Effect of a Telemonitoring-Facilitated Collaboration Between General Practitioner and Heart Failure Clinic on Mortality and Rehospitalization Rates in Severe Heart Failure: The TEMA-HF 1 (Telemonitoring in the Management of Heart Failure) Study
Open accessAbstract
Aims: Chronic heart failure (CHF) patients are frequently rehospitalized within 6 months after an episode of fluid retention. Rehospitalizations are preventable, but this requires an extensive organization of the healthcare system. In this study, we tested whether intensive follow-up of patients through a telemonitoring-facilitated collaboration between general practitioners (GPs) and a heart failure clinic could reduce mortality and rehospitalization rate. Methods and results: One hunderd and sixty CHF patients [mean age 76 ± 10 years, 104 males, mean left ventricular ejection fraction (LVEF) 35 ± 15%] were block randomized by sealed envelopes and assigned to 6 months of intense follow-up facilitated by telemonitoring (TM) or usual care (UC). The TM group measured body weight, blood pressure, and heart rate on a daily basis with electronic devices that transferred the data automatically to an online database. Email alerts were sent to the GP and heart failure clinic to intervene when pre-defined limits were exceeded. All-cause mortality was significantly lower in the TM group as compared with the UC group (5% vs. 17.5%, P = 0.01). The total number of follow-up days lost to hospitalization, dialysis, or death was significantly lower in the TM group as compared with the UC group (13 vs. 30 days, P = 0.02). The number of hospitalizations for heart failure per patient showed a trend (0.24 vs. 0.42 hospitalizations/patient, P = 0.06) in favour of TM. Conclusion: Telemonitoring-facilitated collaboration between GPs and a heart failure clinic reduces mortality and number of days lost to hospitalization, death, or dialysis in CHF patients. These findings need confirmation in a large trial. Trial registation: ISRCTN39223875
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The TEMA-HF1 and TIM-HF-2 trials showed that telemonitoring reduced days lost owing to heart failure hospitalizations and reduced all-cause mortality.
“The TEMA-HF1 and TIM-HF-2 trial showed that telemonitoring reduced days lost owing to HF hospitalizations and reduced all-cause mortality66,67”
From Smart wearable devices in cardiovascular care: Where we are and how to move forward (2021) · cites this paper as [67]
In the TEMA-HF1 trial, the intervention group had significantly lower all-cause mortality (absolute reduction of 12.5%) and a lower number of follow-up days lost to death, hospitalization or dialysis.
“The intervention group had a significantly lower all-cause mortality (absolute reduction of 12.5%) and a lower number of follow-up days lost to death, hospitalization or dialysis.”
From Smart wearable devices in cardiovascular care: Where we are and how to move forward (2021) · cites this paper as [67]
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- Authors
- Dendale, P., De Keulenaer, G., Troisfontaines, P., Weytjens, C., Mullens, W., Elegeert, I., Ector, B., Houbrechts, M., Willekens, K., & Hansen, D.
- Affiliations
- Jessa Hospital (BE)
- Middelheim Hospital , Antwerp ,
- Centre Hospitalier Universitaire de Liège (BE)
- Universitair Ziekenhuis Brussel (BE)
- Ziekenhuis Oost Limburg , Genk ,
- AZ Groeninge (BE)
- Imelda Hospital (BE)
- Hasselt University (BE)
- Corresponding author
- Dendale, Paul
- ORCID
- Venue
- European Journal of Heart Failure
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-03-01
- Volume
- 14
- Issue
- 3
- Pages
- 333-340
- ISSN
- 1388-9842 (ISSN-L)
- 1879-0844
- OpenAlex
- W2054949377
- Cited by
- 242
- References
- 31
- Citations by year
- 2026: 11 · 2025: 21 · 2024: 16 · 2023: 17 · 2022: 16 · 2021: 27 · 2020: 7 · 2019: 15 · 2018: 21 · 2017: 15 · 2016: 14 · 2015: 21 · 2014: 15 · 2013: 19 · 2012: 7
- FWCI
- 9.01
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Heart Failure (publishedVersion)
- PubMed (publishedVersion)
- Document Server@UHasselt (UHasselt) (submittedVersion, other-oa)
- Funders
- Institut National d'assurance Maladie-Invalidité
- 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, chronic heart failure, severe heart failure, hospital readmission, mortality, general practitioners, heart failure clinic, email notifications, fluid retention
- MeSH terms
- Aged, Analysis of Variance, Antihypertensive Agents, Cardiac Care Facilities, Cooperative Behavior, Female, Heart Failure, Hospitalization, Humans, Male, Risk Factors, Severity of Illness Index, Stroke Volume, Ventricular Function, Left, Treatment Failure, Telemedicine, General Practitioners
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