Is age a factor in the success or failure of remote monitoring in heart failure? Telemonitoring and structured telephone support in elderly heart failure patients
Key result
Structured telephone support and telemonitoring reduced mortality in older heart failure patients (RR 0.80, 95% CI 0.63-1.00 and RR 0.56, 95% CI 0.41-0.76, respectively).
Why the study?
Do structured telephone support and telemonitoring reduce mortality and hospitalizations in older patients (≥70 years) with heart failure?
Population
Older people with heart failure from studies where the mean or median age of participants was 70 or more years
Design
Meta-analysis
Authors
Discussion
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Implication
Age should not exclude HF patients from remote monitoring; extends evidence to those ≥70 years.
Study Design
Type
Meta-Analysis (n=3,553)
Structured PICO
Do structured telephone support and telemonitoring reduce mortality and hospitalizations in older patients (≥70 years) with heart failure?
P
Population
Older people with heart failure from studies where the mean or median age of participants was 70 or more years (n=3,553 from 12 RCTs)
I
Intervention
Structured telephone support and telemonitoring
O
Outcome
All-cause mortality, all-cause hospitalizations, and heart failure-related hospitalizationshard clinical
Main Result
Effect estimate: RR 0.80 (telephone support), RR 0.56 (telemonitoring) (95% CI 0.63-1.00 (telephone support), 0.41-0.76 (telemonitoring))
Structured telephone support and telemonitoring reduce mortality and heart failure-related hospitalizations in older heart failure patients, suggesting age alone should not exclude patients from remote monitoring.
Limitations
- Systematic bias towards recruitment of individuals younger than the epidemiological average into the randomized controlled trials
- Post-hoc observational findings require further research to confirm
- Post-hoc observational nature of the sub-analysis
Cite This Study
Inglis et al. (2014) conducted a meta-analysis in Heart failure (n=3,553). Structured telephone support and telemonitoring was evaluated on All-cause mortality (RR 0.80 (telephone support), RR 0.56 (telemonitoring), 95% CI 0.63-1.00 (telephone support), 0.41-0.76 (telemonitoring)). Structured telephone support and telemonitoring reduced mortality in older heart failure patients (RR 0.80, 95% CI 0.63-1.00 and RR 0.56, 95% CI 0.41-0.76, respectively).