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April 10, 2007BMJOpen Access

Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis

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Why the study?

Do remote monitoring programmes reduce hospital admissions and mortality in community-dwelling patients with chronic heart failure?

Population

4264 community-dwelling patients with chronic heart failure from 14 randomised controlled trials

Comparison

Remote monitoring programmes without regular… vs Usual care

Design

Meta-analysis

Authors

RCRobyn ClarkSISally C. InglisFMFinlay A. McAlister

Discussion

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Overview

Supports routine remote monitoring for chronic HF outpatients; confirms efficacy across 14 RCTs for fewer admissions and deaths.

Key Points

  • This research aims to evaluate the effectiveness of remote monitoring in improving outcomes for chronic heart failure patients compared to usual care.
  • Systematic review of 14 randomized controlled trials involving 4264 patients with chronic heart failure.
  • Comparison of remote monitoring (telemonitoring and structured telephone support) versus usual care.
  • Data extraction and independent screening by two investigators.
  • Remote monitoring reduced chronic heart failure hospital admissions by 21% (95% CI 11% to 31%).
  • All-cause mortality decreased by 20% (95% CI 8% to 31%).
  • Three out of six trials reported significant health-related quality of life benefits with remote monitoring.

Structured PICO

Do remote monitoring programmes reduce hospital admissions and mortality in community-dwelling patients with chronic heart failure?

P
Population
4264 community-dwelling patients with chronic heart failure from 14 randomised controlled trials
I
Intervention
Remote monitoring programmes (structured telephone support or telemonitoring) without regular clinic or home visits
C
Comparator
Usual care
O
Outcome
Rates of admission to hospital for chronic heart failure and all cause mortalityhard clinical

Remote monitoring, including structured telephone support and telemonitoring, significantly reduces heart failure hospitalizations and all-cause mortality in community-dwelling patients with chronic heart failure.

Cite This Study

Clark et al. (2007) studied this question.

synapsesocial.com/papers/6a077e3ab2d9a7d543079a67https://doi.org/10.1136/bmj.39156.536968.55
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