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

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

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.

Conflict of interest statement

Ethics approval and consent to participate

Not applicable.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

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Figures

Fig. 1
Fig. 1
Summary of Evidence Search and Publication Selection
Fig. 2
Fig. 2
Hospital admission for Intervention Group Compared with Control Group. Weights were from the random effects analysis
Fig. 3
Fig. 3
Average hospital staying days for Intervention Group Compared with Control Group. Weights are from the random effects analysis

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