Heart failure, chronic: Telemonitoring for follow-up
DISEASE INTERVENTION COMPARISON RESULTS
N Engl J Med. 2010 Dec 9;363(24):2301-9. Epub 2010 Nov 16 Randomized Controlled Trial, Multicenter Study
IN telemedicine, remote monitoring, heart failure, chronic The Use of
a telephone-based interactive voice-response system that collected daily information about symptoms and weight
As Treatment, Chronic
Is equal Than
usual care alone
To reduce the combined endpoint of death or admission to hospital (either for heart failure or for any reason) at 6 months: 52.3% telemon VS 51.5% usual care
Lancet. 2011 Feb 19;377(9766):658-666 Randomized Controlled Trial, Multicenter Study
IN telemedicine, remote monitoring, heart failure, chronic The Use of
implantable haemodynamic monitoring devices, wireless pulmonary artery pression recorder
As Treatment, Chronic
Is better Than
usual specialized care for heart failure
To reduce heart-failure-related hospitalisation at 6 and at 15 months: 39% relative reduction (153 episodes in 270 patients wireless device VS 253 in 280 patients control)
J Am Coll Cardiol. 2009 Oct 27;54(18):1683-94 Meta-Analysis
IN telemedicine, remote monitoring, heart failure, chronic The Use of
remote patient monitoring, regular structured telephone contact, or transfer of physiological data using scpecific devices
As Treatment, Chronic
Is better Than
usual care, with in-person visit
To reduce, at 6 or 12 months, death (RR 0.83) and hospitalizations (RR 0.93)
Cochrane Database Syst Rev. 2010 Aug 4;8:CD007228 Systematic Review, Cochrane Review
IN telemedicine, remote monitoring, heart failure, chronic The Use of
structured telephone support, or telemonitoring (transfer of physiological data using scpecific devices)
As Treatment, Chronic
Is better Than
usual care
To reduce death (RR 0.66 telemonitoring, RR 0.88 and p=NS telephone) and reduce heart failure related hospitalizations (RR 0.77 telemonitoring, RR 0.79 telephone)