Patient-centred home-based management of heart failure

Abstract

HF patients with a HIS tablet computer and scale improved in self-care and HRQoL. Days in hospital due to HF were reduced. A medical device that is easy to use can be a valuable tool for improving self-care and outcome in patients with HF.

A Systematic Review of mHealth-Based Heart Failure Interventions

“…The majority of the studies (8 of 9) used mobile devices as part of a larger HF monitoring system, which typically included a blood pressure measuring device, 16,18,20–22,26 weighing scale, 24,26,19,20 electrocardiogram (ECG) recorder, 24,19,27 or an implantable defibrillator equipped with a heart rhythm monitoring function 25 . Only one study used mHealth as a stand-alone intervention.…”

“…23 In the studies, various mediums were used to transmit data including mobile phones (n=5), 23,24,28,29 small wireless devices (n=2), 19,25 or tablets (n=2). 22,26 …”

“…22,19,25 Four of the six studies that examined the impact of their interventions on the length of hospital stay reported no significant differences between their study groups, 22,24,19,25 while the remaining two studies reported significantly shorter lengths of stay for the intervention group compared to the control group. 26,29 …”

Strategies to Modify the Risk for Heart Failure Readmission: A Systematic Review and Meta-analysis

“…[8][9][10][11][12][13][14][15][16][17][18] In 9 of these studies, readmissions were significantly lowered. These interventions included:…”

“…Patient education during hospitalization and postdischarge telemonitoring for reinforcement of education and assessment of patients 13 or postdischarge home visits and monthly calls for reinforcement, assessment, and medication compliance 8 Phone calls after discharge for patient education, assessment of symptoms and compliance, and review of medication adherence 14 Postdischarge patient education at outpatient clinics and assessment of symptoms and compliance during clinic visits 12 or during follow-up calls every 2 to 4 weeks 16 Postdischarge assessments of medication adherence, symptoms/health, and compliance through a single home visit 1 week after discharge, 18 through daily telemonitoring and outpatient clinic visits every 1 to 2 weeks, 11 and through a daily telemonitoring system. 9 …”