A Systematic Review examining the clinical and healthcare outcomes for Congenital Heart Disease patients using home monitoring programs

Research output: Contribution to journalArticlepeer-review

1 Downloads (Pure)

Abstract

Objectives: To present the clinical and healthcare outcomes for patients with Congenital Heart Disease (CHD) who use home monitoring technologies.
Data Sources: Five databases were systematically searched from inception to November 2020 for quantitative studies in this area.
Methods: Data was extracted using a preformatted data collection table which included information on participants, interventions, outcome measures and results. Risk of bias was determined using the Cochrane Risk of Bias 2 tool for RCTs, Newcastle-Ottawa Quality Assessment for cohort studies and Institute of Health Economics Quality Appraisal Checklist for case series studies.
Data synthesis: 22 studies were included in this systematic review which included 4 RCTs, 12 cohort studies and 6 case series studies. 17 studies reported on mortality rates, with 59% reporting that home monitoring programs were associated with either a significant reduction or trend for lower mortality and 12% reporting that mortality trended higher. 14 studies reported on unplanned readmissions/healthcare resource use with 29% of studies reporting that this outcome was significantly decreased or trended lower with home monitoring and 21% reported an increase. Impact on treatment was reported in 15 studies with 67% of studies finding that either treatment was undertaken significantly earlier or significantly more interventions were undertaken in the home monitoring groups.
Conclusion: The use of home monitoring programs may be beneficial in reducing mortality, enabling earlier and more timely detection and treatment of CHD complication, however currently this evidence is limited due to weakness in study designs.
Original languageEnglish
JournalJournal of Telemedicine and Telecare
Publication statusAccepted/In press - 2020

Keywords

  • Telehealth
  • Telecare
  • eHealth
  • mHealth
  • congenital heart disease
  • CHD
  • Adult congenital heart disease
  • ACHD

Fingerprint Dive into the research topics of 'A Systematic Review examining the clinical and healthcare outcomes for Congenital Heart Disease patients using home monitoring programs'. Together they form a unique fingerprint.

Cite this