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Telemedicine CHF

Niloofar Mohammadzadeh, Reza Safdari
OBJECTIVES: Monitoring heart failure patients through continues assessment of sign and symptoms by information technology tools lead to large reduction in re-hospitalization. Agent technology is one of the strongest artificial intelligence areas; therefore, it can be expected to facilitate, accelerate, and improve health services especially in home care and telemedicine. The aim of this article is to provide an agent-based model for chronic heart failure (CHF) follow-up management. METHODS: This research was performed in 2013-2014 to determine appropriate scenarios and the data required to monitor and follow-up CHF patients, and then an agent-based model was designed...
October 2015: Healthcare Informatics Research
Taco A W Houweling, Andrea V Braga, Thomas Hausheer, Marco Vogelsang, Cynthia Peterson, B Kim Humphreys
OBJECTIVE: The purpose of this study was to identify differences in outcomes, patient satisfaction, and related health care costs in spinal, hip, and shoulder pain patients who initiated care with medical doctors (MDs) vs those who initiated care with doctors of chiropractic (DCs) in Switzerland. METHODS: A retrospective double cohort design was used. A self-administered questionnaire was completed by first-contact care spinal, hip, and shoulder pain patients who, 4 months previously, contacted a Swiss telemedicine provider regarding advice about their complaint...
September 2015: Journal of Manipulative and Physiological Therapeutics
Halgeir Holthe, J Artur Serrano
In North Norway, no telemonitoring services for chronic heart failure (CHF) have yet been established, hence no investigations in the area have been published. However, large distances and a sparse population are causes for extra expenditure on hospital visits. In this paper, we describe the ePoint.telemed platform for home telemonitoring of CHF patients. We have reviewed the literature on home monitoring techniques, and developed two prototype platforms for remote collection of physiological data. We have refined one of the prototypes and subjected it to user testing among health professionals and their clients...
2015: Studies in Health Technology and Informatics
Reiner Hofmann, Heinz Völler, Klaus Nagels, Dominik Bindl, Eik Vettorazzi, Ronny Dittmar, Walter Wohlgemuth, Till Neumann, Stefan Störk, Oliver Bruder, Karl Wegscheider, Eckhard Nagel, Eckart Fleck
BACKGROUND: Evidence that home telemonitoring for patients with chronic heart failure (CHF) offers clinical benefit over usual care is controversial as is evidence of a health economic advantage. METHODS: Between January 2010 and June 2013, patients with a confirmed diagnosis of CHF were enrolled and randomly assigned to 2 study groups comprising usual care with and without an interactive bi-directional remote monitoring system (Motiva®). The primary endpoint in CardioBBEAT is the Incremental Cost-Effectiveness Ratio (ICER) established by the groups' difference in total cost and in the combined clinical endpoint "days alive and not in hospital nor inpatient care per potential days in study" within the follow-up of 12 months...
2015: Trials
Timothy W Kenealy, Matthew J G Parsons, A Paul B Rouse, Robert N Doughty, Nicolette F Sheridan, Jennifer K Harré Hindmarsh, Sarah C Masson, Harry H Rea
OBJECTIVES: To assess the effect of telecare on health related quality of life, self-care, hospital use, costs and the experiences of patients, informal carers and health care professionals. METHODS: Patients were randomly assigned either to usual care or to additionally entering their data into a commercially-available electronic device that uploaded data once a day to a nurse-led monitoring station. Patients had congestive heart failure (Site A), chronic obstructive pulmonary disease (Site B), or any long-term condition, mostly diabetes (Site C)...
2015: PloS One
P Iyngkaran, S R Toukhsati, N Biddagardi, H Zimmet, J J Atherton, D L Hare
The interface between eHealth technologies and disease management in chronic conditions such as chronic heart failure (CHF) has advanced beyond the research domain. The substantial morbidity, mortality, health resource utilization and costs imposed by chronic disease, accompanied by increasing prevalence, complex comorbidities and changing client and health staff demographics, have pushed the boundaries of eHealth to alleviate costs whilst maintaining services. Whilst the intentions are laudable and the technology is appealing, this nonetheless requires careful scrutiny...
April 2015: Current Heart Failure Reports
Branko G Celler, Ross S Sparks
The telemonitoring of vital signs from the home is an essential element of telehealth services for the management of patients with chronic conditions, such as congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), diabetes, or poorly controlled hypertension. Telehealth is now being deployed widely in both rural and urban settings, and in this paper, we discuss the contribution made by biomedical instrumentation, user interfaces, and automated risk stratification algorithms in developing a clinical diagnostic quality longitudinal health record at home...
January 2015: IEEE Journal of Biomedical and Health Informatics
I Svagård, H O Austad, T Seeberg, J Vedum, A Liverud, B M Mathiesen, B Keller, O C Bendixen, P Osborne, F Strisland
Sensor-based monitoring of congestive heart-failure (CHF) patients living at home can improve quality of care, detect exacerbations of disease at an earlier stage and motivate the patient for better self care. This paper reports on a usability study of the ESUMS system that provides continuous measurements of heart rate, activity, upper body posture and skin temperature via a sensor belt and a smartphone as patient terminal. Five CHF patients were included in the trial, all recently discharged from hospital...
2014: Studies in Health Technology and Informatics
Dmitrij Achelrod
A critical review of evidence was carried out to discover whether the actual performance of telemedicine fulfils the expectations of German policy-makers. The analysis was conducted using the example of telemedicine for congestive heart failure (CHF). It was based on both German and international evidence. The PubMed, MEDLINE, Google Scholar and Cochrane Library databases were searched, as well as public sources from the German Federal Ministry of Health. Forty-five studies reporting patient outcomes, costs or acceptance of telemedicine for CHF were included in the review, of which 28 were interventional...
May 6, 2014: Journal of Telemedicine and Telecare
Yang Cui, Malcolm Doupe, Alan Katz, Paul Nyhof, Evelyn L Forget
OBJECTIVE: This one-year study investigated whether the Manitoba Provincial Health Contact program for congestive heart failure (CHF) is a cost-effective intervention relative to the standard treatment. DESIGN: Individual patient-level, randomized clinical trial of cost-effective model using data from the Health Research Data Repository at the Manitoba Centre for Health Policy, University of Manitoba. METHODS: A total of 179 patients aged 40 and over with a diagnosis of CHF levels II to IV were recruited from Winnipeg and Central Manitoba and randomized into three treatment groups: one receiving standard care, a second receiving Health Lines (HL) intervention and a third receiving Health Lines intervention plus in-house monitoring (HLM)...
November 2013: Healthcare Policy, Politiques de Santé
Naoto Nakamura, Tadashi Koga, Hiroshi Iseki
We carried out a meta analysis of remote patient monitoring (RPM) for chronic heart failure (CHF) patients. A literature search was used to identify randomised controlled trials with more than 40 patients, published between February 2003 and February 2013. The primary outcome (mortality) was analysed using a random effect model. Thirteen studies were included (3337 patients). RPM resulted in a significantly lower mortality (risk ratio 0.76; 95% confidence interval 0.62 to 0.93) compared to usual care. The test for heterogeneity showed that articles had been extracted homogeneously (I(2)=0%, P=0...
January 2014: Journal of Telemedicine and Telecare
John Erich
No abstract text is available yet for this article.
November 2013: EMS World
Rui Xiang, Lin Li, Sheena Xin Liu
To assess the effectiveness of telehealth used for chronic heart failure (CHF) patients, we searched for peer-reviewed, randomized controlled trials published between 2001 and 2012. A total of 33 studies met the inclusion criteria. There were 26 studies (79%) which concerned tele-monitoring and 7 (21%) which concerned case management or nurse administered telephone-based management. There were 7530 patients in all, with an average age of 69 years. A meta-analysis showed that telehealth programmes had significant overall effectiveness in reducing all-cause mortality (Fixed effect model risk ratio 0...
July 2013: Journal of Telemedicine and Telecare
Josiane J J Boyne, Antoinette D I Van Asselt, Anton P M Gorgels, Lotte M G Steuten, Gerjan De Weerd, Johannes Kragten, Hubertus J M Vrijhoef
We examined the incremental cost-effectiveness of telemonitoring (TM) versus usual care (UC) in patients with congestive heart failure (CHF). In one university and two general hospitals, 382 patients were randomised to usual care or telemonitoring and followed for 1 year. Hospital-related and home costs were estimated, based on resource use multiplied by the appropriate unit prices. Effectiveness was expressed as QALYs gained. Information was gathered, using 3 monthly costs diaries and questionnaires. The mean age of the patients was 71 years (range 32-93), 59% were male and 64% lived with a partner...
July 2013: Journal of Telemedicine and Telecare
Melissa Jehn, Sandra Prescher, Kerstin Koehler, Stephan von Haehling, Sebastian Winkler, Oliver Deckwart, Marcus Honold, Udo Sechtem, Gert Baumann, Martin Halle, Stefan D Anker, Friedrich Koehler
BACKGROUND: The six-minute walk test (6MWT) is an established measure of functional exercise capacity associated with clinical prognosis in Chronic Heart Failure (CHF). The aim of this study is to evaluate the employment of tele-accelerometry for the remote assessment of 6MWT in CHF. METHODS: 155 patients were subjected to tele-accelerometry in form of monthly 6MWTs in their home surroundings. Accelerometer output included steps/6 min and walking speed. Data was directly transferred via mobile network to the Telemedicine Centre subsequent to test completion...
October 12, 2013: International Journal of Cardiology
Amerigo Giordano, Simonetta Scalvini, Anna Maria Paganoni, Stefano Baraldo, Maria Frigerio, Claudia Vittori, Gabriella Borghi, Maurizio Marzegalli, Ornella Agostoni
BACKGROUND: Studies focusing on the effects of telemanagement programs for chronic heart failure (CHF) on functional status are lacking, and the prognostic value of the clinical response to the programs is unknown. In the Lombardy region of Italy, a home-based telesurveillance program (HTP) including multidisciplinary management and remote telemonitoring for patients with CHF was introduced in 2000 and was formally adopted, as part of the services delivered by the regional healthcare system, in 2006...
August 2013: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Amy Christine Smith
Interest in telemonitoring interventions to reduce re-admissions in patients with congestive heart failure (CHF) is growing. This critical review of available evidence suggests telemonitoring may reduce CHF-related re-admissions, although a clear impact on all-cause re-admissions remains elusive.
January 2013: Medsurg Nursing: Official Journal of the Academy of Medical-Surgical Nurses
Christine Ritchie, Joshua Richman, Heather Sobko, Eric Bodner, Barrett Phillips, Thomas Houston
BACKGROUND: Patients requiring complex care are at high risk during the transition from one setting of care to another. Effective interventions to support care transitions have been designed but are very resource intensive. Telemonitoring has been considered as an approach to enhance care transition support, but many telemonitoring systems require special equipment or web-based interfaces to interact with patients and caregivers. METHODS/DESIGN: In this paper we report our protocol for developing and testing E-Coach, an interactive voice response (IVR)-enhanced care transition intervention that monitors patients at home using their personal phone...
November 2012: Contemporary Clinical Trials
Myung-kyung Suh, Jonathan Woodbridge, Mars Lan, Alex Bui, Lorraine S Evangelista, Majid Sarrafzadeh
Congestive heart failure (CHF) is a leading cause of death in the United States. WANDA is a wireless health project that leverages sensor technology and wireless communication to monitor the health status of patients with CHF. The first pilot study of WANDA showed the system's effectiveness for patients with CHF. However, WANDA experienced a considerable amount of missing data due to system misuse, nonuse, and failure. Missing data is highly undesirable as automated alarms may fail to notify healthcare professionals of potentially dangerous patient conditions...
2011: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Joseph Finkelstein, Jeffrey Wood
Gaming platforms have been recognized for user-friendly interface which does not require previous computer-related experience. Easy to use and wide availability of these platforms at patient households make them an attractive means to facilitate consumer health. The potential of such widely used platforms as Xbox for self-management of chronic health conditions has not yet been fully uncovered. We developed a Home Automated Telemanagement (HAT) system which utilizes Xbox to access personal health record, receive self-care support and exchange information with health care providers...
2011: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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