Intervention effect of telemedicine on ischemic stroke:a systematic review and meta-analysis
作者机构:Department of NeurologyNanhai Hospital of Traditional Chinese and Western MedicineJinan UniversityFoshan 528200China Institute of Traditional Chinese MedicineJinan UniversityGuangzhou 510632China Department of NeurosurgeryGuangdong Provincial Hospital of Integrated Traditional Chinese and Western MedicineFoshan 528200China
出 版 物:《Medical Data Mining》 (TMR医学数据挖掘)
年 卷 期:2024年第7卷第2期
页 面:39-44页
基 金:supported by 2021 Construction project of key disciplines of Traditional Chinese Medicine(clinical)in Guangdong Province(No.129) 2020 Foshan City’s‘14th Five-Year’key specialized projects of traditional Chinese medicine(No.15).Foshan self-financing science and technology plan project(2320001009048)
主 题:ischemic stroke telemedicine systematic review meta-analysis
摘 要:Background:Telemedicine refers to the use of information technology by medical institutions to directly provide diagnostic and therapeutic services to patients outside the healthcare *** encompasses various aspects such as remote diagnosis,remote monitoring,remote consultation,and remote outpatient *** articles have evaluated its role in controlling diseases like hypertension,diabetes,atrial fibrillation,and ischemic ***,the existing literature exhibits varying quality and sample sizes,lacking robust convincing power and systematic effectiveness ***:Following The Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 guidelines,we identified articles on remote medical intervention in ischemic stroke through databases including Web of Science,PubMed,EMBASE,Cochrane Library,CNKI,Weipu,and *** search spanned from the inception of the databases to June 30,*** researchers independently assessed literature quality,extracted data,and conducted meta-analysis using RevMan 5.3 ***:Ten articles,involving 5092 patients,were ***-analysis results indicate that telemedicine can effectively enhance compliance with doctors’advice in ischemic stroke *** is also associated with reduced stroke recurrence,moderate to severe disability,systolic and diastolic blood pressure,National Institutes of Health Stroke Scale scores,and Modified Rankin Scale ***,telemedicine demonstrates effectiveness in improving Fugl-Meyer motor function assessment and the Barthel Index of activity of daily living in ischemic stroke ***,telemedicine does not significantly reduce stroke hospitalization in the past year and the death ***:In comparison to traditional healthcare,telemedicine exhibits advantages in improving compliance and enhancing functionality in ischemic stroke *** is worth promoting telemedicine for better management of ischemic st