The Effect of a Randomized Trial of Home Telemonitoring on Medical Costs, 30-Day Readmissions, Mortality, and Health-Related Quality of Life in a Cohort of Community-Dwelling Heart Failure Patients

Blum, Kay; Gottlieb, Stephen S.

doi:10.1016/j.cardfail.2014.04.016

Cited by 77 publications

(92 citation statements)

References 17 publications

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“…The studies in the eleven reviewed papers were conducted in eight different countries (USA, Netherlands, Denmark, Spain, Israel, Argentina, United Kingdom and Germany). Most of the studies were conducted in the USA (Black et al, 2014;Blum & Gottlieb, 2014;Kao et al, 2016;Ong et al, 2016) and two were conducted in Netherland (Boyne et al, 2011;Veenstra et al, 2015). Multi-countries study (United Kingdom, Germany and Spain) was presented in one of the papers (Stut et al, 2015).…”

Section: Study Demographicsmentioning

confidence: 99%

“…The duration period of the studies varied from 3 months to 3 years. Most of the studies used randomized control trials (Black et al, 2014;Blum & Gottlieb, 2014;Boyne et al, 2011;Cichosz, Ehlers & Hejlesen, 2016;Ferrante et al, 2010;Ong et al, 2016), and others are pre and post-study without using control group (Veenstra et al, 2015), prospective intervention study (Domingo et al, 2012), service-evaluation retrospective study (Eliat-Tsanani et al, 2016), observational study (Stut et al, 2015) and retrospective cohort study (Kao et al, 2016).…”

Section: Study Demographicsmentioning

confidence: 99%

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Tele-monitoring Technology as a Tool for Monitoring and Management of Patients with Congestive Heart Failure

Vlahu‐Gjorgievska

Nagapuri

Win

2019

AJIS

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Telehealth interventions are designed to facilitate the remote exchange of information and data between patients and health care providers, improving the quality and safety of the patients and increasing efficiency and cost-effectiveness of health care providers. The development of telecommunications and virtual technology allowed a number of telehealth systems to be applied in different health care areas. These technologies can provide an alternative monitoring and solutions for decreasing the hospital readmission rates for patients with congestive heart failure (CHF). In this paper, a systematic literature review regarding tele-monitoring and its use in the management of patients with CHF is conducted. The result indicated that a standardized tele-monitoring design would reduce a length of hospitalization and re-hospitalization rate. The other factors that moderate the effectiveness of the tele-monitoring intervention include quality of life, mortality rate, and disease-specific knowledge (health literacy). All these factors align with the consumer-centred principle of The Australian Safety and Quality Framework for Health Care.

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Section: Study Demographicsmentioning

confidence: 99%

Section: Study Demographicsmentioning

confidence: 99%

Tele-monitoring Technology as a Tool for Monitoring and Management of Patients with Congestive Heart Failure

Vlahu‐Gjorgievska

Nagapuri

Win

2019

AJIS

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“…Clinical trials of telemonitoring reported within the inclusion period have not demonstrated the positive impact on hospital admissions found in a systematic review based on smaller studies. [174][175][176] Potential enhancements of intervention/implementation…”

Section: Community Nursesmentioning

confidence: 99%

Implementation of interventions to reduce preventable hospital admissions for cardiovascular or respiratory conditions: an evidence map and realist synthesis

Chambers

Cantrell

2020

Health Serv Deliv Res

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Background In 2012, a series of systematic reviews summarised the evidence regarding interventions to reduce preventable hospital admissions. Although intervention effects were dependent on context, the reviews revealed a consistent picture of reduction across different interventions targeting cardiovascular and respiratory conditions. The research reported here sought to provide an in-depth understanding of how interventions that have been shown to reduce admissions for these conditions may work, with a view to supporting their effective implementation in practice. Objectives To map the available evidence on interventions used in the UK NHS to reduce preventable admissions for cardiovascular and respiratory conditions and to conduct a realist synthesis of implementation evidence related to these interventions. Methods For the mapping review, six databases were searched for studies published between 2010 and October 2017. Studies were included if they were conducted in the UK, the USA, Canada, Australia or New Zealand; recruited adults with a cardiovascular or respiratory condition; and evaluated or described an intervention that could reduce preventable admissions or re-admissions. A descriptive summary of key characteristics of the included studies was produced. The studies included in the mapping review helped to inform the sampling frame for the subsequent realist synthesis. The wider evidence base was also engaged through supplementary searching. Data extraction forms were developed using appropriate frameworks (an implementation framework, an intervention template and a realist logic template). Following identification of initial programme theories (from the theoretical literature, empirical studies and insights from the patient and public involvement group), the review team extracted data into evidence tables. Programme theories were examined against the individual intervention types and collectively as a set. The resultant hypotheses functioned as synthesised statements around which an explanatory narrative referenced to the underpinning evidence base was developed. Additional searches for mid-range and overarching theories were carried out using Google Scholar (Google Inc., Mountain View, CA, USA). Results A total of 569 publications were included in the mapping review. The largest group originated from the USA. The included studies from the UK showed a similar distribution to that of the map as a whole, but there was evidence of some country-specific features, such as the prominence of studies of telehealth. In the realist synthesis, it was found that interventions with strong evidence of effectiveness overall had not necessarily demonstrated effectiveness in UK settings. This could be a barrier to using these interventions in the NHS. Facilitation of the implementation of interventions was often not reported or inadequately reported. Many of the interventions were diverse in the ways in which they were delivered. There was also considerable overlap in the content of interventions. The role of specialist nurses was highlighted in several studies. The five programme theories identified were supported to varying degrees by empirical literature, but all provided valuable insights. Limitations The research was conducted by a small team; time and resources limited the team’s ability to consult with a full range of stakeholders. Conclusions Overall, implementation appears to be favoured by support for self-management by patients and their families/carers, support for services that signpost patients to consider alternatives to seeing their general practitioner when appropriate, recognition of possible reasons why patients seek admission, support for health-care professionals to diagnose and refer patients appropriately and support for workforce roles that promote continuity of care and co-ordination between services. Future work Research should focus on understanding discrepancies between national and international evidence and the transferability of findings between different contexts; the design and evaluation of implementation strategies informed by theories about how the intervention being implemented might work; and qualitative research on decision-making around hospital referrals and admissions. Funding The National Institute for Health Research Health Services and Delivery Research programme.

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“…Of specific note and most promising are the recent results of TIM-HF2 trial showing a benefit on all-cause mortality and cardiovascular hospitalizations of a well structured but labour intensive 24/7 telemonitoring strategy, but remarkably showed no effect on quality of life [6]. Also, 'real-world' data, such as those from the Medicare database, did not show consistent benefits of non-haemodynamic remote monitoring strategies on mortality or hospitalisation rates [12]. Our conclusion is that although results are inconsistent for non-invasive telemonitoring, the simplicity makes it potentially useful for larger groups of HF patients at relatively lower risk or less symptomatic, where invasive telemonitoring may have more impact in sicker patients.…”

Section: Non-haemodynamic Remote Monitoringmentioning

confidence: 99%

Remote monitoring of chronic heart failure patients: invasive versus non-invasive tools for optimising patient management

Veenis

Brugts

2019

Neth Heart J

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Exacerbations of chronic heart failure (HF) with the necessity for hospitalisation impact hospital resources significantly. Despite all of the achievements in medical management and non-pharmacological therapy that improve the outcome in HF, new strategies are needed to prevent HF-related hospitalisations by keeping stable HF patients out of the hospital and focusing resources on unstable HF patients. Remote monitoring of these patients could provide the physicians with an additional tool to intervene adequately and promptly. Results of telemonitoring to date are inconsistent, especially those of telemonitoring with traditional non-haemodynamic parameters. Recently, the CardioMEMS device (Abbott Inc., Atlanta, GA, USA), an implantable haemodynamic remote monitoring sensor, has shown promising results in preventing HF-related hospitalisations in chronic HF patients hospitalised in the previous year and in New York Heart Association functional class III in the United States. This review provides an overview of the available evidence on remote monitoring in chronic HF patients and future perspectives for the efficacy and cost-effectiveness of these strategies.

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The Effect of a Randomized Trial of Home Telemonitoring on Medical Costs, 30-Day Readmissions, Mortality, and Health-Related Quality of Life in a Cohort of Community-Dwelling Heart Failure Patients

Cited by 77 publications

References 17 publications

Tele-monitoring Technology as a Tool for Monitoring and Management of Patients with Congestive Heart Failure

Tele-monitoring Technology as a Tool for Monitoring and Management of Patients with Congestive Heart Failure

Implementation of interventions to reduce preventable hospital admissions for cardiovascular or respiratory conditions: an evidence map and realist synthesis

Remote monitoring of chronic heart failure patients: invasive versus non-invasive tools for optimising patient management

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