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- Title
Telemonitoring in patients with heart failure: Is there a long-term effect?
- Authors
Gingele, Arno J.; Brunner-la Rocca, Hanspeter; Ramaekers, Bram; Gorgels, Anton; De Weerd, Gerjan; Kragten, Johannes; van Empel, Vanessa; Brandenburg, Vincent; Vrijhoef, Hubertus; Cleuren, Ger; Knackstedt, Christian; Boyne, Josiane J. J.; Boyne, Josiane Jj
- Abstract
<bold>Introduction: </bold>Evidence suggests that telemonitoring decreases mortality and heart failure (HF)-related hospital admission in patients with HF. However, most studies follow their patients for only several months. Little is known about the long-term effects of telemonitoring after a period of application.<bold>Methods: </bold>In 2007, the TEHAF study was initiated to compare tailored telemonitoring with usual care with respect to time until first HF-related hospital admission. In total, 301 patients completed the study after a follow-up period of one year. No differences could be found in time to first HF-related admission between intervention and control groups. Here, we performed a retrospective analysis in order to investigate potential long-term effects of telemonitoring. The primary endpoint was time to first HF-related hospital admission. Secondary endpoints were, amongst others, all-cause mortality, hospital admission due to HF and days alive and out of hospital (DAOOH). Electronic files of all included patients were reviewed between October 2007 and September 2015.<bold>Result: </bold>Mean follow-up duration was 1652 days (standard deviation: 1055 days). No significant difference in time to first HF-related hospital admission (log-rank test, p = 0.15), all-cause mortality (log-rank test, p = 0.43), or DAOOH (two-sample t-test, p = 0.87) could be found. However, patients that underwent telemonitoring had significantly fewer HF-related hospital admissions (incident rate ratio 0.54, 95% confidence interval 0.31-0.88).<bold>Discussion: </bold>Telemonitoring did not significantly influence the long-term outcome in our study. Therefore, extending the follow-up period of telemonitoring studies in HF patients is probably not beneficial.
- Subjects
HEART failure patients; TELEMEDICINE; MORTALITY; HOSPITAL admission &; discharge; CONTROL groups; HEART failure treatment; BIOTELEMETRY; COMPARATIVE studies; HEART failure; HOSPITAL care; RESEARCH methodology; MEDICAL cooperation; PATIENT monitoring; RESEARCH; EVALUATION research; RANDOMIZED controlled trials; RETROSPECTIVE studies
- Publication
Journal of Telemedicine & Telecare, 2019, Vol 25, Issue 3, p158
- ISSN
1357-633X
- Publication type
journal article
- DOI
10.1177/1357633X17747641