远程医疗照护心力衰竭的疗效：一项随机对照试验的荟萃分析。
The efficacy of telemedical care for heart failure: A meta-analysis of randomized controlled trials.
机构信息
Department of Critical Care Medicine, Fenghua District People's Hospital of Ningbo, Zhejiang, China.
Department of Critical Care Medicine, Fenghua District People's Hospital of Ningbo, Zhejiang, China.
出版信息
Am J Emerg Med. 2021 Sep;47:1-5. doi: 10.1016/j.ajem.2021.01.032. Epub 2021 Jan 16.
INTRODUCTION
The efficacy of telemedical care for the treatment of heart failure remains controversial. We conduct a systematic review and meta-analysis to explore the impact of telemedical care on heart failure.
METHODS
We search PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through October 2020 for randomized controlled trials (RCTs) assessing the effect of telemedical care on heart failure. This meta-analysis is performed using the random-effect model.
RESULTS
Four RCTs involving 2516 patients are included in the meta-analysis. Overall, compared with control group for heart failure, telemedical care demonstrates no significant influence on cardiovascular death (OR = 0.74; 95% CI = 0.54 to 1.00; P = 0.05), mortality (OR = 0.86; 95% CI = 0.61 to 1.20; P = 0.38), hospital stay for heart failure (SMD = -1.57; 95% CI = -6.31 to 3.16; P = 0.52) or hospital stay for any readmission (SMD = -0.65; 95% CI = -8.98 to 7.68; P = 0.88), but can reduce the days lost due to death or heart failure readmissions (SMD = -6.50; 95% CI = -8.44 to -4.56; P < 0.00001).
CONCLUSIONS
Telemedical care may provide no additional benefits for heart failure.
简介
远程医疗在心力衰竭治疗中的疗效仍存在争议。我们进行了系统评价和荟萃分析，以探讨远程医疗对心力衰竭的影响。
方法
我们通过检索 PubMed、EMbase、Web of Science、EBSCO 和 Cochrane 图书馆数据库，截至 2020 年 10 月，查找评估远程医疗对心力衰竭影响的随机对照试验（RCT）。本荟萃分析采用随机效应模型进行。
结果
纳入的 4 项 RCT 共纳入 2516 例患者。总的来说，与心力衰竭对照组相比，远程医疗对心血管死亡（OR=0.74；95%CI=0.54 至 1.00；P=0.05）、死亡率（OR=0.86；95%CI=0.61 至 1.20；P=0.38）、心力衰竭住院时间（SMD=-1.57；95%CI=-6.31 至 3.16；P=0.52）或任何再入院住院时间（SMD=-0.65；95%CI=-8.98 至 7.68；P=0.88）均无显著影响，但可以减少因死亡或心力衰竭再入院而导致的失能天数（SMD=-6.50；95%CI=-8.44 至 -4.56；P<0.00001）。
结论
远程医疗可能对心力衰竭没有额外的益处。
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