Heart failure & cardiomyopathies
Narrative Synthesis of the Effectiveness and Characteristics of Heart Failure Disease Self-Management Support Programmes
Authors' conclusion
Programmes that provided opportunities for early recognition and response to HF instability were more likely to reduce acute care readmission and enhance survival. Generalizability and applicability to LMICs are clearly limited.
Study context
- Population
- People with heart failure (HF)8 reviews · 138 unique RCTs
- Comparison
- HF disease self-management support programmes vs control
- Primary endpoint
- Survival and acute care readmissions
Primary result
As reported in the abstract
HF readmissions reduced (RR range; 5 of 6 reviews)
0.64-0.85
P < 0.5
All-cause readmissions reduced (RR range; 5 of 6 reviews)
0.85-0.95
P < 0.5
All-cause mortality reduced (RR range; 5 of 5 reviews)
0.67-0.87
P < 0.5
RCTs that reduced acute care readmission and improved survival
44.2%
n = 61
Further findings
Effective interventions by intensity
- Low intensity
- 29.2% (14/48)
- Moderate intensity
- 63.6% (21/33)
- Moderate+ intensity
- 40% (6/15)
- High intensity
- 47.6% (20/42)
Setting
- Studies conducted in high-income countries
- 90.6%
Original publication
Narrative Synthesis of the Effectiveness and Characteristics of Heart Failure Disease Self-Management Support Programmes. ESC Heart Fail. Published 4 February 2024. doi:10.
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