Effectiveness of digital health interventions for care integration in coronary artery disease: a systematic review and meta-analysis
Pooled result · All-cause mortality, readmissions, and CVD eventsResult — go to the resultOdds ratio 0.74 CI 0.59–0.92Authors' conclusion
Although this review shows that DHIs supporting care integration were associated with reduced CVD events compared to usual care, the current evidence remains concentrated primarily on person-centred care integration, with limited studies evaluating broader dimensions of care integration at organisational and systemic levels. These findings highlight the important evidence gaps of DHIs in supporting more comprehensive and system-level integration in cardiovascular care. Further research is necessary to understand the influence of DHI modality and function on effectiveness of care integration.
Study context
- Population
- Patients with coronary artery disease (CAD) receiving digital health interventions (DHIs) supporting care integrationparticipants in 72 studies, 45 studies assessed in the meta-analysis
- Participants
- 23,111 patients
- Comparison
- DHIs supporting care integration compared to usual care
- Outcome
- All-cause mortality, readmissions, and CVD events
Methodological detailsrandom-effects meta-analyses
- Random-effects meta-analyses
Pooled result
As reported in the abstract
Odds ratio
0.74
CI 0.59–0.92
P = 0.02
Further pooled results
Dimensions of care integration addressed by DHIs
- Person-centred care integration
- n=72
- Clinical care integration
- n=22
- Professional integration
- n=12
- Functional integration
- n=22
Original publication
Summarised from the published abstract; every number is checked against it