Home telemonitoring in patients with heart failure reduced all-cause and cardiovascular mortality compared to standard care, with prolonged monitoring (≥12 months) also reducing hospitalizations.
Systematic Review (n=14,900)
Does home telemonitoring reduce mortality and hospitalizations in adult patients with heart failure compared to standard care?
Home telemonitoring, particularly when prolonged for 12 months or more, improves survival and reduces hospitalizations in patients with heart failure.
The increasing availability of information technologies in modern society has created the opportunity to provide technology-based health care in both hospital and community settings. In this way, telemedicine has become a topic of debate; this can ensure the delivery of accessible, cost-effective and specific health care services at different times and at a distance. Communication technologies have also shown incredible promise in rehabilitation, encouraging the development of a fresh branch of telemedicine known as telerehabilitation. Extensive research has shown that telerehabilitation is equal to or more effective and less expensive compared to traditional rehabilitation in such areas as recovery post-myocardial infarction, post-coronary bypass and post-percutaneous coronary intervention. This literature synthesis aims to highlight the importance of the involvement of telemedicine on cardiac recovery in order to improve the quality of life, reduce the morbidity and mortality of patients in the context of the use of information and communication technologies that allow obtaining important parameters in quantifying the risk of heart failure and, respectively, of cardiovascular events. The comprehensive structure of knowledge, the evolutionary path and research strengths of telerehabilitation from the perspective of the cardiac patient in Moldova, is poorly visualized, thus, the final objective of the study is to study the effectiveness of telemedically monitored home rehabilitation versus the unsupervised one in order to improve the quality and prognosis of patients’ lives with ischemic heart disease after coronary revascularization.
Cătălina OPREA (Thu,) conducted a systematic review in Heart failure (n=14,900). Home telemonitoring vs. Standard care was evaluated on All-cause mortality, cardiovascular mortality, and hospitalizations. Home telemonitoring in patients with heart failure reduced all-cause and cardiovascular mortality compared to standard care, with prolonged monitoring (≥12 months) also reducing hospitalizations.