Overall , telemedicine was shown to be beneficial , with home-based teletransmission effectively reducing all-cause mortality and HF-related hospital admission , length of stay and mortality in patients with HF
Telemedicine interventions may be associated with reductions in hospital admission rate and mortality in patients with heart failure ( HF ) .
A multicenter randomized controlled evaluation of automated home monitoring and telephonic disease management in patients recently hospitalized for congestive heart failure: the SPAN-CHF II trial.
BACKGROUND We performed a prospect i ve , r and omized investigation assessing the incremental effect of automated health monitoring ( AHM ) technology over and above that of a previously described nurse directed heart failure ( HF ) disease management program . The AHM system measured and transmitted body weight , blood pressure , and heart rate data as well as subjective patient self- assessment s via a st and ard telephone line to a central server . METHODS AND RESULTS A total of 188 consented and eligible patients were r and omized between intervention and control groups in 1:1 ratio . Subjects r and omized to the control arm received the Specialized Primary and Networked Care in Heart Failure ( SPAN-CHF ) heart failure disease management program . Subjects r and omized to the intervention arm received the SPAN-CHF disease management program in conjunction with the AHM system . The primary end point was prespecified as the relative event rate of HF hospitalization between intervention and control groups at 90 days . The relative event rate of HF hospitalization for the intervention group compared with controls was 0.50 ( 95%CI [ 0.25 - 0.99 ] , P = .05 ) . CONCLUSIONS Short-term reductions in the heart failure hospitalization rate were associated with the use of automated home monitoring equipment . Long-term benefits in this model remain to be studied
Overall , telemedicine was shown to be beneficial , with home-based teletransmission effectively reducing all-cause mortality and HF-related hospital admission , length of stay and mortality in patients with HF
Telemedicine interventions may be associated with reductions in hospital admission rate and mortality in patients with heart failure ( HF ) .