Coronary disease & ACSMeta-analysis
Secondary prevention education initiated in hospital for people with coronary heart disease: a systematic review and meta-analysis
- Systematic review and meta-analysis of randomised trials
- random-effects model
43 trials included in the review; risk of bias low or unclear in most studies
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
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) — Education vs Usual care · knowledge | 0.92 (0.37–1.46) | |
| Digital education (subgroup) — Education vs Usual care · QOL | 0.28 (0.07–0.48) | |
| Non-digital education (subgroup) — Education vs Usual care · QOL | 1.19 (0.14–2.24) | |
| −10123Difference (linear scale) |
| Outcome | RR (95% CI) | |
|---|---|---|
| Non-digital education (subgroup) — Education vs Usual care · readmissions | 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:10.1093/eurjpc/zwaf709
Summarised from the published abstract; every number is checked against it