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BMC Pulm Med. 2018 Sep 04;18(1):147. doi: 10.1186/s12890-018-0671-z.

Mobile health applications in self-management of patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis of their efficacy.

BMC pulmonary medicine

Fen Yang, Yuncui Wang, Chongming Yang, Hui Hu, Zhenfang Xiong

Affiliations

  1. School of Nursing, Hubei University of Chinese Medicine, Wuhan, China.
  2. Research Support Center, Brigham Young University, Provo, UT, USA.
  3. School of Nursing, Hubei University of Chinese Medicine, Wuhan, China. [email protected].

PMID: 30180835 PMCID: PMC6122553 DOI: 10.1186/s12890-018-0671-z

Abstract

BACKGROUND: Mobile health applications are increasingly used in patients with Chronic Obstructive Pulmonary Disease (COPD) to improve their self-management, nonetheless, without firm evidence of their efficacy. This meta-analysis was aimed to assess the efficacy of mobile health applications in supporting self-management as an intervention to reduce hospital admission rates and average days of hospitalization, etc. METHODS: PubMed, Web of Science (SCI), Cochrane Library, and Embase were searched for relevant articles published before November 14th, 2017. A total of 6 reports with randomized controlled trials (RCTs) were finally included in this meta-analysis.

RESULTS: Patients using mobile phone applications may have a lower risk for hospital admissions than those in the usual care group (risk ratio (RR) = 0.73, 95% CI [0.52, 1.04]). However, there was no significant difference in reducing the average days of hospitalization.

CONCLUSION: Self-management with mobile phone applications could reduce hospital admissions of patients with COPD.

Keywords: Chronic obstructive pulmonary disease; Hospital admissions; Mobile applications; Self-management

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