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Telemonitoring heart failure

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https://www.readbyqxmd.com/read/29742959/long-term-impact-of-a-six-month-telemedical-care-programme-on-mortality-heart-failure-readmissions-and-healthcare-costs-in-patients-with-chronic-heart-failure
#1
Ines Frederix, Lien Vanderlinden, Anne-Sophie Verboven, Maria Welten, Donna Wouters, Gilles De Keulenaer, Bavo Ector, Ivan Elegeert, Pierre Troisfontaines, Caroline Weytjens, Wilfried Mullens, Paul Dendale
Aims The TElemonitoring in the MAnagement of Heart Failure (TEMA-HF) 1 long-term follow-up study assessed whether an initial six-month telemonitoring (TM) programme compared with usual care (UC) would result in reduced all-cause mortality, heart failure admissions and healthcare costs in chronic heart failure (CHF) patients at long-term follow-up. Methods Of the 160 patients included in the multi-centre, randomised controlled telemonitoring trial (TEMA-HF 1, time point t0 ); 142 CHF patients (65% male; age: 76 ± 10 years; EF: 36 ± 15%) were alive and entered the follow-up study (time point: t1 ) with a final evaluation at 79 months (time point: t2 )...
January 1, 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29730178/comparative-effectiveness-of-disease-management-with-information-communication-technology-for-preventing-hospitalization-and-readmission-in-adults-with-chronic-congestive-heart-failure
#2
REVIEW
Wilbert S Aronow, Tatyana A Shamliyan
OBJECTIVES: Critical appraisal of all available evidence regarding the role of noninvasive communication technology for improving patient survival and reducing hospital admissions in adults with chronic heart failure (HF). DESIGN: Systematic literature review and grading of the quality of evidence according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) Working Group approach. SETTING AND PARTICIPANTS: Four databases were searched in March 2018 to find 2 high-quality meta-analyses and published and unpublished data from 58 randomized controlled trials (RCTs) that compared noninvasive communication technology with usual care in community-dwelling adults with HF...
May 2, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29724704/implementation-and-evaluation-of-a-smartphone-based-telemonitoring-program-for-patients-with-heart-failure-mixed-methods-study-protocol
#3
Patrick Ware, Heather J Ross, Joseph A Cafazzo, Audrey Laporte, Emily Seto
BACKGROUND: Meta-analyses of telemonitoring for patients with heart failure conclude that it can lower the utilization of health services and improve health outcomes compared with the standard of care. A smartphone-based telemonitoring program is being implemented as part of the standard of care at a specialty care clinic for patients with heart failure in Toronto, Canada. OBJECTIVE: The objectives of this study are to (1) evaluate the impact of the telemonitoring program on health service utilization, patient health outcomes, and their ability to self-care; (2) identify the contextual barriers and facilitators of implementation at the physician, clinic, and institutional level; (3) describe patient usage patterns to determine adherence and other behaviors in the telemonitoring program; and (4) evaluate the costs associated with implementation of the telemonitoring program from the perspective of the health care system (ie, public payer), hospital, and patient...
May 3, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29557669/telemonitoring-in-copd-the-chromed-study-a-randomized-clinical-trial
#4
Paul P Walker, Pasquale P Pompilio, Paolo Zanaboni, Trine S Bergmo, Kaiu Prikk, Andrei Malinovschi, Josep M Montserrat, Jo Middlemass, Silvana Šonc, Giulia Munaro, Dorjan Marušič, Ruth Sepper, Roberto Rosso, A Niroshan Siriwardena, Christer Janson, Ramon Farre, Peter M A Calverley, Raffaele L Dellaca'
RATIONALE: Early detection of COPD exacerbations using tele-monitoring of physiological variables might reduce the frequency of hospitalisation. OBJECTIVES: To evaluate the efficacy of home monitoring of lung mechanics by the forced oscillation technique (FOT) and cardiac parameters in older COPD patients with co-morbidities. METHODS: This multicentre, randomized clinical trial recruited 312 GOLD grade II-IV COPD patients (median age 71 years [IQR:66-76], 49...
March 20, 2018: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/29549068/effect-of-seasonal-variation-on-clinical-outcome-in-patients-with-chronic-conditions-analysis-of-the-commonwealth-scientific-and-industrial-research-organization-csiro-national-telehealth-trial
#5
Ahmadreza Argha, Andrey Savkin, Siaw-Teng Liaw, Branko George Celler
BACKGROUND: Seasonal variation has an impact on the hospitalization rate of patients with a range of cardiovascular diseases, including myocardial infarction and angina. This paper presents findings on the influence of seasonal variation on the results of a recently completed national trial of home telemonitoring of patients with chronic conditions, carried out at five locations along the east coast of Australia. OBJECTIVE: The aim is to evaluate the effect of the seasonal timing of hospital admission and length of stay on clinical outcome of a home telemonitoring trial involving patients (age: mean 72...
March 16, 2018: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29507256/telehealth-in-the-elderly-with-chronic-heart-failure-what-is-the-evidence
#6
Robyn A Clark
BACKGROUND: In a series of studies over the past decade we have measured the effectiveness of telehealth for elderly heart failure patients (>70 years) on rehospitalisation, mortality, adherence, satisfaction, cost effectiveness, health related quality of life, age and types of technology. METHODS: Evidence has been derived from a Cochrane systematic review and meta-analysis (1 original and 2 updates: 2007-2016), two sub-analysis of this data and a large NHMRC funded multicentre randomised controlled trial (CHAT study 2010)...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29494601/mining-telemonitored-physiological-data-and-patient-reported-outcomes-of-congestive-heart-failure-patients
#7
Miha Mlakar, Paolo Emilio Puddu, Maja Somrak, Silvio Bonfiglio, Mitja Luštrek
This paper addresses patient-reported outcomes (PROs) and telemonitoring in congestive heart failure (CHF), both increasingly important topics. The interest in CHF trials is shifting from hard end-points such as hospitalization and mortality, to softer end-points such health-related quality of life. However, the relation of these softer end-points to objective parameters is not well studied. Telemonitoring is suitable for collecting both patient-reported outcomes and objective parameters. Most telemonitoring studies, however, do not take full advantage of the available sensor technology and intelligent data analysis...
2018: PloS One
https://www.readbyqxmd.com/read/29458404/a-novel-integrated-care-concept-nicc-versus-standard-care-in-the-treatment-of-chronic-cardiovascular-diseases-protocol-for-the-randomized-controlled-trial-cardiocare-mv
#8
Christian Schmidt, Alper Öner, Miriam Mann, Katja Krockenberger, Melanie Abbondanzieri, Bernard Brandewiede, Armin Brüge, Gisela Hostenkamp, Axel Kaiser, Henriette Neumeyer, Andreas Ziegler
BACKGROUND: Cardiovascular diseases are the major cause of death globally and represent a major economic burden on health care systems. Positive effects of disease management programs have been shown for patients with heart failure (HF). Remote monitoring and telemonitoring with active intervention are beneficial in atrial fibrillation (AF) and therapy-resistant hypertension (TRH), respectively. For these patients, we have developed a novel integrated care concept (NICC) which combines telemedicine with intensive support by a care center, including a call center, an integrated care network including inpatient and outpatient care providers and guideline therapy for patients...
February 20, 2018: Trials
https://www.readbyqxmd.com/read/29450689/the-first-multicenter-randomized-controlled-trial-of-home-telemonitoring-for-japanese-patients-with-heart-failure-home-telemonitoring-study-for-patients-with-heart-failure-homes-hf
#9
Norihiko Kotooka, Masafumi Kitakaze, Kengo Nagashima, Machiko Asaka, Yoshiharu Kinugasa, Kotaro Nochioka, Atsushi Mizuno, Daisuke Nagatomo, Daigo Mine, Yoko Yamada, Akiko Kuratomi, Norihiro Okada, Daisuke Fujimatsu, So Kuwahata, Shigeru Toyoda, Shin-Ichi Hirotani, Takahiro Komori, Kazuo Eguchi, Kazuomi Kario, Takayuki Inomata, Kaoru Sugi, Kazuhiro Yamamoto, Hiroyuki Tsutsui, Tohru Masuyama, Hiroaki Shimokawa, Shin-Ichi Momomura, Yoshihiko Seino, Yasunori Sato, Teruo Inoue, Koichi Node
Home telemonitoring is becoming more important to home medical care for patients with heart failure. Since there are no data on home telemonitoring for Japanese patients with heart failure, we investigated its effect on cardiovascular outcomes. The HOMES-HF study was the first multicenter, open-label, randomized, controlled trial (RCT) to elucidate the effectiveness of home telemonitoring of physiological data, such as body weight, blood pressure, and pulse rate, for Japanese patients with heart failure (UMIN Clinical Trials Registry 000006839)...
February 15, 2018: Heart and Vessels
https://www.readbyqxmd.com/read/29437182/videoconferencing-for-management-of-heart-failure-an-integrative-review
#10
Karen Bauce, Deborah B Fahs, Janene Batten, Robin Whittemore
Heart failure (HF) is a chronic disease associated with poor prognosis, poor quality of life (QOL), and high medical costs among older adults. Monitoring symptoms, interpreting symptoms, and decision making are self-care skills required for effective HF management. Telemonitoring (TM) is increasingly used to reduce incidence of symptom exacerbation leading to rehospitalization. An integrative review was performed to describe the efficacy of TM interventions that include videoconferencing (VC) on the HF outcomes of hospital service s use, self-care, and QOL...
April 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29422170/-mobile-technology-to-improve-heart-failure-outcomes-a-proof-of-concept-paper
#11
Ponrathi Athilingam, Bradlee A Jenkins, Heather Zumpano, Miguel A Labrador
BACKGROUND: Heart failure (HF) causes significant symptom burden and human suffering with considerable economic burden due to hospital readmissions. Targeted interventions to encourage and support self-management behavior is warranted. AIM: To test the proof of concept of a mobile application (HeartMapp) in improving self-care management of patients with heart failure. METHOD: An exploratory inquiry used a field study strategy with purposeful sampling and constant comparative analysis to test the proof of concept of HeartMapp using The Business Model Canvas framework...
February 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29419343/telemonitoring-in-subjects-with-newly-diagnosed-heart-failure-with-reduced-ejection-fraction-from-clinical-research-to-everyday-practice
#12
G Koulaouzidis, D Barrett, K Mohee, A L Clark
Introduction Heart failure is increasingly common, and characterised by frequent admissions to hospital. To try and reduce the risk of hospitalisation, techniques such as telemonitoring (TM) may have a role. We wanted to determine if TM in patients with newly diagnosed heart failure and ejection fraction <40% reduces the risk of readmission or death from any cause in a 'real-world' setting. Methods This is a retrospective study of 124 patients (78.2% male; 68.6 ± 12.6 years) who underwent TM and 345 patients (68...
January 1, 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29387464/value-of-telemonitoring-and-telemedicine-in-heart-failure-management
#13
Gian Franco Gensini, Camilla Alderighi, Raffaele Rasoini, Marco Mazzanti, Giancarlo Casolo
The use of telemonitoring and telemedicine is a relatively new but quickly developing area in medicine. As new digital tools and applications are being created and used to manage medical conditions such as heart failure, many implications require close consideration and further study, including the effectiveness and safety of these telemonitoring tools in diagnosing, treating and managing heart failure compared to traditional face-to-face doctor-patient interaction. When compared to multidisciplinary intervention programs which are frequently hindered by economic, geographic and bureaucratic barriers, non-invasive remote monitoring could be a solution to support and promote the care of patients over time...
November 2017: Cardiac failure review
https://www.readbyqxmd.com/read/29369123/effects-of-a-tablet-computer-on-self-care-quality-of-life-and-knowledge-a-randomized-clinical-trial
#14
Michael Melin, Ewa Hägglund, Bengt Ullman, Hans Persson, Inger Hagerman
BACKGROUND: Conflicting results have been reported for telemonitoring in patients with heart failure (HF). We wanted to evaluate whether patients using a tablet computer aimed at improving self-care behavior could do so and also whether it affects quality of life and health-related quality of life, disease knowledge, and in-hospital days. METHODS AND RESULTS: Patients with HF (n = 82) were randomized to the intervention group (IG) with a tablet computer (giving information and advice) or the control group (CG) that was subject to standard care...
January 23, 2018: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29361704/usefulness-of-a-telemedicine-program-in-refractory-older-congestive-heart-failure-patients
#15
Emanuela Burdese, Marzia Testa, Pasquale Raucci, Cinzia Ferreri, Gabriele Giovannini, Enrico Lombardo, Enrico Avogadri, Mauro Feola
BACKGROUND: Home telemonitoring is a modern and effective disease management model that is able to improve medical care, quality of life, and prognosis of chronically ill patients, and to reduce expenditure. The objective of this study was to evaluate the efficacy, costs, and patients' and caregivers' acceptance of our model of telemedicine in a high-risk chronic heart failure (CHF) older population. METHODS: Patients with high risk/refractory CHF were included...
January 20, 2018: Diseases (Basel)
https://www.readbyqxmd.com/read/29339348/evaluation-criteria-of-noninvasive-telemonitoring-for-patients-with-heart-failure-systematic-review
#16
REVIEW
Troskah Farnia, Marie-Christine Jaulent, Olivier Steichen
BACKGROUND: Telemonitoring can improve heart failure (HF) management, but there is no standardized evaluation framework to comprehensively evaluate its impact. OBJECTIVE: Our objectives were to list the criteria used in published evaluations of noninvasive HF telemonitoring projects, describe how they are used in the evaluation studies, and organize them into a consistent scheme. METHODS: Articles published from January 1990 to August 2015 were obtained through MEDLINE, Web of Science, and EMBASE...
January 16, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29251245/telemonitoring-in-patients-with-heart-failure-is-there-a-long-term-effect
#17
Arno J Gingele, Hanspeter Brunner-la Rocca, Bram Ramaekers, Anton Gorgels, Gerjan De Weerd, Johannes Kragten, Vanessa van Empel, Vincent Brandenburg, Hubertus Vrijhoef, Ger Cleuren, Christian Knackstedt, Josiane Jj Boyne
Introduction 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. Methods 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...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29246881/telemedicine-in-primary-care-for-patients-with-chronic-conditions-the-valcr%C3%A3-nic-quasi-experimental-study
#18
Domingo Orozco-Beltran, Manuel Sánchez-Molla, Julio Jesus Sanchez, José Joaquin Mira
BACKGROUND: The increase of chronic diseases prevalence has created the need to adapt care models and to provide greater home supervision. OBJECTIVE: The objective of our study was to evaluate the impact of telemonitoring on patients with long-term conditions at high risk for rehospitalization or an emergency department visit, in terms of target disease control (diabetes, hypertension, heart failure, and chronic obstructive pulmonary disease). METHODS: We conducted a quasi-experimental study with a before-and-after analysis to assess the effectiveness of the ValCrònic program after 1 year of primary care monitoring...
December 15, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29237746/impact-of-telemonitoring-on-health-status
#19
Natalie M Jayaram, Yevgeniy Khariton, Harlan M Krumholz, Sarwat I Chaudhry, Jennifer Mattera, Fengming Tang, Jeph Herrin, Beth Hodshon, John A Spertus
BACKGROUND: Although noninvasive telemonitoring in patients with heart failure does not reduce mortality or hospitalizations, less is known about its effect on health status. This study reports the results of a randomized clinical trial of telemonitoring on health status in patients with heart failure. METHODS AND RESULTS: Among 1521 patients with recent heart failure hospitalization randomized in the Tele-HF trial (Telemonitoring to Improve Heart Failure Outcomes), 756 received telephonic monitoring and 765 usual care...
December 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29162557/self-management-and-clinical-decision-support-for-patients-with-complex-chronic-conditions-through-the-use-of-smartphone-based-telemonitoring-randomized-controlled-trial-protocol
#20
Emily Seto, Patrick Ware, Alexander G Logan, Joseph A Cafazzo, Kenneth R Chapman, Phillip Segal, Heather J Ross
BACKGROUND: The rising prevalence of chronic illnesses hinders the sustainability of the health care system because of the high cost of frequent hospitalizations of patients with complex chronic conditions. Clinical trials have demonstrated that telemonitoring can improve health outcomes, but they have generally been limited to single conditions such as diabetes, hypertension, or heart failure. Few studies have examined the impact of telemonitoring on complex patients with multiple chronic conditions, although these patients may benefit the most from this technology...
November 21, 2017: JMIR Research Protocols
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