Impact on clinical events and healthcare costs of adding telemedicine to multidisciplinary disease management programmes for heart failure: Results of a randomized controlled trial
Source: Comin-Colet et al. 2016 - Pubmed ID: 26350543
Setting: Spain, Hospital
RCT
Follow up: 6 months
Sample size:
Total: 188 (178)
IG: 88 (81)
CG: 100 (97)
Inclusion criteria:
- Heart failure
Home monitoring
- Weight, heart rate and blood pressure record
- Data transmission
Webpage
- Monitoring of vital signs
- Monitoring of symptoms
- Alarms
- Treatment adjustment
- Education
Intervention: Telemedicine multidisciplinary nurse-based hospital-primary care integrated disease management programme. Daily automated telemonitoring using the web platform. Virtual video contacts between the health care professional and the patient (caregiver). Telemedicine HF nurses reviewed alarms every day, adjusted the medicine or contacted cardiologist. Continuity of care was provided by the primary care team including a case manager, primary care doctor and nurse and the primary care cardiologist. Early home visit to set the system up
Duration: 6 months
Add on: +
Control group: Usual care
Clinical effect:
- Non-fatal HF events↓
- Mortality→
- All-cause death or non-fatal HF event↓
- All cause death of HF hospitalization↓
Patient safety:
- Non-fatal HF events↓
- Mortality→
- All-cause death or non-fatal HF event↓
- All cause death of HF hospitalization↓
Patient experience: NA
Staff experience: NA
Investment:
Equipment/Materials
- Telefonica Soluciones web platform
- Tablet
Running:
Technical
- Telefonica Soluciones webplatform
- Tablet
Staff
- Monitoring
- Treatment adjustment
- Technical assistance
Organization:
- Collaboration between hospital and primary care
Health care utilization:
- HF hospitalization↓
- CV hospitalizaiton↓
- Non CV hospitalization→
- Hospitalization↓
- Total hospitalizations costs↓
- Costs of diagnostic procedures↓
- Costs of ambulatory care↓