Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis

  • Wilson Cañon-Montañez Universidad de Antioquia
  • Tatiana Duque-Cartagena Universidad de Antioquia
  • Alba Luz Rodríguez-Acelas Universidad de Antioquia
Keywords: heart failure, patient readmission, patient education as topic, self-care, systematic review

Abstract

Objective. To estimate the combined effect of educational interventions (EI) on decreased readmissions and time of hospital stay in adults with heart failure, compared with usual care.

Methods. Systematic review (SR) and meta-analysis (MA) of randomized controlled trials that followed the recommendations of the PRISMA statement. The protocol was registered on PROSPERO (CRD42019139321). Searches were made from inception until July 2019 in the databases of PubMed/Medline, Embase, Cochrane CENTRAL, Lilacs, Web of Science, and Scopus. The MA was conducted through the random effects model. The effect measure used for the dichotomous outcomes was relative risk (RR) and for continuous outcomes the mean difference (MD) was used, with 95% confidence intervals (CI). Heterogeneity was evaluated through the inconsistency statistic (I2).

Results. Of 2369 studies identified, 45 were included in the SR and 43 in the MA. The MA of studies with follow-up at six months showed a decrease in readmissions of 30% (RR: 0.70; 95% CI: 0.58 to 0.84; I2: 0%) and the 12-month follow-up evidenced a reduction of 33% (RR: 0.67; 95% CI: 0.58 to 0.76; I2: 52%); both analyses in favor of the EI group. Regarding the time of hospital stay, a reduction was found of approximately two days in patients who received the EI (MD: -1.98; 95% CI: -3.27 to -0.69; I2: 7%).

Conclusion. The findings support the benefits of EI to reduce readmissions and days of hospital stay in adult patients with heart failure.

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Author Biographies

Wilson Cañon-Montañez , Universidad de Antioquia

RN, Ph.D. Associate Professor. Email: wilson.canon@udea.edu.co. Corresponding author.

Tatiana Duque-Cartagena , Universidad de Antioquia

Undergraduate nursing student, young researcher. Email: tatiana.duquec@udea.edu.co

Alba Luz Rodríguez-Acelas , Universidad de Antioquia

RN, Ph.D. Associate Professor. Email: aluz.rodriguez@udea.edu.co

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Published
2021-06-12
How to Cite
Cañon-Montañez W., Duque-Cartagena T., & Rodríguez-Acelas A. L. (2021). Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis. Investigación Y Educación En Enfermería, 39(2). https://doi.org/10.17533/udea.iee.v39n2e05
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REVIEW ARTICLE / ARTÍCULO DE REVISIÓN / ARTIGO DE REVISÃO