Digital Health for Patients Undergoing Cardiac Surgery: A Systematic Review

• Published in: Healthcare (Basel) 2023-08, Vol.11 (17), p.2411
• Main Authors: Wu, Kevin A, Kunte, Sameer, Rajkumar, Shashank, Venkatraman, Vishal, Kim, Grace, Kaplan, Samantha, Anwar-Hashmi, Syed Omar, Doberne, Julie, Nguyen, Tom C, Lad, Shivanand P
• Format: Article
• Language: English
• Subjects: Analysis; Cardiac patients; cardiac surgery; Care and treatment; Clinical trials; Cohort analysis; Coronary vessels; digital health; Digital technology; E-health; Health aspects; Health care reform; Health education; Health literacy; Heart; Heart surgery; Heart transplants; Intervention; Medical research; Medicine, Experimental; Mobile applications; Patient compliance; Perioperative care; Smartphones; Surgery; Surgery, Experimental; Surgical research; Systematic Review; Technology application; Telemedicine; Web portals; web-based interventions; Wireless telephone software
• ISSN: 2227-9032; 2227-9032
• DOI: 10.3390/healthcare11172411

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.