Cited by 115Heart Failure Treatment and ManagementTelemedicine and Telehealth ImplementationMobile Health and mHealth Applications

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Comparative Effectiveness of Telemonitoring Versus Usual Care for Heart Failure: A Systematic Review and Meta-analysis

Yun, Ji Eun, Park, Jeong-Eun, Park, Hyun-Young, Lee, Hae-Young, Park, Dong-Ah·2018·Journal of Cardiac Failure

DOI 10.1016/j.cardfail.2017.09.006

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Abstract

Background This study aimed to evaluate the effectiveness of telemonitoring (TM) in the management of patients with heart failure (HF).Methods and results We searched Ovid-Medline, Ovid-Embase, and the Cochrane Library for randomized controlled trials published through May 2016. Outcomes of interest included clinical effectiveness (mortality, hospitalization, and emergency department visits) and patient-reported outcomes. TM was defined as the transmission of individual biologic data, such as weight, blood pressure, and heart rate. Thirty-seven randomized controlled trials (9582 patients) of TM met the inclusion criteria: 24 studies on all-cause mortality, 17 studies on all-cause hospitalization, 12 studies on HF-related hospitalization, and 5 studies on HF-related mortality. The risks of all-cause mortality (risk ratio [RR] 0.81, 95% confidence interval [CI] 0.70-0.94) and HF-related mortality (RR 0.68, 95% CI 0.50-0.91) were significantly lower in the TM group than in the usual care group. TM showed a significant benefit when ≥3 biologic data are transmitted or when transmission occurred daily. TM also reduced mortality risk in studies that monitored patients' symptoms, medication adherence, or prescription changes.Conclusions TM intervention reduces the mortality risk in patients with HF, and intensive monitoring with more frequent transmissions of patient data increases its effectiveness.

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Authors: Yun, J. E., Park, J.-E., Park, H.-Y., Lee, H.-Y., & Park, D.-A.
Affiliations: National Evidenc- based healthcare Collaborating Agency (KR)
Korea National Institute of Health (KR)
Seoul National University (KR)
Corresponding author: Park, Dong-Ah
ORCID: Yun, Ji Eun
Park, Jeong-Eun
Park, Hyun-Young
Lee, Hae-Young
Park, Dong-Ah
Venue: Journal of Cardiac Failure
Publisher: Elsevier BV
Published: 2018-01
Volume: 24
Issue: 1
Pages: 19-28
ISSN: 1071-9164 (ISSN-L)
DOI: 10.1016/j.cardfail.2017.09.006
OpenAlex: W2754484825
Cited by: 115
References: 50
Citations by year: 2026: 6 · 2025: 3 · 2024: 10 · 2023: 15 · 2022: 25 · 2021: 20 · 2020: 16 · 2019: 11 · 2018: 9
FWCI: 1.39
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Cardiac Failure (publishedVersion)
PubMed (publishedVersion)
Funders: National Evidence-Based Healthcare Collaborating Agency in Republic of Korea (NS15-001)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords: remote patient monitoring, heart failure, all-cause mortality, emergency department visits, patient-reported outcomes, medication adherence, usual care comparison
MeSH terms: Emergency Service, Hospital, Heart Failure, Humans, Monitoring, Physiologic, Outcome Assessment, Health Care, Telemedicine

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Comparative Effectiveness of Telemonitoring Versus Usual Care for Heart Failure: A Systematic Review and Meta-analysis

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