Key result
General practitioner management with a telecardiology system resulted in significantly fewer telephone calls per patient compared to a home-based telemonitoring protocol (2.6 vs 16.6; P<0.001).
Why the study?
Does home-based telemonitoring with medical and nursing supervision compared to GP-led telecardiology affect the frequency of patient contact in patients with chronic heart failure?
Cohort (n=438)
Does home-based telemonitoring with medical and nursing supervision compared to GP-led telecardiology affect the frequency of patient contact in patients with chronic heart failure?
Absolute Event Rate: 2.6% vs 16.6%
p-value: p=<0.001
Both GP-led telecardiology and cardiology department-led home-based telemonitoring are applicable management models for chronic heart failure, though they differ significantly in the frequency of patient contact.
GP telecardiology may reduce contact burden in HF; leaves open comparative effectiveness versus supervised telemonitoring.
A group of patients with chronic heart failure (CHF) were followed by general practitioners (GPs) with a telecardiology system, and a second group of patients were followed by a home-based telemonitoring (HBT) protocol with medical and nursing supervision. The 212 GP patients were older than the 226 HBT patients, mostly women, with CHF secondary to chronic hypertension, less self-sufficient and with a non-optimized therapy. The mean number of telephone calls was 2.6 per patient in the GP group and 16.6 per patient in the HBT group (P<0.001). These preliminary data suggest the applicability and the efficacy of both management models for CHF patients.
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Scalvini et al. (2006) conducted a cohort in Chronic heart failure (CHF) (n=438). General practitioners (GPs) with a telecardiology system vs. Home-based telemonitoring (HBT) protocol with medical and nursing supervision was evaluated on Mean number of telephone calls per patient (p=<0.001). General practitioner management with a telecardiology system resulted in significantly fewer telephone calls per patient compared to a home-based telemonitoring protocol (2.6 vs 16.6; P<0.001).
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