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|Title: ||Long-term impact of a six-month telemedical care programme on mortality, heart failure readmissions and healthcare costs in patients with chronic heart failure|
|Authors: ||Frederix, Ines|
De Keulenaer, Gilles
|Issue Date: ||2018|
|Citation: ||Journal of telemedicine and telecare, 25 (5), p. 286-293|
|Status: ||Early View|
|Abstract: ||Aims: The TElemonitoring in the MAnagement of Heart Failure (TEMA-HF) 1 long-term follow-up study assessed whether an
initial six-month telemonitoring (TM) programme compared with usual care (UC) would result in reduced all-cause mortality,
heart failure admissions and healthcare costs in chronic heart failure (CHF) patients at long-term follow-up.
Methods: Of the 160 patients included in the multi-centre, randomised controlled telemonitoring trial (TEMA-HF 1, time point
t0); 142 CHF patients (65% male; age: 76 10 years; EF: 36 15%) were alive and entered the follow-up study (time point: t1)
with a final evaluation at 79 months (time point: t2). Both TM and UC group patients received standard heart failure care during
the follow-up study (time points: t1 –t2). The primary endpoint was all-cause mortality. Secondary outcomes included days lost
due to heart failure readmissions and readmission/patient follow-up related healthcare costs.
Results: Compared with usual care, the initial six-month TM programme had no significant effect on all-cause mortality (hazard
ratio: 0.83; 95% confidence interval, 0.57 to 1.20; p ¼ 0.32). The number of days lost due to heart failure readmissions was
significantly lower in the TM group (p ¼ 0.04). Healthcare costs did not differ significantly between the TM (E 9140 10580)
and UC group (E 12495 22433) (p ¼ 0.87).
Discussion: An initial six-month telemonitoring programme was not associated with reduced all-cause mortality in CHF
patients at long-term follow-up but resulted in a reduction in the number of days lost due to heart failure readmissions.|
|Notes: ||Frederix, I (reprint author), Jessa Hosp, Dept Cardiol, Stadsomvaart 11, B-3500 Hasselt, Belgium.
|ISI #: ||000469850100003|
|Type: ||Journal Contribution|
|Appears in Collections: ||Research publications|
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