Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/12301
Title: | Effect of a telemonitoring-facilitated collaboration between general practitioner and heart failure clinic on mortality and rehospitalization rates in severe heart failure: the TEMA-1 (TElemonitoring in the MAnagement of heart failure) study | Authors: | DENDALE, Paul De Keulenaer, Gilles Troisfontaines, Pierre Weytjens, Caroline MULLENS, Wilfried Elegeert, Ivan Ector, Bavo Houbrechts, Marita WILLEKENS, Koen HANSEN, Dominique |
Issue Date: | 2012 | Source: | EUROPEAN JOURNAL OF HEART FAILURE, 14(3), p.333-340 | Abstract: | Aims Chronic heart failure (CHF) patients are frequently rehospitalized within 6 months after an episode of fluid retention. Rehospitalizations are preventable, but this requires an extensive organization of the healthcare system. In this study, we tested whether intensive follow-up of patients through a telemonitoring-facilitated collaboration between general practitioners (GPs) and a heart failure clinic could reduce mortality and rehospitalization rate. Methods and results One hunderd and sixty CHF patients [mean age 76 ± 10 years, 104 males, mean left ventricular ejection fraction (LVEF) 35 ± 15%] were block randomized by sealed envelopes and assigned to 6 months of intense follow-up facilitated by telemonitoring (TM) or usual care (UC). The TM group measured body weight, blood pressure, and heart rate on a daily basis with electronic devices that transferred the data automatically to an online database. Email alerts were sent to the GP and heart failure clinic to intervene when pre-defined limits were exceeded. All-cause mortality was significantly lower in the TM group as compared with the UC group (5% vs. 17.5%, P = 0.01). The total number of follow-up days lost to hospitalization, dialysis, or death was significantly lower in the TM group as compared with the UC group (13 vs. 30 days, P = 0.02). The number of hospitalizations for heart failure per patient showed a trend (0.24 vs. 0.42 hospitalizations/patient, P = 0.06) in favour of TM. Conclusion Telemonitoring-facilitated collaboration between GPs and a heart failure clinic reduces mortality and number of days lost to hospitalization, death, or dialysis in CHF patients. These findings need confirmation in a large trial. | Document URI: | http://hdl.handle.net/1942/12301 | ISSN: | 1388-9842 | e-ISSN: | 1879-0844 | DOI: | 10.1093/eurjhf/hfr144 | ISI #: | 000300716700016 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2013 |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
European J of Heart Fail - 2014 - Dendale - Effect of a telemonitoring‐facilitated collaboration between general.pdf | Published version | 187.82 kB | Adobe PDF | View/Open |
SCOPUSTM
Citations
99
checked on Sep 2, 2020
WEB OF SCIENCETM
Citations
149
checked on Oct 14, 2024
Page view(s)
24
checked on Jul 22, 2022
Download(s)
10
checked on Jul 22, 2022
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.