A Systematic Review of Telemonitoring Technologies in Heart Failure
Open accessAbstract
Aims: Heart failure (HF) results in characteristic signs and symptoms including oedema and breathing difficulties. Heart failure is particularly suited to telemonitoring, because patients’ signs and symptoms can be assessed remotely by healthcare providers, and deterioration can be quickly detected and addressed. In this paper, we review studies conducted in HF telemonitoring, to describe the nature of the modality, the methods, and the results. Methods and results: Articles were obtained through a MedLine search, utilizing the term heart failure in conjunction with the terms telehealth, telecare, telemonitoring, web, Internet, remote monitoring, and self-monitoring. Studies utilizing various modalities, including telephone touch pad, specialized hardware, and websites for participants to enter data were found, with various benefits being reported. Most studies demonstrated improvements in outcome measures, including improved quality of life and decreased hospitalizations. However, not all studies reported the same improvements and in several cases the sample sizes were relatively small. Conclusion: Telemonitoring appears to be an acceptable method for monitoring of HF patients. Controlled, randomized studies directly comparing different modalities and evaluating their success and feasibility when used as part of routine clinical care, are now required.
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The majority of systematic reviews (10/15, 67%) summarized and reported relevant information about the type of physiological measures monitored in the included trials.
“While the majority of systematic reviews (10/15, 67%) summarized and reported relevant information about the type of physiological measures monitored in the included trials [33,34,37,38,41-44,47,49]”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [44]
Out of the 15 systematic reviews, only two classified and analyzed HT interventions according to the technologies used.
“Also, out of the 15 systematic reviews, only two classified and analyzed HT interventions according to the technologies used [41,44].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [44]
In most reviews, data extraction and reporting pertaining to quality of life was inadequate, since authors focused on the statistical significance of study results rather than the direction and magnitude of effect.
“In most reviews, data extraction and reporting pertaining to this outcome was inadequate, since authors focused on the statistical significance of study results rather than the direction and magnitude of effect [33-35,39,44].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [44]
Eight reviews concurred that the impact of HT interventions on health care costs appeared to be positive in more cases than not, but in general results were statistically inconclusive and varied depending on the context and specific national health system of the study.
“Eight reviews concurred that the impact of HT interventions on health care costs appeared to be positive in more cases than not, but in general results were statistically inconclusive and varied depending on the context and specific national health system of the study [34,36,38,39,41,43,44,47].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [44]
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- Authors
- Maric, B., Kaan, A., Ignaszewski, A., & Lear, S. A.
- Affiliations
- Simon Fraser University (CA)
- University of British Columbia (CA)
- Corresponding author
- Lear, Scott A.
- Venue
- European Journal of Heart Failure
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-04-22
- Volume
- 11
- Issue
- 5
- Pages
- 506-517
- ISSN
- 1388-9842 (ISSN-L)
- 1879-0844
- OpenAlex
- W2070230733
- Cited by
- 147
- References
- 61
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 15 · 2020: 6 · 2019: 2 · 2018: 6 · 2017: 12 · 2016: 7 · 2015: 11 · 2014: 16 · 2013: 15 · 2012: 11
- FWCI
- 1.98
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Heart Failure (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- heart failure, remote patient monitoring, telemedicine, self-monitoring, telephone monitoring, web-based monitoring, hospitalization reduction, quality of life, telecare
- MeSH terms
- Heart Failure, Humans, Telemetry, Reproducibility of Results
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