康复的有用且重要的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Herz 医学-心血管系统

CiteScore

3.00

自引率

5.90%

发文量

审稿时长

4-8 weeks

期刊介绍： Herz is the high-level journal for further education for all physicians interested in cardiology. The individual issues of the journal each deal with specific topics and comprise review articles in English and German written by competent and esteemed authors. They provide up-to-date and comprehensive information concerning the speciality dealt with in the issue. Due to the fact that all relevant aspects of the pertinent topic of an issue are considered, an overview of the current status and progress in cardiology is presented. Reviews and original articles round off the spectrum of information provided.