Digital Health Programs to Reduce Readmissions in Coronary Artery Disease: A Systematic Review and Meta-Analysis
Authors' conclusion
DMPs integrated with mHealth should be considered an effective intervention for better outcomes in patients with CAD.
Study context
- Population
- Patients with coronary artery disease (CAD); English language studies, January 1, 2007, to August 3, 2021, with ≥30-day follow-up18 publications
- Comparison
- mHealth-enabled disease management programs (DMPs) vs standard DMPs without mHealth
- Outcome
- Readmissions and mortality
Pooled result
As reported in the abstract
mHealth-enabled DMPs vs DMPs without mHealthRelative risk (95% CI)
All-cause readmissions (10 studies, n = 1,514)
0.68(0.50–0.91)
Cardiac-related readmissions (9 studies, n = 1,009)
0.55(0.44–0.68)
- No significant reduction for mortality outcomes
- 1.72 (RR 1.72; 95% CI 0.64-4.64)
Further pooled results
| Outcome | RR (95% CI) | |
|---|---|---|
| ED visits | 0.37 (0.26–0.54) | |
| 0.20.5125Relative risk (log scale) |
MACE
- No significant reduction for MACE
- 0.68 (RR 0.68; 95% CI 0.40-1.15)
Original publication
Digital Health Programs to Reduce Readmissions in Coronary Artery Disease: A Systematic Review and Meta-Analysis. JACC Adv. Published 7 September 2023. doi:10.
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