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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/28225

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
Vanderlinden, Lien
Verboven, Anne-Sophie
Welten, Maria
Wouters, Donna
De Keulenaer, Gilles
Ector, Bavo
Elegeert, Ivan
Troisfontaines, Pierre
Weytjens, Caroline
Mullens, Wilfried
Dendale, Paul
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. ines.frederix@gmail.com
URI: http://hdl.handle.net/1942/28225
DOI: 10.1177/1357633X18774632
ISI #: 000469850100003
ISSN: 1357-633X
Category: A1
Type: Journal Contribution
Appears in Collections: Research publications

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