Home telemonitoring or structured telephone support programmes after recent discharge in patients with heart failure: systematic review and economic evaluation
View Full Paper
Ask AI
Bookmark
Share
Key result
Telemonitoring during office hours (HR 0.76) and human-to-human structured telephone support (HR 0.77) showed statistically inconclusive reductions in all-cause mortality compared to usual care.
Why the study?
Does remote monitoring (telemonitoring or structured telephone support) reduce mortality and hospitalizations in adult patients recently discharged after a heart failure exacerbation?
Population
Adults with a heart failure diagnosis who have been recently discharged from acute care after a recent…
Comparison
Remote monitoring interventions including… vs Usual care.
Design
Meta-analysis
Authors
Discussion
Loading...
Member takes
Implication
Telemonitoring during office hours may be cost-effective despite inconclusive mortality benefit; extends evidence with network meta-analysis and economic modeling in post-discharge HF.
Study Design
Type
Systematic Review
Structured PICO
Does remote monitoring (telemonitoring or structured telephone support) reduce mortality and hospitalizations in adult patients recently discharged after a heart failure exacerbation?
P
Population
Adults (≥ 18 years of age) with a heart failure diagnosis who have been recently discharged (within 28 days) from acute care after a recent exacerbation of heart failure. 21 RCTs included.
I
Intervention
Remote monitoring interventions including telemonitoring (TM) with medical support provided during office hours or 24/7, or structured telephone support (STS) programmes delivered by human-to-human contact (HH) or human-to-machine interface (HM).
C
Comparator
Usual care.
O
Outcome
All-cause mortality, all-cause hospitalisations, HF-related hospitalisations, and cost-effectiveness (ICER).hard clinical
Main Result
Effect estimate: HR 0.76 (95% CI 0.49-1.18)
Telemonitoring during office hours is a cost-effective strategy for patients recently discharged after a heart failure exacerbation, though clinical effectiveness results showed wide credible intervals.
Limitations
- Heterogeneous remote monitoring interventions in terms of monitored parameters and heart failure selection criteria
- Lack of detail in the components of the remote monitoring care packages and usual care
- Uncertainties about the assumptions made in the estimation of costs
- Model assumed constant effectiveness over time and across age/severity groups
- Heterogeneous RM interventions and HF selection criteria
- Lack of detail in components of RM care packages and usual care
- Uncertainties in cost assumptions
Cite This Study
Pandor et al. (2013) conducted a systematic review in Heart failure. Home telemonitoring or structured telephone support vs. Usual care was evaluated on All-cause mortality (telemonitoring during office hours vs usual care) (HR 0.76, 95% CI 0.49-1.18). Telemonitoring during office hours (HR 0.76) and human-to-human structured telephone support (HR 0.77) showed statistically inconclusive reductions in all-cause mortality compared to usual care.
Topics
View Full Paper
Ask AI
Bookmark
Share