Telemonitoring in Chronic Heart Failure: A Systematic Review
Open accessAbstract
Heart failure (HF) is a growing epidemic with the annual number of hospitalizations constantly increasing over the last decades for HF as a primary or secondary diagnosis. Despite the emergence of novel therapeutic approached that can prolong life and shorten hospital stay, HF patients will be needing rehospitalization and will often have a poor prognosis. Telemonitoring is a novel diagnostic modality that has been suggested to be beneficial for HF patients. Telemonitoring is viewed as a means of recording physiological data, such as body weight, heart rate, arterial blood pressure, and electrocardiogram recordings, by portable devices and transmitting these data remotely (via a telephone line, a mobile phone or a computer) to a server where they can be stored, reviewed and analyzed by the research team. In this systematic review of all randomized clinical trials evaluating telemonitoring in chronic HF, we aim to assess whether telemonitoring provides any substantial benefit in this patient population.
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Reporting of the active ingredients of HT interventions was often poor in the included reviews and not consistently performed for all primary studies.
“However, reporting of the active ingredients of these interventions was often poor in the included reviews and not consistently performed for all primary studies (eg, [36,38-40,46,47]).”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [47]
Six reviews reported that most participants in the included studies were NYHA class II-IV.
“Six reviews reported that most participants in the included studies were NYHA class II-IV [34-35,37-39,47].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [47]
Most reviews (8/15, 53%) did not provide sufficient details about the technology used in each of the included primary studies.
“most reviews (8/15, 53%) did not provide sufficient details about the technology used in each of the included primary studies [33,34,36-40,45-47]”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [47]
In five reviews, the description of the intervention extracted from the trials was reduced into just a few words presented in a summary table or within the text.
“In five reviews [37,38,45-47], the description of the intervention extracted from the trials was reduced into just a few words presented in a summary table or within the text”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [47]
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 [47]
Usual care varied across studies from in-person follow-up visits to a general practitioner or primary care provider to attendance at an outpatient clinic-based disease management program.
“Usual care varied across studies from in-person follow-up visits to a general practitioner or primary care provider to attendance at an outpatient clinic-based disease management program [33,34,36,37,47,49].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [47]
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 [47]
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Towards Predictive Medicine — On Remote Monitoring, Privacy and Scientific Bias
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- Authors
- Giamouzis, G., Mastrogiannis, D., Koutrakis, K., Karayannis, G., Parisis, C., Rountas, C., Adreanides, E., Dafoulas, G. E., Stafylas, P. C., Skoularigis, J., Giacomelli, S., Olivari, Z., & Triposkiadis, F.
- Affiliations
- Department of Cardiology, Larissa University Hospital, P.O. Box 1425, 41110 Larissa, Greece
- Technological Educational Institute of Central Greece (GR)
- University Hospital of Larissa (GR)
- 404 General Military Hospital (GR)
- Laiko General Hospital of Athens (GR)
- AHEPA University Hospital (GR)
- Ca' Foncello Hospital (IT)
- ORCID
- Venue
- Cardiology Research and Practice
- Publisher
- Hindawi Limited
- Published
- 2012
- Volume
- 2012
- Pages
- 1-7
- ISSN
- 2090-0597 (ISSN-L)
- 2090-8016
- PMC
- PMC3375160
- OpenAlex
- W2001732469
- Cited by
- 55
- References
- 35
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 4 · 2022: 3 · 2021: 1 · 2020: 2 · 2018: 3 · 2017: 10 · 2016: 8 · 2015: 7 · 2014: 5 · 2013: 9 · 2012: 1
- FWCI
- 1.15
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Cardiology Research and Practice (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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, hospital readmission, prognosis, physiological monitoring, wearable devices, telemedicine
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