Henry Markovits, Janie Brisson, Pier-Luc de Chantal
Deductive updating is not Bayesian
Journal of experimental psychology. Learning, memory, and cognition
patients heart failure high rehospitalisation rates poor cardiovascular outcomes homebased monitoring hbm emerged promising results different settings however longterm effects patients recently admitted acute decompensated heart failure adhf remain uncertain systematically searched pubmed embase cochrane library randomised controlled trials rcts comparing hbm usual care uc published database inception june 24 2023 included studies patients admitted adhf previous 6 months minimum followup 6 months excluded studies patients hospitalised reasons adhf studies disproportional education interventions arms statistical analyses performed using r software version 432 pooled risk ratios rr mean differences md 95 confidence intervals ci categorical continuous outcomes respectively cochrane collaborations tool assessing risk bias rcts rob 2 used assess study quality publication bias assessed via funnel plots eggers test heterogeneity assessed i2 statistics sensitivity analysis protocol systematic review metaanalysis registered international prospective register systematic reviews prospero crd42023465359 included 16 rcts comprising 4629 patients 2393 517 randomised hbm 3150 68 men followup ranged six fifteen months compared uc hbm significantly reduced allcause mortality rr 075 95 ci 061 091 p 0005 allcause hospitalisations rr 082 95 ci 070 097 p 0018 cardiovascular cv mortality rr 053 95 ci 036 079 p 0002 hospitalisations heart failure rr 075 95 ci 062 091 p 0004 cv hospitalisations rr 072 95 ci 055 095 p 0018 significant differences length hospital stay md 097 days 95 ci 090 284 p 0308 patients recently admitted adhf hbm significantly reduces longterm allcause mortality hospitalisations cv mortality hospitalisations hospitalisations heart failure compared uc supports implementation hbm standard practice optimise patient outcomes following admissions adhf however future studies warranted evaluate efficacy safety implementing hbm realworld setting none