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

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 recomm...

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Autores principales:	Wilson Cañon-Montañez, Tatiana Duque-Cartagena, Alba Luz Rodríguez-Acelas
Formato:	article
Lenguaje:	EN
Publicado:	Universidad de Antioquia 2021
Materias:	heart failure patient readmission patient education as topic self-care systematic review Nursing RT1-120
Acceso en línea:	https://doaj.org/article/329173fcb1cb4e389d0450fbba6f5cb3
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spelling	oai:doaj.org-article:329173fcb1cb4e389d0450fbba6f5cb32021-11-26T19:54:04ZEffect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis2216-028010.17533/udea.iee.v39n2e05https://doaj.org/article/329173fcb1cb4e389d0450fbba6f5cb32021-06-01T00:00:00Zhttps://revistas.udea.edu.co/index.php/iee/article/view/346562https://doaj.org/toc/2216-0280Objective. 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.Wilson Cañon-MontañezTatiana Duque-CartagenaAlba Luz Rodríguez-AcelasUniversidad de Antioquiaarticleheart failurepatient readmissionpatient education as topicself-caresystematic reviewNursingRT1-120ENInvestigación y Educación en Enfermería, Vol 39, Iss 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	heart failure patient readmission patient education as topic self-care systematic review Nursing RT1-120
spellingShingle	heart failure patient readmission patient education as topic self-care systematic review Nursing RT1-120 Wilson Cañon-Montañez Tatiana Duque-Cartagena Alba Luz Rodríguez-Acelas Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis
description	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.
format	article
author	Wilson Cañon-Montañez Tatiana Duque-Cartagena Alba Luz Rodríguez-Acelas
author_facet	Wilson Cañon-Montañez Tatiana Duque-Cartagena Alba Luz Rodríguez-Acelas
author_sort	Wilson Cañon-Montañez
title	Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis
title_short	Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis
title_full	Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis
title_fullStr	Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis
title_full_unstemmed	Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis
title_sort	effect of educational interventions to reduce readmissions due to heart failure decompensation in adults: a systematic review and meta-analysis
publisher	Universidad de Antioquia
publishDate	2021
url	https://doaj.org/article/329173fcb1cb4e389d0450fbba6f5cb3
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Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis

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