Non-invasive Home Telemonitoring in Patients with Decompensated Heart Failure: a Systematic Review and Meta-analysis

Overview

Journal ESC Heart Fail

Date 2021 Jun 24

PMID 34165912

Citations 13

Authors

Teemu E I Drews

Jari Laukkanen

Tuomo Nieminen

Affiliations

Soon will be listed here.

Abstract

We planned this systematic review and meta-analysis to study an estimate of the effect of non-invasive home telemonitoring (TM) in the treatment of patients with recently decompensated heart failure (HF). A systematic literature search was conducted in the Medline, Cinahl, and Scopus databases to look for randomized controlled studies comparing TM with standard care in the treatment of patients with recently decompensated HF. The main outcomes of interest were all-cause hospitalizations and mortality. Eleven original articles met our eligibility criteria. The pooled estimate of the relative risk of all-cause hospitalization in the TM group compared with standard care was 0.95 (95% CI 0.84-1.08, P = 0.43) and the relative risk of all-cause death was 0.83 (95% CI 0.63-1.09, P = 0.17). There was significant clinical heterogeneity among primary studies. HF medication could be directly altered in three study interventions, and two of these had a statistically significant effect on all-cause hospitalizations. The pooled effect estimate of TM interventions on all-cause hospitalizations and all-cause death in patients with recently decompensated heart failure was neutral.

Citing Articles

Long-term impact of home-based monitoring after an admission for acute decompensated heart failure: a systematic review and meta-analysis of randomised controlled trials.

R C Clemente M, Felix N, Navalha D, Pasqualotto E, Ferreira R, Braga M EClinicalMedicine. 2024; 71:102541.

PMID: 38545427 PMC: 10965494. DOI: 10.1016/j.eclinm.2024.102541.

Clinical Predictive Modeling of Heart Failure: Domain Description, Models' Characteristics and Literature Review.

Odrobina I Diagnostics (Basel). 2024; 14(4).

PMID: 38396482 PMC: 10888082. DOI: 10.3390/diagnostics14040443.

Narrative synthesis of the effectiveness and characteristics of heart failure disease self-management support programmes.

Koontalay A, Botti M, Hutchinson A ESC Heart Fail. 2024; 11(3):1329-1340.

PMID: 38311880 PMC: 11098667. DOI: 10.1002/ehf2.14701.

A Nurse-Led Model of Care with Telemonitoring to Manage Patients with Heart Failure in Primary Health Care: A Mixed-Method Feasibility Study.

Longhini J, Canzan F, Zambiasi P, Toccoli S, Gios L, Greco M Patient Prefer Adherence. 2023; 17:2579-2594.

PMID: 37881621 PMC: 10595161. DOI: 10.2147/PPA.S431865.

The kinocardiograph for assessment of fluid status in patients with acute decompensated heart failure.

Herkert C, De Lathauwer I, van Leunen M, Spee R, Balali P, Migeotte P ESC Heart Fail. 2023; 10(6):3446-3453.

PMID: 37710415 PMC: 10682902. DOI: 10.1002/ehf2.14477.

References

Scherr D, Kastner P, Kollmann A, Hallas A, Auer J, Krappinger H . Effect of home-based telemonitoring using mobile phone technology on the outcome of heart failure patients after an episode of acute decompensation: randomized controlled trial. J Med Internet Res. 2009; 11(3):e34. PMC: 2762855. DOI: 10.2196/jmir.1252. View

Kotooka N, Kitakaze M, Nagashima K, Asaka M, Kinugasa Y, Nochioka K . The first multicenter, randomized, controlled trial of home telemonitoring for Japanese patients with heart failure: home telemonitoring study for patients with heart failure (HOMES-HF). Heart Vessels. 2018; 33(8):866-876. DOI: 10.1007/s00380-018-1133-5. View

Drews T, Laukkanen J, Nieminen T . Non-invasive home telemonitoring in patients with decompensated heart failure: a systematic review and meta-analysis. ESC Heart Fail. 2021; 8(5):3696-3708. PMC: 8497386. DOI: 10.1002/ehf2.13475. View

Cleland J, Louis A, Rigby A, Janssens U, Balk A . Noninvasive home telemonitoring for patients with heart failure at high risk of recurrent admission and death: the Trans-European Network-Home-Care Management System (TEN-HMS) study. J Am Coll Cardiol. 2005; 45(10):1654-64. DOI: 10.1016/j.jacc.2005.01.050. View

Shah K, Xu H, Matsouaka R, Bhatt D, Heidenreich P, Hernandez A . Heart Failure With Preserved, Borderline, and Reduced Ejection Fraction: 5-Year Outcomes. J Am Coll Cardiol. 2017; 70(20):2476-2486. DOI: 10.1016/j.jacc.2017.08.074. View

Dendale P, De Keulenaer G, Troisfontaines P, Weytjens C, Mullens W, Elegeert I . Effect of a telemonitoring-facilitated collaboration between general practitioner and heart failure clinic on mortality and rehospitalization rates in severe heart failure: the TEMA-HF 1 (TElemonitoring in the MAnagement of Heart Failure) study. Eur J Heart Fail. 2011; 14(3):333-40. DOI: 10.1093/eurjhf/hfr144. View

Zhu Y, Gu X, Xu C . Effectiveness of telemedicine systems for adults with heart failure: a meta-analysis of randomized controlled trials. Heart Fail Rev. 2019; 25(2):231-243. PMC: 7046570. DOI: 10.1007/s10741-019-09801-5. View

Inglis S, Clark R, Dierckx R, Prieto-Merino D, Cleland J . Structured telephone support or non-invasive telemonitoring for patients with heart failure. Cochrane Database Syst Rev. 2015; (10):CD007228. PMC: 8482064. DOI: 10.1002/14651858.CD007228.pub3. View

Maggioni A, Dahlstrom U, Filippatos G, Chioncel O, Crespo Leiro M, Drozdz J . EURObservational Research Programme: regional differences and 1-year follow-up results of the Heart Failure Pilot Survey (ESC-HF Pilot). Eur J Heart Fail. 2013; 15(7):808-17. DOI: 10.1093/eurjhf/hft050. View

10.

Ware P, Seto E, Ross H . Accounting for Complexity in Home Telemonitoring: A Need for Context-Centred Evidence. Can J Cardiol. 2018; 34(7):897-904. DOI: 10.1016/j.cjca.2018.01.022. View

11.

Chaudhry S, Mattera J, Curtis J, Spertus J, Herrin J, Lin Z . Telemonitoring in patients with heart failure. N Engl J Med. 2010; 363(24):2301-9. PMC: 3237394. DOI: 10.1056/NEJMoa1010029. View

12.

Woodend A, Sherrard H, Fraser M, Stuewe L, Cheung T, Struthers C . Telehome monitoring in patients with cardiac disease who are at high risk of readmission. Heart Lung. 2008; 37(1):36-45. DOI: 10.1016/j.hrtlng.2007.04.004. View

13.

Madigan E, Schmotzer B, Struk C, DiCarlo C, Kikano G, Pina I . Home health care with telemonitoring improves health status for older adults with heart failure. Home Health Care Serv Q. 2013; 32(1):57-74. PMC: 4002284. DOI: 10.1080/01621424.2012.755144. View

14.

Kulshreshtha A, Kvedar J, Goyal A, Halpern E, Watson A . Use of remote monitoring to improve outcomes in patients with heart failure: a pilot trial. Int J Telemed Appl. 2010; 2010:870959. PMC: 2874922. DOI: 10.1155/2010/870959. View

15.

Packer M, Anker S, Butler J, Filippatos G, Pocock S, Carson P . Cardiovascular and Renal Outcomes with Empagliflozin in Heart Failure. N Engl J Med. 2020; 383(15):1413-1424. DOI: 10.1056/NEJMoa2022190. View

16.

Comin-Colet J, Enjuanes C, Verdu-Rotellar J, Linas A, Ruiz-Rodriguez P, Gonzalez-Robledo G . Impact on clinical events and healthcare costs of adding telemedicine to multidisciplinary disease management programmes for heart failure: Results of a randomized controlled trial. J Telemed Telecare. 2015; 22(5):282-95. DOI: 10.1177/1357633X15600583. View

17.

Wakefield B, Ward M, Holman J, Ray A, Scherubel M, Burns T . Evaluation of home telehealth following hospitalization for heart failure: a randomized trial. Telemed J E Health. 2008; 14(8):753-61. DOI: 10.1089/tmj.2007.0131. View

18.

. Effects of enalapril on mortality in severe congestive heart failure. Results of the Cooperative North Scandinavian Enalapril Survival Study (CONSENSUS). N Engl J Med. 1987; 316(23):1429-35. DOI: 10.1056/NEJM198706043162301. View

19.

Nakamura N, Koga T, Iseki H . A meta-analysis of remote patient monitoring for chronic heart failure patients. J Telemed Telecare. 2013; 20(1):11-7. DOI: 10.1177/1357633X13517352. View

20.

Pitt B, Zannad F, Remme W, Cody R, CASTAIGNE A, Perez A . The effect of spironolactone on morbidity and mortality in patients with severe heart failure. Randomized Aldactone Evaluation Study Investigators. N Engl J Med. 1999; 341(10):709-17. DOI: 10.1056/NEJM199909023411001. View