Secondary prevention education initiated in hospital for people with coronary heart disease: a systematic review and meta-analysis
Authors' conclusion
In people hospitalised with CHD, initiating secondary prevention education in hospital improved CHD knowledge and QOL, and reduced risk of hospital readmissions.
Study context
- Population
- People admitted to hospital with coronary heart disease (CHD)32 trials meta-analysed
- Participants
- 6,057 people
- Comparison
- In-hospital secondary prevention education vs usual care
- Outcome
- CHD knowledge, quality of life (QOL) and hospital readmissions
Methodological detailsrandom-effects model, 43 trials included in the review; risk of bias low or unclear in most studies
- Random-effects model
- 43 trials included in the review; risk of bias low or unclear in most studies
Pooled result
As reported in the abstract
Education vs Usual careSMD (95% CI)
Knowledge
1.64(0.60–2.68)
QOL
0.74(0.21–1.26)
Education vs Usual careRelative risk (95% CI)
Readmissions
0.73(0.56–0.96)
Further pooled results
| Outcome | SMD (95% CI) | |
|---|---|---|
| Digital education (subgroup)Educationvs Usual careKnowledge | 0.92 (0.37–1.46) | |
| Digital education (subgroup)Educationvs Usual careQOL | 0.28 (0.07–0.48) | |
| Non-digital education (subgroup)Educationvs Usual careQOL | 1.19 (0.14–2.24) | |
| −10123Difference (linear scale) |
| Outcome | RR (95% CI) | |
|---|---|---|
| Non-digital education (subgroup)Educationvs Usual careReadmissions | 0.72 (0.53–0.98) | |
| 0.512Relative risk (log scale) |
Digital education (subgroup)
- Did not reduce readmissions
Non-digital education (subgroup)
- Did not increase knowledge
Original publication
Secondary prevention education initiated in hospital for people with coronary heart disease: a systematic review and meta-analysis. Eur J Prev Cardiol. Published 6 November 2025. doi:10.
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