Home Telemonitoring in Patients With Chronic Heart Failure
Open accessAbstract
BACKGROUND: Telemonitoring can improve the medical care, quality of life, and prognosis of chronically ill patients. This review article summarizes the current status of health services research on telemonitoring, focusing on patients with chronic congestive heart failure. METHOD: The Medline database was selectively searched for articles appearing from June 2001 to May 2008, with an emphasis on randomized, controlled trials. RESULTS: The available scientific data on vital signs monitoring are limited, yet there is evidence for a positive effect on some clinical endpoints, particularly mortality. Nonetheless, any possible improvement of patient-reported outcomes, such as the quality of life, still remains to be demonstrated. CONCLUSIONS: The data suggest that telemonitoring is effective, yet there is no evidence for superior outcomes with any particular model of care incorporating telemonitoring (i.e., monitoring of vital signs versus structured telephone monitoring). A valid criticism is that the individual components of home telemonitoring have not yet been separately tested in order to compare their individual effects.
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The reviews indicated above reported improved quality of life with different forms of telehealthcare, but there was still a substantial minority of reviews in which quality of life was reported as not improved.
“The reviews indicated above reported improved quality of life with different forms of telehealthcare. In addition, there was still a substantial minority of reviews in which quality of life was reported as not improved: [36], [43], [50], [86], [93].”
From The Impact of Telehealthcare on the Quality and Safety of Care: A Systematic Overview (2013) · cites this paper as [50]
The highest weighted heart failure review (Ciere et al, 3 stars) did not include any disease control outcomes, nor did three others.
“The highest weighted of these (Ciere et al, 3 stars) did not include any disease control outcomes [56], nor did 3 others [16,59,60].”
Nine reviews analyzed telehealth interventions for heart failure.
“A total of 9 reviews analyzed telehealth interventions for heart failure [16,20,28,55-60].”
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- Authors
- Schmidt, S., Schuchert, A., Krieg, T., & Oeff, M.
- Affiliations
- Universität Greifswald (DE)
- Venue
- Deutsches Ärzteblatt international
- Publisher
- Deutscher Arzte-Verlag GmbH
- Published
- 2010-02-26
- Volume
- 107
- Issue
- 8
- Pages
- 131-8
- ISSN
- 1866-0452 (ISSN-L)
- PMC
- PMC2840250
- OpenAlex
- W37068454
- Cited by
- 48
- References
- 46
- Citations by year
- 2022: 2 · 2021: 3 · 2020: 2 · 2019: 7 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 4 · 2014: 1 · 2013: 7 · 2012: 6
- FWCI
- 0.97
- Type
- journal article
- Language
- de
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Deutsches Ärzteblatt international (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- 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
- home health monitoring, chronic congestive heart failure, vital signs monitoring, telephone monitoring, mortality, quality of life, patient-reported outcomes, models of care, telemedicine
- MeSH terms
- Ambulatory Care, Heart Failure, Humans, Quality Assurance, Health Care, Self Care, Prevalence, Telemedicine, Home Care Services, Hospital-Based
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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