Document Type

Journal Article

Date of this Version

2-2007

Publication Source

Journal of Cardiac Failure

Volume

13

Issue

1

Start Page

56

Last Page

62

DOI

10.1016/j.cardfail.2006.09.001

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.

Copyright/Permission Statement

NOTICE: This is the author’s version of a work that was accepted for publication in Journal of Cardiac Failure. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms, may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Cardiac Failure, 2007, 13(1), 56-62, doi: 10.1016/j.cardfail.2006.09.001.

Keywords

disease management

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Date Posted: 01 June 2016

This document has been peer reviewed.