Remote monitoring in heart failure: current and emerging technologies in the context of the pandemic

Mohebali, Donya; Kittleson, M.

doi:10.1136/heartjnl-2020-318062

Cited by 42 publications

(24 citation statements)

References 36 publications

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“…Remote home monitoring services have previously been implemented in the UK for chronic conditions 2,3 , and during the first wave of the pandemic these services were set-up and piloted for COVID-19 patients in England 4 . These services were subsequently rolled out nationally, known as ‘COVID Oximetry at home (CO@h)’ or ‘Virtual Wards’ for COVID-19 patients who had been discharged early from hospital.…”

Section: Introductionmentioning

confidence: 99%

Examining disparities relating to service reach and patient engagement with COVID-19 remote home monitoring services in England: a mixed methods rapid evaluation

Crellin

Herlitz

Sidhu

et al. 2022

Preprint

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Background: The adoption of remote methods of care has been accelerated by the COVID-19 pandemic, but concerns exist relating to the potential impact on health disparities. This evaluation explores the implementation of COVID-19 remote home monitoring services across England, focussing on patients experiences and engagement with the service. Methods: The study was a rapid, multi-site, mixed methods evaluation. Data were collected between January and June 2021. We conducted qualitative interviews with staff service leads, and patients and carers receiving the service. We conducted quantitative surveys with staff delivering the service, and patients and carers receiving the service across 28 sites in England, UK. Qualitative data were analysed using thematic analysis and quantitative data were analysed using univariate and multivariate methods. Findings: Many sites designed their service to be inclusive to the needs of their local population. Strategies included widening eligibility criteria, prioritising vulnerable groups, and creating referral pathways. Many sites also adapted their services according to patient needs, including providing information in different languages or more accessible formats, offering translation services, offering non-digital options, or providing face-to-face assessments. Despite these adaptions, disparities were reported across patient groups (e.g. age, health status, ethnicity, level of education) in their experience of and engagement with the service. Interpretation: Services must determine how best to design and implement remote monitoring services to be of value to all populations. National guidance should play a role in supporting services to best serve the needs of their populations, and patients and staff must play an active role in service design.

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Section: Introductionmentioning

confidence: 99%

Examining disparities relating to service reach and patient engagement with COVID-19 remote home monitoring services in England: a mixed methods rapid evaluation

Crellin

Herlitz

Sidhu

et al. 2022

Preprint

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“…RPM engages patients as equal partners in their care and should therefore theoretically appeal to care providers and to patients with HF. 31 …”

Section: Innovation Through Covid-19mentioning

confidence: 99%

Digital Technology Application for Improved Responses to Health Care Challenges: Lessons Learned From COVID-19

Brahmbhatt

Ross

Moayedi

2022

Canadian Journal of Cardiology

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“…In the SUPPORT HF trial, the digital home monitoring with centralized specialists showed positive results in terms of efficacy, but no improvements in the use of evidence-based treatments have been found in digital home monitoring alone [68]. Favorable results come from a selected group of patients with HF (New York Heart Association [NYHA] class II-III, LVEF <45% or-if higher than 45%-in therapy with oral diuretics) who have been randomized to a web-based system plus usual care or to usual care only [69]. The CHAMPION-HF trial shows an adequate adjustment of the medical therapy and a reduction in HF hospitalizations using the CardioMEMS monitor (a real time sensor of pulmonary pressure percutaneously implanted in the pulmonary artery) [70].…”

Section: The Importance Of Telemedicine In the 21st Century And The Covid Eramentioning

confidence: 99%

The relevance of specific heart failure outpatient programs in the COVID era: an appropriate model for every disease

Beltrami¹,

Bartolini²,

Milli³

et al. 2021

Rev. Cardiovasc. Med.

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Heart Failure (HF) is characterized by an elevated readmission rate, with almost 50% of events occurring after the first episode over the first 6 months of the post-discharge period. In this context, the vulnerable phase represents the period when patients elapse from a sub-acute to a more stabilized chronic phase. The lack of an accurate approach for each HF subtype is probably the main cause of the inconclusive data in reducing the trend of recurrent hospitalizations. Most care programs are based on the main diagnosis and the HF stages, but a model focused on the specific HF etiology is lacking. The HF clinic route based on the HF etiology and the underlying diseases responsible for HF could become an interesting approach, compared with the traditional programs, mainly based on non-specific HF subtypes and New York Heart Association class, rather than on detailed etiologic and epidemiological data. This type of care may reduce the 30-day readmission rates for HF, increase the use of evidence-based therapies, prevent the exacerbation of each comorbidity, improve patient compliance, and decrease the use of resources. For all these reasons, we propose a dedicated outpatient HF program with a daily practice scenario that could improve the early identification of symptom progression and the quality-of-life evaluation, facilitate the access to diagnostic and laboratory tools and improve the utilization of financial resources, together with optimal medical titration and management.

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Remote monitoring in heart failure: current and emerging technologies in the context of the pandemic

Cited by 42 publications

References 36 publications

Examining disparities relating to service reach and patient engagement with COVID-19 remote home monitoring services in England: a mixed methods rapid evaluation

Examining disparities relating to service reach and patient engagement with COVID-19 remote home monitoring services in England: a mixed methods rapid evaluation

Digital Technology Application for Improved Responses to Health Care Challenges: Lessons Learned From COVID-19

The relevance of specific heart failure outpatient programs in the COVID era: an appropriate model for every disease

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