September 28, 2012Cardiology in Review
Current data examining the efficacy of remote monitoring technologies in improving outcomes have shown inconsistent results.
Why the study?
Does remote patient monitoring improve outcomes in patients with chronic heart failure?
Population
Patients with chronic heart failure
Design
Review
Authors
Discussion
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Member takes
Overview
Inconsistent efficacy data warrant caution against routine remote monitoring in chronic HF; leaves open whether targeted trials can demonstrate outcome benefit.
Key Points
- Review the potential of remote patient monitoring technologies to detect subclinical hemodynamic decompensation and reduce readmission rates in chronic heart failure.
- Evaluated modalities including structured telephone support, advanced telemonitoring platforms, cardiac implantable electronic devices, and implantable hemodynamic monitors.
- Assessed existing outcome data on the prevention of clinical decompensation and subsequent hospitalizations.
- Current trial evidence examining the efficacy of remote monitoring modalities in improving clinical outcomes demonstrates inconsistent results qualitatively across platforms.
- Significant medicolegal liabilities and financial reimbursement hurdles persist, hindering widespread clinical implementation.
Structured PICO
Does remote patient monitoring improve outcomes in patients with chronic heart failure?
P
Population
Patients with chronic heart failure
I
Intervention
Remote patient monitoring (including structured telephone support, advanced telemonitoring technologies, remote monitoring of implanted cardiac devices, and implantable hemodynamic monitors)
Remote patient monitoring has the potential to improve heart failure management, but current efficacy data are inconsistent and widespread implementation faces medicolegal and financial hurdles.
Cite This Study
Palaniswamy et al. (2012) studied this question.