Ask an answerable question (PICO)：
The study atrial fibrillation (Af) increase stroke . In the clinic, it is found that Af is mostly uncomfortable in the case and found in the outpatient clinic. It may also delay the medical treatment and the risk of stroke between them. The purpose of this study was to review whether remote monitoring reduces the incidence of stroke through a systematic review of the literature and to conduct an integrated analysis.
The Method and Analysis of Literature Review：
This study uses the empirical method to set the PICO keyword, and combines and intersects the keywords in the way of Buhlin logic AND and OR. There are six materials in PubMed, Embase, Cochrane, CINAHL, Airiti Library and Taiwan Master's thesis. The library searches for remote monitoring systems (RM) and stroke rates before July 2019; uses EndNote X7 to track and manage documents. I2 was used to detect heterogeneity between studies, and random effects were used for integrated analysis to calculate the odds ratio (OR) of the incidence of stroke. Data were analyzed using the Review Manger (RevMan) 5.3 statistical software calculation OR and 95% confidence interval (95% CI).
Critical Appraisal：
This systematic review and meta-analysis examined the of these six literatures . The remote monitoring device includes a permanent pacemaker (PPM), Implantable Cardioverter Defibrillator (ICD) and a wearable ECG monitor (alivecor kardia monitor). In this study, a total of six literatures were searched, and the evaluation quality of the Revised tool for Risk of Bias in randomized trials (RoB 2.0) was evaluated. Five of the evaluations were Low. Risk.The evidence level uses the Oxford centre for Evidence-based Medicine 2011 Levels of Evidence rating, both Level II.
Results, Conclusions and Recommendations：
This study found that remote monitoring devices can reduce the incidence of stroke, but there is no significant difference in individual secondary group analyses between different device . The field of remote monitoring is becoming more and more applicable, which not only overcomes geographical obstacles, but also becomes an important tool for improving the efficiency of care and the continuity of care. It is hoped that early detection and early treatment can reduce the occurrence and damage of stroke.
