Italy CHF Telemonitoring

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Objectives: - To demonstrate the effectiveness of home telemonitoring in elderly patients with congestive heart failure (CHF) on mortality and rate of hospitalization, compliance with treatment, quality of life and costs of CHF management, by comparison with a group receiving usual care.

Details - Fifty-seven elderly CHF patients were randomized to standard care or to home telemonitoring-based care and monitored for 12 months. For the subjects who were monitored, weekly reports on their clinical status were obtained and their management was modified accordingly. No details are given on the devices used in this pilot.

Results - Home telemonitoring was associated with improvements in the composite endpoint of mortality and rate of hospitalizations (P = 0.006), a better compliance with therapy, more frequent use of beta-blockers and statins, lower total cholesterol level and a better reported health perception score. The improved results with home telemonitoring in CHF were probably due to better compliance and the closer monitoring of the patients.

Survival data for telemonitoring group compared with control group

References

  • 1. Antonicelli et al. Impact of telemonitoring at home on the management of elderly patients with congestive heart failure. Journal of Telemedicine and Telecare 2008;14:300-305 doi:10.1258/jtt.2008.071213
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