TITLE

A systematic review of telemonitoring for the management of heart failure

AUTHOR(S)
Louis, Amala A.; Turner, Tracy; Gretton, Marcia; Baksh, Angela; Cleland, John G.F.
PUB. DATE
October 2003
SOURCE
European Journal of Heart Failure;Oct2003, Vol. 5 Issue 5, p583
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Telemonitoring allows a clinician to monitor, on a daily basis, physiological variables measured by patients at home. This provides a means to keep patients with heart failure under close supervision, which could reduce the rate of admission to hospital and accelerate discharge. Objective: To review the literature on the application of telemedicine in the management of heart failure. Methods: A literature search was conducted on studies involving telemonitoring and heart failure between 1966 and 2002 using Medline, Embase, Cochrane Library and Journal of Telemedicine and Telecare. Results: Eighteen observational studies and six randomised controlled trials involving telemonitoring and heart failure were identified. Observational studies suggest that telemonitoring; used either alone or as part of a multidisciplinary care program, reduce hospital bed-days occupancy. Patient acceptance of and compliance with telemonitoring was high. Two randomised controlled trials suggest that telemonitoring of vital signs and symptoms facilitate early detection of deterioration and reduce readmission rates and length of hospital stay in patients with heart failure. One study also showed a reduction in readmission charges. One substantial randomised controlled study showed a significant reduction in mortality at 6 months by monitoring weight and symptoms in patients with heart failure; however, no difference was observed in readmission rates. Another randomised study comparing video-consultation performed as part of a home health care programme for patients with a variety of diagnoses, suggested a reduction in the costs of hospital care, which offset the cost of video-consultation. Patients with heart failure were not reported separately. One randomised study showed no difference in outcomes between the telemonitoring group and the standard care group. Conclusion: Telemonitoring might have an important role as part of a strategy for the delivery of effective health care for patients with heart failure. Adequately powered multicentre, randomised controlled trials are required to further evaluate the potential benefits and cost-effectiveness of this intervention.
ACCESSION #
11253464

 

Related Articles

  • Detection of spironolactone-associated hyperkalaemia following the Randomized Aldactone Evaluation Study (RALES). Hauben, Manfred; Reich, Lester; Gerrits, Charles M.; Madigan, David // Drug Safety;2007, Vol. 30 Issue 12, p1143 

    Introduction: A population-based analysis has suggested that the publication of the RALES (Randomized Aldactone Evaluation Study) in late 1999 was associated with both the wider use of spironolactone to treat heart failure and a corresponding increase in hyperkalaemia-associated...

  • Review: Therapeutic hypothermia improves neurologic outcome and survival to discharge after cardiac arrest. Lang, Eddy S. // ACP Journal Club;2/16/2010, Vol. 152 Issue 2, p1 

    The article presents information on studies on the effectiveness of therapeutic hypothermia in adults surviving cardiac arrest. The studies compared therapeutic hypothermia, applied within 6 hours of arrival at hospital, with standard treatment in adults who had cardiac arrest and were...

  • Multicentre validation of the bedside paediatric early warning system score: a severity of illness score to detect evolving critical illness in hospitalised children. Parshuram, Christopher S.; Duncan, Heather P.; Joffe, Ari R.; Farrell, Catherine A.; Lacroix, Jacques R.; Middaugh, Kristen L.; Hutchison, James S.; Wensley, David; Blanchard, Nadeene; Beyene, Joseph; Parkin, Patricia C. // Critical Care;2011, Vol. 15 Issue 4, p1 

    Introduction: The timely provision of critical care to hospitalised patients at risk for cardiopulmonary arrest is contingent upon identification and referral by frontline providers. Current approaches require improvement. In a single-centre study, we developed the Bedside Paediatric Early...

  • Necessity of immediate cardiopulmonary resuscitation in trauma emergency. Luciano, Baitello Andre; Marcela, Gonzáles Ferreira; Cesar, Espada Paulo; de Godoy, José Maria Pereira // World Journal of Emergency Surgery;2010, Vol. 5, p25 

    The ability to respond quickly and effectively to a cardiac arrest situation rests on nurses being competent in the emergency life-saving procedure of cardiopulmonary resuscitation. The objective of the current study was to evaluate the types of trauma and survival of patients that require...

  • Clinical Usefulness of the EASI 12-Lead Continuous Electrocardiographic Monitoring System. Jahrsdoerfer, Mary; Giuliano, Karen; Stephens, Dean // Critical Care Nurse;Oct2005, Vol. 25 Issue 5, p28 

    Describes the clinical outcomes that occurred after implementation of a new 12-lead derived elctrocardiogram (ECG) system designed for continuous, bedside monitoring as a replacement for traditional 3- to 5-lead system. Differences between standard and continuous 12-lead systems; Clinical...

  • Acute effects of non-invasive ventilatory support on functional mitral regurgitation in patients with exacerbation of congestive heart failure. Bellone, Andrea; Barbieri, Andrea; Ricci, Caterina; Iori, Emilio; Donateo, Mario; Massobrio, Monica; Bendinelli, Stefano // Intensive Care Medicine;Sep2002, Vol. 28 Issue 9, p1348 

    Objective. The purpose of this study was to evaluate the acute effects of continuous positive airway pressure (CPAP) and bi-level airway pressure (BiPAP) on functional mitral regurgitation (MR) in patients with acute exacerbation of severe chronic congestive heart failure (CHF). Design. A...

  • A brief note about likelihood ratios. Worster, Andrew; Carpenter, Christopher // CJEM: Canadian Journal of Emergency Medicine;Sep2008, Vol. 10 Issue 6, p441 

    The article discusses the validation study of clinical prediction rule for termination of resuscitation in patients suffering an out-of-hospital cardiac arrest. The authors note that clinical prediction rule is similar to a diagnostic test in that it predicts whether or not the patient will...

  • Circumstances of out of hospital cardiac arrest in patients with ischaemic heart disease. Norris, R. M. // Heart;Dec2005, Vol. 91 Issue 12, p1537 

    Objectives: To discover the circumstances of out of hospital cardiac death irrespective of resuscitation attempts. Design: Prospective community study over the two years 1994 and 1995. Setting: The health districts of Brighton, South Glamorgan, and York, UK. Subjects: 1290 victims of sudden...

  • Bedside Hemodynamic Monitoring in the Management of Acute Cardiac Patients. Hutchison, S. J.; Rankin, A. C.; Hutton, I. // Angiology;Oct1986, Vol. 37 Issue 10, p702 

    Hemodynamic monitoring was performed in 100 acutely ill patients admitted to a Coronary Care Unit, 72 of whom had sustained an acute myocardial infarction (AM1). In patients with AM!, the initial pulmonary capillary wedge (PCW) pressure was related to prognosis, with a mortality of 68% in those...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics