Key result
Remote monitoring via structured telephone support trended toward reducing all-cause mortality compared with usual care (HR 0.77; 95% CrI 0.55-1.08), though results were not statistically significant.
Why the study?
Do remote monitoring strategies reduce all-cause mortality and hospitalisations in adults recently discharged following an unplanned admission due to heart failure?
Meta-Analysis (n=6,317)
Do remote monitoring strategies reduce all-cause mortality and hospitalisations in adults recently discharged following an unplanned admission due to heart failure?
Effect estimate: HR 0.77 (95% CI 0.55-1.08)
Human-to-human structured telephone support and telemonitoring with medical support show beneficial trends in reducing all-cause mortality and hospitalizations for heart failure patients recently discharged.
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Nonsignificant mortality trend with structured telephone support does not support practice change; leaves open benefit pending larger trials.
Pandor et al. (2013) conducted a meta-analysis in heart failure (n=6,317). Remote monitoring (home telemonitoring and structured telephone support) vs. usual care was evaluated on all-cause mortality (HR 0.77, 95% CI 0.55-1.08). Remote monitoring via structured telephone support trended toward reducing all-cause mortality compared with usual care (HR 0.77; 95% CrI 0.55-1.08), though results were not statistically significant.
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