Impact of multicomponent integrated care on mortality and hospitalization after acute coronary syndrome: a systematic review and meta-analysis
Document Type
Article
Publication Date
4-1-2023
Abstract
Aims Multicomponent integrated care is associated with sustained control of multiple cardiometabolic risk factors among patients with type 2 diabetes. There is a lack of data in patients with acute coronary syndrome (ACS). We aimed to examine its efficacy on mortality and hospitalization outcomes among patients with ACS in outpatient settings. Methods and results A literature search was conducted on PubMed, EMBASE, Ovid, and Cochrane library databases for randomized controlled trials, published in English language between January 1980 and November 2020. Multicomponent integrated care defined as two or more quality improvement strategies targeting different domains (the healthcare system, healthcare providers, and patients) for one month or more. The study outcomes were all-cause and cardiovascular-related mortality, hospitalization, and emergency department visits. We pooled the risk ratio (RR) with 95% confidence interval (CI) for the association between multicomponent integrated care and study outcomes usin
Keywords
Myocardial ischaemia, Hospitalization, Death, Patient care team, Integrated delivery system, Care model
Divisions
fac_med,medicinedept
Publication Title
European Heart Journal-Quality of Care and Clinical Outcomes
Volume
9
Issue
3
Publisher
Oxford Univ Press
Publisher Location
GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND