Key result
Telemonitoring in patients with chronic heart failure showed contradictory results across trials, with not all studies demonstrating a reduction in the risk of death or heart failure hospitalizations.
Why the study?
High risk of hospitalisation and death in patients with heart failure highlighted the importance of telemonitoring methods to guide immediate therapy adjustments.
Does telemonitoring reduce the risk of death and heart failure hospitalizations in patients with chronic heart failure?
Does telemonitoring reduce the risk of death and heart failure hospitalizations in patients with chronic heart failure?
The effectiveness of telemonitoring in heart failure remains inconsistent and likely depends on patient selection, specific technologies used, and the existing standard of care.
Telemonitoring benefits in HF remain inconsistent across trials; leaves open optimal patient selection, system design, and integration with existing care programs.
Actuality. High risk of hospitalisation and death in patients with heart failure highlight the importance of developing methods to moni‑ tor weight, diuresis, heart rate and other parameters and provide the physicians with an ability to change the therapy immediately if needed. The aim of this work is an analysis of clinical trials which investigate telemonitoring in patients with heart failure. Discussion. The Cochrane meta-analysis is also discussed in this work. Main conclusions. Our analysis showed that there is no consistency among trials. Not all trials have demonstrated that telemonitoring can reduce the risk of death and heart failure hospitalisations. Potentials explanations are lack of compliance with systems which didn't include the direct contact between the patient and the caregivers, using parameters with low sensitivity in some of the methods and including of stable patients in some of the studies. It is also seeming that effect of telemonitoring is low in regions with existing programs to treat heart failure.
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Mareev et al. (2019) conducted a review in Chronic heart failure. Telemonitoring vs. Usual care was evaluated on Death and heart failure hospitalizations. Telemonitoring in patients with chronic heart failure showed contradictory results across trials, with not all studies demonstrating a reduction in the risk of death or heart failure hospitalizations.
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