Telemonitoring for Patients With Chronic Heart Failure: A Systematic Review

Sarwat I. Chaudhry, Christopher O. Phillips, Simon S. Stewart, Barbara Riegel, Jennifer A. Mattera, Anthony F. Jerant, Harlan M. Krumholz

Research output: Contribution to journalReview article

163 Citations (Scopus)

Abstract

Background: Telemonitoring, the use of communication technology to remotely monitor health status, is an appealing strategy for improving disease management. Methods and Results: We searched Medline databases, bibliographies, and spoke with experts to review the evidence on telemonitoring in heart failure patients. Interventions included: telephone-based symptom monitoring (n = 5), automated monitoring of signs and symptoms (n = 1), and automated physiologic monitoring (n = 1). Two studies directly compared effectiveness of 2 or more forms of telemonitoring. Study quality and intervention type varied considerably. Six studies suggested reduction in all-cause and heart failure hospitalizations (14% to 55% and 29% to 43%, respectively) or mortality (40% to 56%) with telemonitoring. Of the 3 negative studies, 2 enrolled low-risk patients and patients with access to high quality care, whereas 1 enrolled a very high-risk Hispanic population. Studies comparing forms of telemonitoring demonstrated similar effectiveness. However, intervention costs were higher with more complex programs ($8383 per patient per year) versus less complex programs ($1695 per patient per year). Conclusion: The evidence base for telemonitoring in heart failure is currently quite limited. Based on the available data, telemonitoring may be an effective strategy for disease management in high-risk heart failure patients.

Original languageEnglish
Pages (from-to)56-62
Number of pages7
JournalJournal of Cardiac Failure
Volume13
Issue number1
DOIs
Publication statusPublished - 1 Feb 2007
Externally publishedYes

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Keywords

  • Disease management

Cite this

Chaudhry, S. I., Phillips, C. O., Stewart, S. S., Riegel, B., Mattera, J. A., Jerant, A. F., & Krumholz, H. M. (2007). Telemonitoring for Patients With Chronic Heart Failure: A Systematic Review. Journal of Cardiac Failure, 13(1), 56-62. https://doi.org/10.1016/j.cardfail.2006.09.001