Heart failure & cardiomyopathies
Multicomponent Integrated Care for Patients with Chronic Heart Failure: Systematic Review and Meta-Analysis
Authors' conclusion
Multicomponent integrated care reduced risks for mortality (all-cause and cardiovascular related), hospital readmission (all-cause and heart failure related), and all-cause emergency department visits among patients with chronic heart failure.
Study context
- Population
- Patients with chronic HF
- Participants
- 37,607 patients105 trials
- Comparison
- Multicomponent integrated care vs usual care
- Outcome
- Mortality (all-cause or CV) and healthcare utilization (hospital readmission or ED visits)
Methodological detailsMean age 67.9 ± 7.3 years; median intervention duration 12 months (IQR 6-12)
- Mean age 67.9 ± 7.3 years; median intervention duration 12 months (IQR 6-12)
Pooled result
As reported in the abstract
Multicomponent integrated care vs Usual careRelative risk (95% CI)
All-cause mortality
0.90(0.86–0.95)
CV mortality
0.73(0.60–0.88)
All-cause hospital readmission
0.95(0.91–1.00)
HF-related hospital readmission
0.84(0.79–0.89)
All-cause ED visits
0.91(0.84–0.98)
- HF-related mortality not significant
- RR 0.94, 95% CI 0.74-1.18
- CV-related hospital readmission not significant
- RR 0.90, 95% CI 0.79-1.03
Further pooled results
All-cause mortality, by quality improvement strategy (top three)
| RR (95% CI) | ||
|---|---|---|
| Promotion of self-management | 0.86 (0.79–0.93) | |
| Facilitated patient-provider communication | 0.87 (0.81–0.93) | |
| E-health | 0.88 (0.81–0.96) | |
| 0.512Relative risk (log scale) |
Original publication
Multicomponent Integrated Care for Patients with Chronic Heart Failure: Systematic Review and Meta-Analysis. ESC Heart Fail. Published 14 November 2022. doi:10.
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