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July 18, 2026European Journal of Cardiovascular Nursing

Nurse-led telehealth with continuous feedback reduces readmissions and improves adherence in post-discharge cardiac patients.

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Why the study?

Do nurse-led telehealth strategies improve clinical outcomes in cardiac patients during the post-hospital discharge period?

Population

60,870 cardiac patients in the post-hospital discharge period from 29 articles, including heart failure…

Design

Systematic_review

Key result

Telehealth strategies, particularly those providing continuous feedback and nursing leadership, reduced hospital readmissions and improved treatment adherence in post-discharge cardiac patients.

Authors

ESE N SouzaGMG G MoreiraDCD Calegari

Discussion

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Overview

Nurse-led telehealth strategies merit prospective validation; leaves open optimal selection and outcomes impact in cardiovascular secondary prevention.

Key Points

  • To synthesize scientific evidence on telehealth strategies for cardiac patients post-hospital discharge and evaluate the nursing team's role.
  • Integrative literature review conducted per a structured six-step process.
  • Searches across PubMed, BVS/LILACS, CINAHL, and Cochrane Library from 2019 to 2024.
  • Final sample comprised 29 articles and analysis included methodology, interventions, and outcomes.
  • Sample totaled 60,870 patients, mainly with heart failure (n=33,460).
  • Telehealth interventions reduced hospital readmissions and improved treatment adherence.
  • Models with ongoing feedback led to better patient outcomes in mortality and quality of life.

Structured PICO

Do nurse-led telehealth strategies improve clinical outcomes in cardiac patients during the post-hospital discharge period?

P
Population
60,870 cardiac patients, predominantly with heart failure, included in a review of 29 articles assessing post-discharge telehealth interventions.
I
Intervention
Nurse-led telehealth strategies (including telephone calls, mobile applications, and remote monitoring devices) during the post-hospital discharge period.
O
Outcome
Impact on clinical outcomes (hospital readmissions, adherence to treatments, mortality, quality of life) and the role of the nursing team.

Nurse-led telehealth interventions, particularly those providing continuous feedback, significantly reduce hospital readmissions and improve treatment adherence and quality of life in post-discharge cardiac patients.

Cite This Study

Souza et al. (2026) conducted a review in Cardiac patients (heart failure, coronary artery disease, post-CABG) (n=60,870). Telehealth strategies (telephone calls, mobile applications, remote monitoring) vs. Isolated interventions was evaluated on Hospital readmissions, treatment adherence, mortality, and quality of life. Telehealth strategies, particularly those providing continuous feedback and nursing leadership, reduced hospital readmissions and improved treatment adherence in post-discharge cardiac patients.

synapsesocial.com/papers/6a5b38f68167787360d24e68https://doi.org/10.1093/eurjcn/zvag155.136
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