Author(s):
Question:
Setting:
Bibliography:
Certainty assessment№ of patientsEffectCertaintyImportance
№ of studiesStudy designRisk of biasInconsistencyIndirectnessImprecisionOther considerationspalliatiivset ravitavaraviRelative
(95% CI)
Absolute
(95% CI)
suremus
31,2,3,4,a
randomised trials
not seriousb
not seriousc
not serious
seriousd
none
42/154 (27.3%)
32/153 (20.9%)
RR 1.28
(0.86 to 1.92)
59 more per 1,000
(from 29 fewer to 192 more)

Moderate
Elukvaliteet
42,3,4,5,6,a
randomised trials
not seriouse
seriousf
not serious
seriousg
none
156
153
-
SMD 1.46 SD higher
(0.12 higher to 2.79 higher)

Low
Rehospitaliseerimine
23,4,6,a
randomised trials
not serioush
not seriousi
not serious
seriousj
none
52/118 (44.1%)
62/116 (53.4%)
RR 0.84
(0.66 to 1.07)
86 fewer per 1,000
(from 182 fewer to 37 more)

Moderate
Depressiooni skoor
23,4,5,a
randomised trials
not seriousk
not serious
not serious
seriousl
none
77
80
-
SMD 0.62 SD lower
(0.99 lower to 0.25 lower)

Moderate

CI: confidence interval; RR: risk ratio; SMD: standardised mean difference

Explanations

a. Zhou K, Mao Y. Palliative care in heart failure : A meta-analysis of randomized controlled trials. Herz. 2019 Aug;44(5):440-444.
b. Jadad skoorid vastavalt 3, 3 ja 5
c. I2 = 0%
d. Väike valim, metaanalüüsis kokku n=154 sekkumis- ning n=153 kontrollgrupis
e. Jadad skoorid: 3, 4, 5, 5
f. Heterogeensus I2= 96%
g. Väike valim, n= 156, n= 153
h. Jadad skoorid: 5 ja 5
i. I2= 0%
j. Väike valim n= 234
k. Jadad skoorid: 4 ja 5
l. Väike valim, n= 157

References

1.FP, Hopp, RJ, Zalenski, D, Waselewsky, J, Burn, J, Camp, RD, Welch, P, Levy. Results of a Hospital-Based Palliative Care Intervention for Patients With an Acute . Journal of cardiac failure; 2016.
2.Brännström, Boman. Effects of person-centred and integrated chronic heart failure and palliative home. European journal of heart failure; 2014.
3.JG, Rogers, CB, Patel, RJ, Mentz, BB, Granger, KE, Steinhauser, M, Fiuzat, PA, Adams, A, Speck, KS, Johnson, A, Krishnamoorthy, H, Yang, KJ, Anstrom, GC, Dodson, Jr, Taylor,DH, JL, Kirchner, DB, Mark, CM, O'Connor, JA, Tulsky. Palliative Care in Heart Failure: The PAL-HF Randomized, Controlled Clinical Trial.. Journal of the American College of Cardiology; 2017.
4.K, Zhou, Y, Mao. Palliative care in heart failure : A meta-analysis of randomized controlled trials.. Herz; 2019.
5.LS, Evangelista, D, Lombardo, S, Malik, J, Ballard-Hernandez, M, Motie, S, Liao. Examining the effects of an outpatient palliative care consultation on symptom . Journal of cardiac failure; 2012.
6.FK, Wong, AY, Ng, PH, Lee, PT, Lam, JS, Ng, NH, Ng, MM, Sham. Effects of a transitional palliative care model on patients with end-stage heart . Heart (British Cardiac Society); 2016.