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Meta-Analysis
. 2023 Jul;10(7):4205-4215.
doi: 10.1002/nop2.1698. Epub 2023 Mar 5.

The impact of distance education on readmission of patients with heart failure: A systematic review and meta-analysis

Sarina Ramtin  1 , Zahra Yazdani  2 , Kiarash Tanha  3 , Reza Negarandeh  4
Affiliations
Meta-Analysis

The impact of distance education on readmission of patients with heart failure: A systematic review and meta-analysis

Sarina Ramtin et al. Nurs Open. 2023 Jul.

Abstract

Aim: To estimate the effect size of distance education on the readmission of patients with heart failure.

Design: This study was a systematic review and meta-analysis.

Method: Both Persian and English interventional studies focused on investigating the effectiveness of any form of distance education interventions on the readmission of patients with heart failure were retrieved from the main databases: Embase, PubMed, Scopus, Web of Science, SID, and Google Scholar. Two independent teams screened the articles for eligibility. The Cochrane Risk of bias tool was implemented to evaluate the studies' quality. A random-effects model was applied to pool the effect sizes, I2 was calculated to examine heterogeneity, and Meta-regression was used to investigate the source of heterogeneity. The proposal was registered in the PROSPERO database (no. CRD42020187453).

Results: Articles 8836 were retrieved, and 11 articles were selected. Nine studies investigated the effect of distance education on readmission with <12-month follow-up (RR: 0.78 [95% CI 0.67-0.92]) and the I2 of 0.00%; and four studies examined the effect of distance intervention on readmission with 12-month or more follow-up (RR: 0.89 [95% CI 0.73-1.09]) and the I2 of 71.59%.

Keywords: distance education; heart failure; meta-analysis; readmission; systematic review.

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Conflict of interest statement

The authors have no conflicts of interest to declare; that one of the included studies is the last author's research work (Reza Negarandeh).

Figures

FIGURE 1
FIGURE 1
Flow diagram of the study selection process based on PRISMA guidelines.
FIGURE 2
FIGURE 2
Funnel plot of publication bias.
FIGURE 3
FIGURE 3
Forest plot of readmission in HF patients of studies with <12‐month follow‐up.
FIGURE 4
FIGURE 4
Forest plot of readmission in HF patients of studies with 12‐month or more follow‐up.
See this image and copyright information in PMC

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