Telemonitoring devices further improve outcomes of a multidisciplinary heart failure outpatient program

Chrysogelos, Ellen T.; Gemme, Donna; Coleman, Kathleen E.; Chung, Eugene S.; Meyer, Theo E.

doi:10.1016/s1071-9164(99)91623-8

Cited by 3 publications

(1 citation statement)

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“…20 In another study 13 with 28 monitored patients (average age 83 years), 93% were satisfied with the home telehealth system and 96% trusted in the coordination performed by the supervising nurse. The general acceptability for the remaining studies was never below 80%, 17,18,[21][22][23][24][25][26] and there was no evidence for rejection by the patients of this kind of system. 3,9,14,[27][28][29][30] The acceptability by the health staff was slightly lower, generally about 65%.…”

Section: Feasibility Assessmentmentioning

confidence: 99%

A systematic review of the literature on home monitoring for patients with heart failure

et al. 2006

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We conducted a systematic review of the literature for assessing the value of home monitoring for heart failure (HF) patients. The abstracts of 383 articles were read. We excluded those in which either no home monitoring was done or only the technical aspects of the telemedicine application were described. Forty-two studies met the selection criteria. We classified the results into feasibility (technical and institutional) and impact (on the clinical process, on patient health, on accessibility and acceptability of the health system, and on the economy). Evaluating the articles showed that home monitoring in HF patients is viable, given that: (1) it appears to be technically effective for following the patient remotely; (2) it appears to be easy to use, and it is widely accepted by patients and health professionals; and (3) it appears to be economically viable. Furthermore, home monitoring of HF patients has been shown to have a positive impact on: (1) the clinical process, supported by a significant improvement of patient follow-up by adjustment of treatment, diet or behaviour, as well as hospital readmissions and emergency visits reduction; (2) the patient's health, supported by a relevant improvement in quality of life, a reduction of days in hospital, and a decrease in mortality; and (3) costs resulting from the use of health resources.

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Section: Feasibility Assessmentmentioning

confidence: 99%

A systematic review of the literature on home monitoring for patients with heart failure

et al. 2006

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A systematic review of telemonitoring for the management of heart failure

Louis

Turner

Gretton

et al. 2003

European J of Heart Fail

237

159

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Background: Telemonitoring allows a clinician to monitor, on a daily basis, physiological variables measured by patients at home. This provides a means to keep patients with heart failure under close supervision, which could reduce the rate of admission to hospital and accelerate discharge. Objective: To review the literature on the application of telemedicine in the management of heart failure. Methods: A literature search was conducted on studies involving telemonitoring and heart failure between 1966 and 2002 using Medline, Embase, Cochrane Library and Journal of Telemedicine and Telecare. Results: Eighteen observational studies and six randomised controlled trials involving telemonitoring and heart failure were identified. Observational studies suggest that telemonitoring; used either alone or as part of a multidisciplinary care program, reduce hospital bed-days occupancy. Patient acceptance of and compliance with telemonitoring was high. Two randomised controlled trials suggest that telemonitoring of vital signs and symptoms facilitate early detection of deterioration and reduce readmission rates and length of hospital stay in patients with heart failure. One study also showed a reduction in readmission charges. One substantial randomised controlled study showed a significant reduction in mortality at 6 months by monitoring weight and symptoms in patients with heart failure; however, no difference was observed in readmission rates. Another randomised study comparing video-consultation performed as part of a home health care programme for patients with a variety of diagnoses, suggested a reduction in the costs of hospital care, which offset the cost of video-consultation. Patients with heart failure were not reported separately. One randomised study showed no difference in outcomes between the telemonitoring group and the standard care group. Conclusion: Telemonitoring might have an important role as part of a strategy for the delivery of effective health care for patients with heart failure. Adequately powered multicentre, randomised controlled trials are required to further evaluate the potential benefits and cost-effectiveness of this intervention.

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Technology-driven heart failure management system : changes in functional capacity and quality of life.

Chilakapati¹

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Without her cooperation and support I wouldn't have accomplished this in my life. I am guilty of not spending enough time with my two year old daughter, Shivani, while pursuing cardiology fellowship and PhD simultaneously. Her cute words and beautiful smile provided lot of refreshment and ample energy to complete this task. I would like to thank my sister, Lyka, for her support and encouragement. She is always there and made me to stick to my goals and objectives. I would like to thank Dr. Neal Weintraub, Dr. Andrew Burger and Dr. Robin Vandivier for their support and encouragement. I would like to thank Ms. Tammi A. Thomas for her help and administrative support. I would like to thank Mr. Mark Evans, who assisted me for proof reading and formatting.

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Telemonitoring devices further improve outcomes of a multidisciplinary heart failure outpatient program

Cited by 3 publications

References 0 publications

A systematic review of the literature on home monitoring for patients with heart failure

A systematic review of the literature on home monitoring for patients with heart failure

A systematic review of telemonitoring for the management of heart failure

Technology-driven heart failure management system : changes in functional capacity and quality of life.

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