Conclusion : Despite a systematic bias towards recruitment of individuals younger than the epidemiological average into the r and omized controlled trials , older people with heart failure did benefit from structured telephone support and telemonitoring .
While further research is required to confirm these observational findings , the evidence at h and indicates that discrimination by age alone may be not be appropriate when inviting participation in a remote monitoring service for heart failure
Background : There are few data regarding the effectiveness of remote monitoring for older people with heart failure .
We conducted a post-hoc sub- analysis of a previously published large Cochrane systematic review and meta- analysis of relevant r and omized controlled trials to determine whether structured telephone support and telemonitoring were effective in this population .
Prevalence of heart failure and systolic ventricular dysfunction in older Australians: the Canberra Heart Study.
OBJECTIVE To estimate the prevalence of heart failure ( HF ) and left ventricular ( LV ) systolic dysfunction in a population -based sample of older Australians . DESIGN , SETTING AND PARTICIPANTS A cross-sectional survey of 2000 r and omly selected residents of Canberra , aged 60 - 86 years , conducted between February 2002 and June 2003 . Participants were assessed by history , physical examination by a cardiologist , and echocardiography . MAIN OUTCOME MEASURES Age- and sex-specific prevalence rates of clinical HF and LV systolic dysfunction ( defined as LV ejection fraction < or = 50 % ) . RESULTS Of 1846 people eligible for our study , 1388 ( 75 % ) agreed to participate and 1275 completed all investigations ( mean age , 69.4 years ; 50 % men ) . In the study sample , 72 subjects ( 5.6 % ; 95 % CI , 4.4%-7.1 % ) had clinical HF that had been previously diagnosed and was confirmed by our assessment . A further 0.6 % ( 95 % CI , 0.3%-1.2 % ) had undiagnosed clinical HF ( ie , evidence of structural heart disease and symptoms/signs of cardiac insufficiency without a previous diagnosis of clinical HF ) . Thus , the overall prevalence of clinical HF in the sample was 6.3 % ( 95 % CI , 5.0%-7.7 % ) . Clinical HF increased in prevalence with advancing age ( a 4.4-fold increase from the 60 - 64-years age group to the 80 - 86-years age group ; P < 0.0001 ) . Of the 75 subjects ( 5.9 % ; 95 % CI , 4.7%-7.3 % ) with LV systolic dysfunction , 44 ( 59 % ) were in the pre clinical stage of disease . CONCLUSION Diagnosed HF cases represent the " tip of the iceberg " for the national burden of HF and LV systolic dysfunction . Clinical ly identifiable HF cases can remain undiagnosed , and the majority of people with LV systolic dysfunction are in a pre clinical stage of the disease
Conclusion : Despite a systematic bias towards recruitment of individuals younger than the epidemiological average into the r and omized controlled trials , older people with heart failure did benefit from structured telephone support and telemonitoring .
While further research is required to confirm these observational findings , the evidence at h and indicates that discrimination by age alone may be not be appropriate when inviting participation in a remote monitoring service for heart failure
Background : There are few data regarding the effectiveness of remote monitoring for older people with heart failure .
We conducted a post-hoc sub- analysis of a previously published large Cochrane systematic review and meta- analysis of relevant r and omized controlled trials to determine whether structured telephone support and telemonitoring were effective in this population .