Yuji Kanejima|Takayuki Shimogai|Masahiro Kitamura|Kazuhíko Ishihara|Kazuhiro P. Izawa
Impact of health literacy in patients with cardiovascular diseases: A systematic review and meta-analysis
Kobe City Medical Center General Hospital|Kobe University|Kobe City Medical Center General Hospital|Kobe University|Kobe University|Sakakibara Hospital|Kobe University|Kobe University
clarify impacts health literacy mortality readmission quality life qol secondary tertiary prevention cardiovascular diseases cvd metaanalysissix electronic databases searched june 11 2020 observational studies involving patients cvd health literacy exposure factor mortality readmission qol outcomes included study two researchers screened retrieved articles extracted data independently metaanalysis calculated pooled relative risk mortality readmission also assessed body evidence based grading recommendations assessment development evaluation gradefollowing screening 1616 studies 16 observational studies included mean rate low health literacy 328 studies focusing qol showed significant impacts health literacy pooled relative risk 1621 95 confidence interval 10892412 mortality 1184 95 confidence interval 10351355 readmission indicating significant effects health literacy grade assessment showed low certainty outcomelow health literacy significantly associated increased mortality hospital readmission decreased qol patients cvdconsidering low health literacy clinical practice important improve prognosis cvd patients