Impact of telemedicine on the clinical outcomes and healthcare costs of patients with chronic heart failure and mid-range or preserved ejection fraction managed in a multidisciplinary chronic heart failure programme: A sub-analysis of the iCOR randomized trial
Source: Jimenez-Marrero et al. 2018 - Pubmed ID: 30193564
Setting: Spain, University hospital
RCT
Follow up: 6 months
Sample size:
Total: 116
IG: 50
CG: 66
Inclusion criteria:
- Chronic heart failure
- LVEF ≥40%
Home monitoring (Home touchscreen computer and Bluetooth connection)
- Bio measures
- Heart failure symptoms
Video consultation
- Symptoms
- Medication treatment
- Education
Intervention: Telemedicine in the management of multidisciplinary chronic heart failure programme: iCOR. All consultations were performed remotely using videoconference or audioconference. Daily patient reports of bio measures and heart failure symptoms. Alarm generation. Nurse reviewed data daily and reacted to alerts after consultation with cardiologist
Duration: 6 months
Add on: +
Control group: Usual care
Clinical effect:
- Acute non-fatal HF event↓
Patient safety: NA
Patient experience: NA
Staff experience: NA
Investment:
Equipment
- Telehealth platform
- Touchscreen computer
Running:
Equipment
- Telehealth platform
- Touchscreen computer
Staff
- Monitoring
- Treatment
Organization: NA
Health care utilization:
- HF hospitalizations↓
- CV hospitalizations↓
- Non-CV hospitalization→
- All-cause hospitalizations↓
- All-cause death→
- CV death→
- Combined endpoints of all-cause death or non-fatal HF events and all-cause death or HF hospitalization↓
- HF care costs↓
- Hospitalizations costs↓
- Diagnostic procedures↓
- Ambulatory care↑