Oct 24, 2009

A meta-analysis of remote monitoring of heart failure patients

Journal of the American College of Cardiology
Catherine KlersyAngelo Auricchio

Abstract

The purpose of this study was to assess the effect of remote patient monitoring (RPM) on the outcome of chronic heart failure (HF) patients. RPM via regularly scheduled structured telephone contact between patients and health care providers or electronic transfer of physiological data using remote access technology via remote external, wearable, or implantable electronic devices is a growing modality to manage patients with chronic HF. After a review of the literature published between January 2000 and October 2008 on a multidisciplinary heart failure approach by either usual care (in-person visit) or RPM, 96 full-text articles were retrieved: 20 articles reporting randomized controlled trials (RCTs) and 12 reporting cohort studies qualified for a meta-analysis. Respectively, 6,258 patients and 2,354 patients were included in RCTs and cohort studies. Median follow-up duration was 6 months for RCTs and 12 months for cohort studies. Both RCTs and cohort studies showed that RPM was associated with a significantly lower number of deaths (RCTs: relative risk [RR]: 0.83, 95% confidence interval [CI]: 0.73 to 0.95, p = 0.006; cohort studies: RR: 0.53, 95% CI: 0.29 to 0.96, p < 0.001) and hospitalizations (RCTs: RR: 0.93, 95% CI: 0.87 ...Continue Reading

  • References33
  • Citations143

Citations

Mentioned in this Paper

Diagnostic Radiology Modality
Chronic Heart Failure
Meta-Analysis (Publications)
Visual Analog Pain Scale
Weighing Patient
Monitoring, Physiologic
Observation - Diagnostic Procedure
Blood Pressure
Confounding Factors (Epidemiology)
Myocardial Failure

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