<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5307</journal-id>
<journal-title><![CDATA[Investigación y Educación en Enfermería]]></journal-title>
<abbrev-journal-title><![CDATA[Invest. educ. enferm]]></abbrev-journal-title>
<issn>0120-5307</issn>
<publisher>
<publisher-name><![CDATA[Imprenta Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-53072021000200005</article-id>
<article-id pub-id-type="doi">10.17533/udea.iee.v39n2e05</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis]]></article-title>
<article-title xml:lang="es"><![CDATA[Efecto de intervenciones educativas para reducir readmisiones debido a descompensación de falla cardiaca en adultos: una revisión sistemática y meta-análisis]]></article-title>
<article-title xml:lang="pt"><![CDATA[Efeito de intervenções educacionais para reduzir as readmissões devido à descompensação da insuficiência cardíaca em adultos: uma revisão sistemática e meta-análise]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cañon-Montañez]]></surname>
<given-names><![CDATA[Wilson]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duque-Cartagena]]></surname>
<given-names><![CDATA[Tatiana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Acelas]]></surname>
<given-names><![CDATA[Alba Luz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,wilson.canon@udea.edu.co  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>39</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-53072021000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-53072021000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-53072021000200005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective. To estimate the combined effect of educational interventions (EI) on decreased readmissions and time of hospital stay in adults with heart failure, compared with usual care.  Methods. Systematic review (SR) and meta-analysis (MA) of randomized controlled trials that followed the recommendations of the PRISMA statement. The protocol was registered on PROSPERO (CRD42019139321). Searches were made from inception until July 2019 in the databases of PubMed/Medline, Embase, Cochrane CENTRAL, Lilacs, Web of Science, and Scopus. The MA was conducted through the random effects model. The effect measure used for the dichotomous outcomes was relative risk (RR) and for continuous outcomes the mean difference (MD) was used, with 95% confidence intervals (CI). Heterogeneity was evaluated through the inconsistency statistic (I2).  Results. Of 2369 studies identified, 45 were included in the SR and 43 in the MA. The MA of studies with follow-up at six months showed a decrease in readmissions of 30% (RR: 0.70; 95% CI: 0.58 to 0.84; I2: 0%) and the 12-month follow-up evidenced a reduction of 33% (RR: 0.67; 95% CI: 0.58 to 0.76; I2: 52%); both analyses in favor of the EI group. Regarding the time of hospital stay, a reduction was found of approximately two days in patients who received the EI (MD: -1.98; 95% CI: -3.27 to -0.69; I2: 7%).  Conclusion. The findings support the benefits of EI to reduce readmissions and days of hospital stay in adult patients with heart failure.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo.  Estimar el efecto combinado de las intervenciones educativas (IE) en la disminución de readmisiones y tiempo de estancia hospitalaria en adultos con falla cardiaca comparado con el cuidado usual.  Métodos.  Revisión Sistemática (RS) y meta-análisis (MA) de ensayos clínicos aleatorizados que siguieron las recomendaciones de la declaración PRISMA. El protocolo se registró en PROSPERO (CRD42019139321). Se realizaron búsquedas desde el inicio hasta julio de 2019, en las bases de datos PubMed/Medline, Embase, Cochrane CENTRAL, Lilacs, Web of Science y Scopus. El MA se realizó mediante modelo de efectos aleatorios. La medida de efecto utilizada para los desenlaces dicotómicos fue el riesgo relativo (RR) y para desenlaces continuos se usó la diferencia de medias (DM), con sus intervalos de confianza (IC) del 95%. La heterogeneidad se evaluó mediante el estadístico de inconsistencia (I2).  Resultados.  De 2369 estudios identificados, 45 se incluyeron en la RS y 43 en el MA. El MA de estudios con seguimiento a seis meses mostró una disminución en las readmisiones de 30% (RR: 0.70; IC 95%: 0.58 a 0.84; I2: 0%) y el seguimiento a doce meses evidenció una reducción de 33% (RR: 0.67; IC 95%: 0.58 a 0.76; I2: 52%), ambos análisis a favor del grupo de IE. Referente al tiempo de estancia hospitalaria, se encontró una reducción de aproximadamente dos días en los pacientes que recibieron las IE (DM: -1.98; IC 95%: -3.27 a -0.69; I2: 7%).  Conclusión.  Los hallazgos soportan los beneficios de las IE para la disminución de readmisiones y días de estancia hospitalaria en pacientes adultos con falla cardiaca.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo. Estimar o efeito combinado de intervenções educacionais (IE) na redução de readmissões e tempo de internação em adultos com insuficiência cardíaca, em comparação com o cuidado usual.  Métodos. Revisão sistemática (RS) e meta-análise (MA) de ensaios clínicos randomizados que seguiu as recomendações da declaração PRISMA. O protocolo foi registrado no PROSPERO (CRD42019139321). Foram realizadas buscas desde o início até julho de 2019, nas bases de dados PubMed/Medline, Embase, Cochrane CENTRAL, Lilacs, Web of Science e Scopus. A MA foi realizada usando um modelo de efeitos aleatórios. A medida de efeito utilizada para desfechos dicotômicos foi o risco relativo (RR) e para desfechos contínuos foi usada a diferença de médias (DM), com seus intervalos de confiança (IC) de 95%. A heterogeneidade foi avaliada por meio da estatística de inconsistência (I2).  Resultados. De 2369 estudos identificados, 45 foram incluídos na RS e 43 na MA. A MA dos estudos com seguimento de seis meses mostrou uma diminuição nas readmissões de 30% (RR: 0.70; IC 95%: 0.58 a 0.84; I2: 0%) e o seguimento de doze meses mostrou uma redução de 33 % (RR: 0.67; IC 95%: 0.58 a 0.76; I2: 52%), ambas as análises em favor do grupo de IE. Em relação ao tempo de internação, foi observada uma redução de aproximadamente dois dias nos pacientes que receberam as IE (DM: -1.98; IC 95%: -3.27 a -0.69; I2: 7%).  Conclusão. Os achados evidenciam os benefícios das IE para a redução de readmissões e dias de internação em pacientes adultos com insuficiência cardíaca.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[heart failure]]></kwd>
<kwd lng="en"><![CDATA[patient readmission]]></kwd>
<kwd lng="en"><![CDATA[patient education as topic]]></kwd>
<kwd lng="en"><![CDATA[self-care]]></kwd>
<kwd lng="en"><![CDATA[systematic review.]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia cardiaca]]></kwd>
<kwd lng="es"><![CDATA[readmisión del paciente]]></kwd>
<kwd lng="es"><![CDATA[educación del paciente como asunto]]></kwd>
<kwd lng="es"><![CDATA[autocuidado]]></kwd>
<kwd lng="es"><![CDATA[revisión sistemática.]]></kwd>
<kwd lng="pt"><![CDATA[insuficiência cardíaca]]></kwd>
<kwd lng="pt"><![CDATA[readmissão do paciente]]></kwd>
<kwd lng="pt"><![CDATA[educação de pacientes como assunto]]></kwd>
<kwd lng="pt"><![CDATA[autocuidado]]></kwd>
<kwd lng="pt"><![CDATA[revisão sistemática.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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