Digital Health for Patients Undergoing Cardiac Surgery: A Systematic Review
Digital health interventions have shown promise in improving patient outcomes and experiences in various healthcare settings. However, their effectiveness in the context of cardiac surgery remains uncertain. This systematic review aims to evaluate the existing evidence on the use of digital health i...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-08-01
|
| Series: | Healthcare |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9032/11/17/2411 |
| _version_ | 1797582500435853312 |
|---|---|
| author | Kevin A. Wu Sameer Kunte Shashank Rajkumar Vishal Venkatraman Grace Kim Samantha Kaplan Syed Omar Anwar-Hashmi Julie Doberne Tom C. Nguyen Shivanand P. Lad |
| author_facet | Kevin A. Wu Sameer Kunte Shashank Rajkumar Vishal Venkatraman Grace Kim Samantha Kaplan Syed Omar Anwar-Hashmi Julie Doberne Tom C. Nguyen Shivanand P. Lad |
| author_sort | Kevin A. Wu |
| collection | DOAJ |
| description | Digital health interventions have shown promise in improving patient outcomes and experiences in various healthcare settings. However, their effectiveness in the context of cardiac surgery remains uncertain. This systematic review aims to evaluate the existing evidence on the use of digital health interventions for patients undergoing cardiac surgery. A comprehensive search of PubMed MEDLINE, Elsevier EMBASE, Elsevier Scopus databases, and ClinicalTrials.gov was conducted to identify relevant studies published up to the present. Studies that examined the effects of digital health interventions, including mobile applications and web-based interventions, on perioperative care and patient outcomes in cardiac surgery were included. The data were extracted and synthesized to provide a comprehensive overview of the findings. The search yielded 15 studies composed of 4041 patients, analyzing the feasibility and implementation of mobile or internet applications for patients undergoing cardiac surgery. The studies included the use of mobile applications (ManageMySurgery, SeamlessMD, mHeart, Telediaglog, ExSed, Soulage Tavie, Heart Health application, and Mayo Clinic Health Connection) and web-based interventions (Heartnet and Active Heart). The findings indicated that these digital health interventions were associated with improved patient engagement, satisfaction, and reduced healthcare utilization. Patients reported finding the interventions helpful in their recovery process, and there was evidence of enhanced symptom monitoring and timely intervention. The completion rates of modules varied depending on the phase of care, with higher engagement observed during the acute phase. Interest in using digital health applications was expressed by patients, regardless of age, gender, or complexity of the cardiac defect. The results demonstrated that web-based interventions resulted in improvements in mental health, quality of life, and eHealth literacy. This systematic review highlights the potential benefits of digital health interventions in the context of cardiac surgery. Further research, including randomized controlled trials, is needed to establish the effectiveness, feasibility, and generalizability of digital health interventions in cardiac surgery. |
| first_indexed | 2024-03-10T23:22:15Z |
| format | Article |
| id | doaj.art-13af85c6fd3041be8ca7316b8a0debb5 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T23:22:15Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-13af85c6fd3041be8ca7316b8a0debb52023-11-19T08:10:36ZengMDPI AGHealthcare2227-90322023-08-011117241110.3390/healthcare11172411Digital Health for Patients Undergoing Cardiac Surgery: A Systematic ReviewKevin A. Wu0Sameer Kunte1Shashank Rajkumar2Vishal Venkatraman3Grace Kim4Samantha Kaplan5Syed Omar Anwar-Hashmi6Julie Doberne7Tom C. Nguyen8Shivanand P. Lad9Department of Surgery, Duke University School of Medicine, Durham, NC 27710, USADepartment of Surgery, Duke University School of Medicine, Durham, NC 27710, USADepartment of Neurosurgery, Yale University, New Haven, CT 06510, USADepartment of Surgery, Duke University School of Medicine, Durham, NC 27710, USADepartment of Surgery, Duke University School of Medicine, Durham, NC 27710, USAMedical Center Library & Archives, Duke University School of Medicine, Durham, NC 27710, USADepartment of Surgery, Loyola University Chicago’s Stritch School of Medicine, Maywood, IL 60153, USADivision of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC 27707, USADivision of Adult Cardiothoracic Surgery, Department of Surgery, UCSF Health, San Francisco, CA 94143, USADepartment of Neurosurgery, Duke University Medical Center, Durham, NC 27710, USADigital health interventions have shown promise in improving patient outcomes and experiences in various healthcare settings. However, their effectiveness in the context of cardiac surgery remains uncertain. This systematic review aims to evaluate the existing evidence on the use of digital health interventions for patients undergoing cardiac surgery. A comprehensive search of PubMed MEDLINE, Elsevier EMBASE, Elsevier Scopus databases, and ClinicalTrials.gov was conducted to identify relevant studies published up to the present. Studies that examined the effects of digital health interventions, including mobile applications and web-based interventions, on perioperative care and patient outcomes in cardiac surgery were included. The data were extracted and synthesized to provide a comprehensive overview of the findings. The search yielded 15 studies composed of 4041 patients, analyzing the feasibility and implementation of mobile or internet applications for patients undergoing cardiac surgery. The studies included the use of mobile applications (ManageMySurgery, SeamlessMD, mHeart, Telediaglog, ExSed, Soulage Tavie, Heart Health application, and Mayo Clinic Health Connection) and web-based interventions (Heartnet and Active Heart). The findings indicated that these digital health interventions were associated with improved patient engagement, satisfaction, and reduced healthcare utilization. Patients reported finding the interventions helpful in their recovery process, and there was evidence of enhanced symptom monitoring and timely intervention. The completion rates of modules varied depending on the phase of care, with higher engagement observed during the acute phase. Interest in using digital health applications was expressed by patients, regardless of age, gender, or complexity of the cardiac defect. The results demonstrated that web-based interventions resulted in improvements in mental health, quality of life, and eHealth literacy. This systematic review highlights the potential benefits of digital health interventions in the context of cardiac surgery. Further research, including randomized controlled trials, is needed to establish the effectiveness, feasibility, and generalizability of digital health interventions in cardiac surgery.https://www.mdpi.com/2227-9032/11/17/2411digital healthcardiac surgerysystematic reviewmobile applicationsweb-based interventionsperioperative care |
| spellingShingle | Kevin A. Wu Sameer Kunte Shashank Rajkumar Vishal Venkatraman Grace Kim Samantha Kaplan Syed Omar Anwar-Hashmi Julie Doberne Tom C. Nguyen Shivanand P. Lad Digital Health for Patients Undergoing Cardiac Surgery: A Systematic Review Healthcare digital health cardiac surgery systematic review mobile applications web-based interventions perioperative care |
| title | Digital Health for Patients Undergoing Cardiac Surgery: A Systematic Review |
| title_full | Digital Health for Patients Undergoing Cardiac Surgery: A Systematic Review |
| title_fullStr | Digital Health for Patients Undergoing Cardiac Surgery: A Systematic Review |
| title_full_unstemmed | Digital Health for Patients Undergoing Cardiac Surgery: A Systematic Review |
| title_short | Digital Health for Patients Undergoing Cardiac Surgery: A Systematic Review |
| title_sort | digital health for patients undergoing cardiac surgery a systematic review |
| topic | digital health cardiac surgery systematic review mobile applications web-based interventions perioperative care |
| url | https://www.mdpi.com/2227-9032/11/17/2411 |
| work_keys_str_mv | AT kevinawu digitalhealthforpatientsundergoingcardiacsurgeryasystematicreview AT sameerkunte digitalhealthforpatientsundergoingcardiacsurgeryasystematicreview AT shashankrajkumar digitalhealthforpatientsundergoingcardiacsurgeryasystematicreview AT vishalvenkatraman digitalhealthforpatientsundergoingcardiacsurgeryasystematicreview AT gracekim digitalhealthforpatientsundergoingcardiacsurgeryasystematicreview AT samanthakaplan digitalhealthforpatientsundergoingcardiacsurgeryasystematicreview AT syedomaranwarhashmi digitalhealthforpatientsundergoingcardiacsurgeryasystematicreview AT juliedoberne digitalhealthforpatientsundergoingcardiacsurgeryasystematicreview AT tomcnguyen digitalhealthforpatientsundergoingcardiacsurgeryasystematicreview AT shivanandplad digitalhealthforpatientsundergoingcardiacsurgeryasystematicreview |