St and ardised description of the telemonitoring algorithm can expedite the identification of key components in telemonitoring algorithms that allow accurate prediction of worsening heart failure
Introduction : Non-invasive telemonitoring programmes detecting deterioration of heart failure are increasingly used in heart failure care .
Aim : The aim of this study was to compare different monitoring algorithms used in non-invasive telemonitoring programmes for patients with chronic heart failure .
Effectiveness of an interactive platform, and the ESC/HFA heartfailurematters.org website in patients with heart failure: design of the multicentre randomized e-Vita heart failure trial.
AIMS Electronic health support ( e-health ) may improve self-care of patients with heart failure ( HF ) . We aim to assess whether an adjusted care pathway with replacement of routine consultations by e-health improves self-care as compared with usual care . In addition , we will determine whether the ESC/HFA ( European Society of Cardiology/Heart Failure Association ) website heartfailurematters.org ( HFM website ) improves self-care when added to usual care . Finally , we aim to evaluate the cost-effectiveness of these interventions . METHODS A three-arm parallel r and omized trial will be conducted . Arm 1 consists of usual care ; arm 2 consists of usual care plus the HFM website ; and arm 3 is the adjusted care pathway with an interactive platform for disease management ( e-Vita platform ) , with a link to the HFM website , which replaces routine consultations with HF nurses at the outpatient clinic . In total , 414 patients managed in 10 Dutch HF outpatient clinics or in general practice will be included and followed for 12 months . Participants are included if they have had an established diagnosis of HF for at least 3 months . The primary outcome is self-care as measured by the European Heart Failure Self-care Behaviour scale ( EHFScB scale ) . Secondary outcomes are quality of life , cardiovascular- and HF-related mortality , hospitalization , and its duration as captured by hospital and general practitioner registries , use of and user satisfaction with the HFM website , and cost-effectiveness . PERSPECTIVE This study will provide important prospect i ve data on the impact and cost-effectiveness of an interactive platform for disease management and the HFM website . CLINICAL TRIAL REGISTRATION unique identifier : NCT01755988
St and ardised description of the telemonitoring algorithm can expedite the identification of key components in telemonitoring algorithms that allow accurate prediction of worsening heart failure
Introduction : Non-invasive telemonitoring programmes detecting deterioration of heart failure are increasingly used in heart failure care .
Aim : The aim of this study was to compare different monitoring algorithms used in non-invasive telemonitoring programmes for patients with chronic heart failure .