INTRODUCTION: Advances in electronics and communications have changed modern medicine: telemedicine allows patient assessment and monitoring to facilitate healthcare at a distance. The aim of this study was to perform a systematic review and meta-analysis to assess how telemedicine systems, including early telemetry of electrocardiograms, can improve health outcomes in patients with coronary artery disease and, in particular, acute myocardial infarction (AMI). METHODS: Studies dealing with telemedicine applications in managing AMI that were conducted before January 22, 2010, published in English or Italian, were identified in PubMed and ISI Web of Knowledge searches. The meta-analysis was performed to assess the efficacy of telemedicine versus standard measures in reducing mortality. Relative risk (RR) with 95% confidence interval was used to report results and the I(2) test to evaluate heterogeneity. RESULTS: Five of the 39 articles retrieved were selected; all studies demonstrated the efficacy of telemedicine applications. Only three studies were judged to be comparable and suitable for combining data. This meta-analysis showed that the RR for in-hospital mortality from AMI was 0.65 (95% confidence interval, 0.42-0.99) for the telemedicine group, without heterogeneity. CONCLUSIONS: Telemedicine may improve health outcomes of patients with AMI. However, heterogeneity in study design and end points of most studies limited the number of articles that could be subjected to our meta-analysis.
INTRODUCTION: Advances in electronics and communications have changed modern medicine: telemedicine allows patient assessment and monitoring to facilitate healthcare at a distance. The aim of this study was to perform a systematic review and meta-analysis to assess how telemedicine systems, including early telemetry of electrocardiograms, can improve health outcomes in patients with coronary artery disease and, in particular, acute myocardial infarction (AMI). METHODS: Studies dealing with telemedicine applications in managing AMI that were conducted before January 22, 2010, published in English or Italian, were identified in PubMed and ISI Web of Knowledge searches. The meta-analysis was performed to assess the efficacy of telemedicine versus standard measures in reducing mortality. Relative risk (RR) with 95% confidence interval was used to report results and the I(2) test to evaluate heterogeneity. RESULTS: Five of the 39 articles retrieved were selected; all studies demonstrated the efficacy of telemedicine applications. Only three studies were judged to be comparable and suitable for combining data. This meta-analysis showed that the RR for in-hospital mortality from AMI was 0.65 (95% confidence interval, 0.42-0.99) for the telemedicine group, without heterogeneity. CONCLUSIONS: Telemedicine may improve health outcomes of patients with AMI. However, heterogeneity in study design and end points of most studies limited the number of articles that could be subjected to our meta-analysis.
Authors: Aspen C Miller; Marcia M Ward; Fred Ullrich; Kimberly A S Merchant; Morgan B Swanson; Nicholas M Mohr Journal: Telemed J E Health Date: 2020-02-28 Impact factor: 3.536
Authors: Gordon F Rushworth; Charlie Bloe; H Lesley Diack; Rachel Reilly; Calum Murray; Derek Stewart; Stephen J Leslie Journal: Int J Environ Res Public Health Date: 2014-02-21 Impact factor: 3.390
Authors: Pedro Galván; Miguel Velázquez; Gualberto Benítez; José Ortellado; Ronald Rivas; Antonio Barrios; Enrique Hilario Journal: Rev Panam Salud Publica Date: 2017-06-08
Authors: Gábor Tamás Szabó; András Ágoston; Gábor Csató; Ildikó Rácz; Tamás Bárány; Gábor Uzonyi; Miklós Szokol; Balázs Sármán; Éva Jebelovszki; István Ferenc Édes; Dániel Czuriga; Rudolf Kolozsvári; Zoltán Csanádi; István Édes; Zsolt Kőszegi Journal: Sensors (Basel) Date: 2021-02-01 Impact factor: 3.576