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Title: | Long-term impact of a six-month telemedical care programme on mortality, heart failure readmissions and healthcare costs in patients with chronic heart failure | Authors: | FREDERIX, Ines Vanderlinden, Lien Verboven, Anne-Sophie Welten, Maria Wouters, Donna De Keulenaer, Gilles Ector, Bavo Elegeert, Ivan Troisfontaines, Pierre Weytjens, Caroline MULLENS, Wilfried DENDALE, Paul |
Issue Date: | 2019 | Publisher: | SAGE PUBLICATIONS LTD | Source: | Journal of telemedicine and telecare, 25 (5), p. 286-293 | Abstract: | Aims: The TElemonitoring in the MAnagement of Heart Failure (TEMA-HF) 1 long-term follow-up study assessed whether an initial six-month telemonitoring (TM) programme compared with usual care (UC) would result in reduced all-cause mortality, heart failure admissions and healthcare costs in chronic heart failure (CHF) patients at long-term follow-up. Methods: Of the 160 patients included in the multi-centre, randomised controlled telemonitoring trial (TEMA-HF 1, time point t0); 142 CHF patients (65% male; age: 76 10 years; EF: 36 15%) were alive and entered the follow-up study (time point: t1) with a final evaluation at 79 months (time point: t2). Both TM and UC group patients received standard heart failure care during the follow-up study (time points: t1 –t2). The primary endpoint was all-cause mortality. Secondary outcomes included days lost due to heart failure readmissions and readmission/patient follow-up related healthcare costs. Results: Compared with usual care, the initial six-month TM programme had no significant effect on all-cause mortality (hazard ratio: 0.83; 95% confidence interval, 0.57 to 1.20; p ¼ 0.32). The number of days lost due to heart failure readmissions was significantly lower in the TM group (p ¼ 0.04). Healthcare costs did not differ significantly between the TM (E 9140 10580) and UC group (E 12495 22433) (p ¼ 0.87). Discussion: An initial six-month telemonitoring programme was not associated with reduced all-cause mortality in CHF patients at long-term follow-up but resulted in a reduction in the number of days lost due to heart failure readmissions. | Notes: | Frederix, I (reprint author), Jessa Hosp, Dept Cardiol, Stadsomvaart 11, B-3500 Hasselt, Belgium. ines.frederix@gmail.com | Keywords: | Telecardiology;Telemedicine;Cost-effectiveness | Document URI: | http://hdl.handle.net/1942/28225 | ISSN: | 1357-633X | e-ISSN: | 1758-1109 | DOI: | 10.1177/1357633X18774632 | ISI #: | 000469850100003 | Rights: | The Author(s) 2018 | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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