Effectiveness of Telemedicine for Reducing Cardiovascular Risk: A Systematic Review and Meta-Analysis
Metadatos
Mostrar el registro completo del ítemEditorial
MDPI
Materia
Telemedicine Risk factors for heart disease Hypertension Overweight Diabetes mellitus Sedentarism
Fecha
2023-01-20Referencia bibliográfica
Jaén-Extremera, J... [et al.]. Effectiveness of Telemedicine for Reducing Cardiovascular Risk: A Systematic Review and Meta-Analysis. J. Clin. Med. 2023, 12, 841. [https://doi.org/10.3390/jcm12030841]
Resumen
Background: Cardiovascular diseases are the leading cause of death globally. There are
six cardiovascular risk factors: diabetes, hypertension, hypercholesterolemia, overweight, sedentary
lifestyle and smoking. Due to the low attendance of healthy people in the health system, the use
of telemedicine can influence the acquisition of a heart-healthy lifestyle. Objective: this systematic
review and meta-analysis aimed to determine the effectiveness of telemedicine and e-health in
reducing cardiovascular risk. Methods: A systematic review and meta-analysis were carried out
using the PubMed, Scopus, Cinhal and WOS databases. Randomized controlled studies between
2017 and 2022 in which telemedicine was used to reduce any of the risk factors were included. The
methodological quality was assessed using the “PEDro” scale. Results: In total, 763 studies were
obtained; after the review, 28 target articles were selected and finally grouped as follows: 13 studies
on diabetes, six on hypertension, seven on obesity and two on physical activity. For all of the risk
factors, a small effect of the intervention was seen. Conclusions: although the current evidence is
heterogeneous regarding the statistically significant effects of telemedicine on various cardiovascular
risk factors, its clinical relevance is undeniable; therefore, its use is recommended as long as the
necessary infrastructure exists.