Abstract
Background: Telemonitoring, the use of communication technology to remotely monitor health status, is an appealing strategy for improving disease management. Methods and Results: We searched Medline databases, bibliographies, and spoke with experts to review the evidence on telemonitoring in heart failure patients. Interventions included: telephone-based symptom monitoring (n = 5), automated monitoring of signs and symptoms (n = 1), and automated physiologic monitoring (n = 1). Two studies directly compared effectiveness of 2 or more forms of telemonitoring. Study quality and intervention type varied considerably. Six studies suggested reduction in all-cause and heart failure hospitalizations (14% to 55% and 29% to 43%, respectively) or mortality (40% to 56%) with telemonitoring. Of the 3 negative studies, 2 enrolled low-risk patients and patients with access to high quality care, whereas 1 enrolled a very high-risk Hispanic population. Studies comparing forms of telemonitoring demonstrated similar effectiveness. However, intervention costs were higher with more complex programs ($8383 per patient per year) versus less complex programs ($1695 per patient per year). Conclusion: The evidence base for telemonitoring in heart failure is currently quite limited. Based on the available data, telemonitoring may be an effective strategy for disease management in high-risk heart failure patients.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 56-62 |
| Number of pages | 7 |
| Journal | Journal of Cardiac Failure |
| Volume | 13 |
| Issue number | 1 |
| DOIs | |
| State | Published - Feb 2007 |
| Externally published | Yes |
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Keywords
- Disease management
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Telemonitoring for Patients With Chronic Heart Failure : A Systematic Review. / Chaudhry, Sarwat I.; Phillips, Christopher O.; Stewart, Simon S.; Riegel, Barbara; Mattera, Jennifer A.; Jerant, Anthony F; Krumholz, Harlan M.
In: Journal of Cardiac Failure, Vol. 13, No. 1, 02.2007, p. 56-62.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Telemonitoring for Patients With Chronic Heart Failure
T2 - A Systematic Review
AU - Chaudhry, Sarwat I.
AU - Phillips, Christopher O.
AU - Stewart, Simon S.
AU - Riegel, Barbara
AU - Mattera, Jennifer A.
AU - Jerant, Anthony F
AU - Krumholz, Harlan M.
PY - 2007/2
Y1 - 2007/2
N2 - Background: Telemonitoring, the use of communication technology to remotely monitor health status, is an appealing strategy for improving disease management. Methods and Results: We searched Medline databases, bibliographies, and spoke with experts to review the evidence on telemonitoring in heart failure patients. Interventions included: telephone-based symptom monitoring (n = 5), automated monitoring of signs and symptoms (n = 1), and automated physiologic monitoring (n = 1). Two studies directly compared effectiveness of 2 or more forms of telemonitoring. Study quality and intervention type varied considerably. Six studies suggested reduction in all-cause and heart failure hospitalizations (14% to 55% and 29% to 43%, respectively) or mortality (40% to 56%) with telemonitoring. Of the 3 negative studies, 2 enrolled low-risk patients and patients with access to high quality care, whereas 1 enrolled a very high-risk Hispanic population. Studies comparing forms of telemonitoring demonstrated similar effectiveness. However, intervention costs were higher with more complex programs ($8383 per patient per year) versus less complex programs ($1695 per patient per year). Conclusion: The evidence base for telemonitoring in heart failure is currently quite limited. Based on the available data, telemonitoring may be an effective strategy for disease management in high-risk heart failure patients.
AB - Background: Telemonitoring, the use of communication technology to remotely monitor health status, is an appealing strategy for improving disease management. Methods and Results: We searched Medline databases, bibliographies, and spoke with experts to review the evidence on telemonitoring in heart failure patients. Interventions included: telephone-based symptom monitoring (n = 5), automated monitoring of signs and symptoms (n = 1), and automated physiologic monitoring (n = 1). Two studies directly compared effectiveness of 2 or more forms of telemonitoring. Study quality and intervention type varied considerably. Six studies suggested reduction in all-cause and heart failure hospitalizations (14% to 55% and 29% to 43%, respectively) or mortality (40% to 56%) with telemonitoring. Of the 3 negative studies, 2 enrolled low-risk patients and patients with access to high quality care, whereas 1 enrolled a very high-risk Hispanic population. Studies comparing forms of telemonitoring demonstrated similar effectiveness. However, intervention costs were higher with more complex programs ($8383 per patient per year) versus less complex programs ($1695 per patient per year). Conclusion: The evidence base for telemonitoring in heart failure is currently quite limited. Based on the available data, telemonitoring may be an effective strategy for disease management in high-risk heart failure patients.
KW - Disease management
UR - http://www.scopus.com/inward/record.url?scp=33847273028&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33847273028&partnerID=8YFLogxK
U2 - 10.1016/j.cardfail.2006.09.001
DO - 10.1016/j.cardfail.2006.09.001
M3 - Article
C2 - 17339004
AN - SCOPUS:33847273028
VL - 13
SP - 56
EP - 62
JO - Journal of Cardiac Failure
JF - Journal of Cardiac Failure
SN - 1071-9164
IS - 1
ER -