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A systematic review of the literature on home monitoring for patients with heart failure
Open accessAbstract
We conducted a systematic review of the literature for assessing the value of home monitoring for heart failure (HF) patients. The abstracts of 383 articles were read. We excluded those in which either no home monitoring was done or only the technical aspects of the telemedicine application were described. Forty-two studies met the selection criteria. We classified the results into feasibility (technical and institutional) and impact (on the clinical process, on patient health, on accessibility and acceptability of the health system, and on the economy). Evaluating the articles showed that home monitoring in HF patients is viable, given that: (1) it appears to be technically effective for following the patient remotely; (2) it appears to be easy to use, and it is widely accepted by patients and health professionals; and (3) it appears to be economically viable. Furthermore, home monitoring of HF patients has been shown to have a positive impact on: (1) the clinical process, supported by a significant improvement of patient follow-up by adjustment of treatment, diet or behaviour, as well as hospital readmissions and emergency visits reduction; (2) the patient's health, supported by a relevant improvement in quality of life, a reduction of days in hospital, and a decrease in mortality; and (3) costs resulting from the use of health resources.
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In the citing paper
“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 [39]
In the citing paper
“while three reviews did not provide any information at all about the included interventions [36,39-40].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [39]
In the citing paper
“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 [39]
In the citing paper
“The highest reported mean age in a study was 85 years [36] and the lowest was 48 years [39].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [39]
In the citing paper
“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 [39]
In the citing paper
“The remaining six summarized the available evidence narratively using various qualitative or semi-quantitative techniques [38,39,41,43,45].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [39]
In the citing paper
“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 [39]
In the citing paper
“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 [39]
In the citing paper
“Reviews that incorporated observational studies in their analysis and a broader set of interventional studies with various comparator groups (eg, home visits and nurse telephone support) concluded that HT reduces length of stay [39,40,45].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [39]
In the citing paper
“However, the remaining systematic reviews reached different conclusions [35,39,40,43,45].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [39]
Citations
Cited by
Sorted by citations
Effectiveness of telemedicine: A systematic review of reviews
Ekeland, A. G., Bowes, A., & Flottorp, S. (2010) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2010.08.006 · Cited by 1,162
A Systematic Review of Patient Acceptance of Consumer Health Information Technology
Or, C. K. L., & Karsh, B.-T. (2009) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m2888 · Cited by 586
Twenty years of telemedicine in chronic disease management – an evidence synthesis
Wootton, R. (2012) · Journal of Telemedicine and Telecare · doi:10.1258/jtt.2012.120219 · Cited by 545
Kitsiou, S., Paré, G., & Jaana, M. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.4174 · Cited by 327
“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, while three reviews did not provide any information at all about the included interventions [36,39-40].”
InfluentialA systematic review of economic analyses of telehealth services using real time video communication
Wade, V. A., Karnon, J., Elshaug, A. G., & Hiller, J. E. (2010) · BMC Health Services Research · doi:10.1186/1472-6963-10-233 · Cited by 351
“However, in regard to heart failure, Martinez concluded that home monitoring reduced costs of hospital admissions[ 21 ], and Seto reported initial costs, but substantial long term cost savings[22].”
Background
Metadata
- Authors
- Martínez, A., Everss, E., Rojo-Álvarez, J. L., Figal, D. P., & García-Alberola, A.
- Affiliations
- Departamento de Teoría de la Señal y Comunicaciones, Universidad Rey Juan Carlos, Madrid, Spain
- Universidad Carlos III de Madrid (ES)
- Departamento de Teoría de la Señal y Comunicaciones, Universidad Carlos III de Madrid, Spain
- Hospital Universitario Virgen de la Arrixaca de Murcia, Spain
- ORCID
- Everss, Estrella
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2006-07-01
- Volume
- 12
- Issue
- 5
- Pages
- 234-241
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W2119307792
- Cited by
- 133
- References
- 0
- Citations by year
- 2025: 1 · 2024: 6 · 2023: 7 · 2022: 7 · 2021: 2 · 2020: 1 · 2019: 4 · 2018: 4 · 2017: 6 · 2016: 7 · 2015: 10 · 2014: 17 · 2013: 12 · 2012: 4
- FWCI
- 4.03
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- BURJC Digital (King Juan Carlos University) (submittedVersion, cc-by-nc-nd)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by-nc-nd)
- 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
- heart failure, home monitoring, telemedicine, remote patient monitoring, hospital readmission, quality of life, mortality, health care costs, patient acceptability, feasibility
- MeSH terms
- Aged, Aged, 80 and over, Feasibility Studies, Heart Failure, Home Care Services, Humans, Middle Aged, Patient Readmission, Quality of Life
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