Telemedicine in heart failure: Pre-specified and exploratory subgroup analyses from the TIM-HF trial

Koehler, Friedrich; Winkler, Sebastian; Schieber, Michael; Sechtem, Udo; Stangl, Karl; Böhm, Michael; Brouwer, Sophie de; Perrin, Emilie; Baumann, Gert; Gelbrich, Goetz; Boll, H.; Honold, Marcus; Koehler, Kerstin; Kirwan, Bridget‐Anne; Anker, Stefan D.

doi:10.1016/j.ijcard.2011.09.007

Cited by 99 publications

(82 citation statements)

References 17 publications

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“…Also the included patients and study centers in this trial could be assessed a priori as more open-minded about telemedical care compared to the defined subgroup population. 9 Despite the high response rate, it cannot be excluded that patients and study centers with negative experience did not answer these questionnaires. The results of this survey have to be considered under these limitations.…”

Section: Limitationsmentioning

confidence: 99%

Telemedical care: feasibility and perception of the patients and physicians: a survey-based acceptance analysis of the Telemedical Interventional Monitoring in Heart Failure (TIM-HF) trial

Prescher

Deckwart

Winkler

et al. 2013

Eur J Prev Cardiolog

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Section: Limitationsmentioning

confidence: 99%

Telemedical care: feasibility and perception of the patients and physicians: a survey-based acceptance analysis of the Telemedical Interventional Monitoring in Heart Failure (TIM-HF) trial

Prescher

Deckwart

Winkler

et al. 2013

Eur J Prev Cardiolog

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“…35 A pre-specified subgroup analysis for the TIM-HF trial pointed out that specific characteristics of patients and numbers of days lost due to hospitalisation for HF or death. 36 Findings from two Cochrane meta-analyses including studies up to 2015 37,38 have shown that, compared with usual care, STS can reduce all-cause mortality at a follow-up of 6-12 months, and can reduce…”

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confidence: 99%

Value of Telemonitoring and Telemedicine in Heart Failure Management

Gensini

Alderighi²,

Rasoini³

et al. 2017

Cardiac Failure Review

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DevicesAccess at: www. CFRjournal.com Telehealth is a multiform term embracing the applications of telematics to medicine, in order to enable diagnosis and/or treatment remotely through a set of communication tools, including phones, smartphones and mobile wireless devices, with or without a video connection.1 Until a few years ago, digital applications in medicine were restricted to the use of data obtained from electronic health records (EHR), but, in more recent times, the technological context has notably expanded: the number of existing internet-connected mobile devices has roughly doubled every five years. This phenomenon will probably lead to the simultaneous operability of around 50 billion devices by 2020. 2 SensorsSensors are tools that are capable of detecting, recording and responding to specific inputs coming from a physical setting (e.g. a patient's vital signs) and are increasingly embedded in smartphones and other mobile devices. Recording and quantifying biological variables by means of sensors is generating large digital datasets that are suitable for transmission in real-time to healthcare and non-healthcare professionals. Computer applications arising from these phenomena are potentially numberless and will probably drive changes in both doctor-patient relationships and healthcare economic scenarios. Several insurance companies have already introduced better money premiums for customers who demonstrate regular use of smartphone applications aimed at illness prevention. 1 Some issues that will need to be addressed in the near future concern patient privacy and data safety. 3 As the practice of selling personal data to third parties for commercial purposes has come to light, increased attention has focused on data security of digital platforms and mobile devices. 4,5 Several reports published recently have revealed a concerning lack of details regarding the way that personal data is managed by telehealth application developers. 5 TheGlobal Privacy Enforcement Network has disclosed that around 60 % of the applications they evaluated exhibited criticisms regarding privacy issues, as they did not properly inform users how their personal data would be used and the number of personal questions asked was considered inappropriate. 6 Heart Failure EpidemiologyHeart failure (HF) is a common clinical syndrome associated with high morbidity and mortality. It is a major public health problem, with a prevalence of over 5.8 million people affected in the US, and over 26 million people worldwide. 7 In the US and in Europe, HF prevalence ranges from 1.1 % to 2.2 % in the general population. Most of the HF burden is situated in people aged over 65 years, who account for more than 80 % of deaths and prevalent cases in the US and in Europe. 8,9The lifetime probability of developing HF is believed to be one in five.Notwithstanding the historical equation that attributes HF genesis to a reduced left ventricular ejection fraction (LVEF), it has been shown that, in real medical practice, HF with preserved LVEF is ...

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“…Methods of remote monitoring vary from the 'simple' telephone support to external or implantable devices (Table 1) [9][10][11][12][13][14][15]. They are concordant with current AHA guidelines, which state that: "The use of trans-telephonic ECG monitoring at home has been suggested as a substitute for outpatient visits to the clinic."…”

Section: Introductionmentioning

confidence: 87%

Telerehabilitation in heart failure patients: The evidence and the pitfalls

Piotrowicz

Piepoli

Jaarsma

et al. 2016

International Journal of Cardiology

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Accessibility to the available traditional forms of cardiac rehabilitation programmes in heart failure patients is not adequate and adherence to the programmes remains unsatisfactory. The home-based telerehabilitation model has been proposed as a promising new option to improve this situation. This paper's aims are to discuss the tools available for telemonitoring, and describing their characteristics, applicability, and effectiveness in providing optimal long term management for heart failure patients who are unable to attend traditional cardiac rehabilitation programmes. The critical issues of psychological support and adherence to the telerehabilitation programmes are outlined. The advantages and limitations of this long term management modality are presented and compared with alternatives. Finally, the importance of further research, multicentre studies of telerehabilitation for heart failure patients and the technological development needs are outlined, in particular interactive remotely controlled intelligent telemedicine systems with increased inter-device compatibility.

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Telemedicine in heart failure: Pre-specified and exploratory subgroup analyses from the TIM-HF trial

Cited by 99 publications

References 17 publications

Telemedical care: feasibility and perception of the patients and physicians: a survey-based acceptance analysis of the Telemedical Interventional Monitoring in Heart Failure (TIM-HF) trial

Telemedical care: feasibility and perception of the patients and physicians: a survey-based acceptance analysis of the Telemedical Interventional Monitoring in Heart Failure (TIM-HF) trial

Value of Telemonitoring and Telemedicine in Heart Failure Management

Telerehabilitation in heart failure patients: The evidence and the pitfalls

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