Skip to main content

Table 6 Levels of evidence and outcome measures in Heart Failure studies

From: Smartphones in the secondary prevention of cardiovascular disease: a systematic review

 

Scherr, 2006

Scherr, 2009

Seto, 2012

Vuorinen 214

Country of Origin

Austria

Austria

Canada

Finland

Levels of evidence

 

Design

FUU

RCT

RCT

RCT

Level of Evidence*

IV

II

II

II

CASP score**

n/a

6

8

8

Theoretical framework

  

✓

 

Outcome measures

 

Technology

 

Reliability

✓

   

Feasibility

✓

   

Clinical utility

✓

 

✓

 

Usability

✓

✓

 

✓

Acceptability

✓

  

✓

Adherence

✓

✓

✓

✓

Usage

✓

✓

✓

✓

Task completion

✓

   

Patient

 

Patient satisfaction

✓

  

✓

Qualitative feedback

  

✓

✓

QOL

  

✓

 

Self-care

  

✓

✓

NYHA class

✓

✓

✓

 

LVEF

✓

✓

✓

✓

BP and HR

✓

✓

✓

 

Weight

✓

✓

✓

 

ECG

  

✓

 

Medication use

✓

✓

✓

 

Biochemistry

  

✓

✓

BNP

  

✓

✓

Mortality

 

✓

✓

✓

Health service utilization

 

✓

✓

✓

Economic evaluation

None of these smartphone heart failure studies included a health economic analysis

  1. Key: ✓ Outcome measured, FUU Feasibility, Utility and Uptake study, RCT Randomised Control Trial, n/a Not applicable, CASP Critical Appraisal Skills Programme, QOL Quality of life, NYHA New York Heart Association, LVEF Left ventricular ejection fraction, BP Blood pressure, HR Heart rate, ECG Electrocardiogram, BNP Brain Natriuretic Peptide