| Autor: |
Girerd, N., Jourdain, P., Jagu, A., Lafitte, S., Amara, W., Barritault, F., Benchimol, H., Labarre, J.-P., Maribas, P., Chaouky, H., Nisse-Durgeat, S., Pages, N., Picard, F. |
| Zdroj: |
Archives of Cardiovascular Diseases; Jan2024:Supplement, Vol. 117 Issue 1, pS50-S51, 2p |
| Abstrakt: |
Heart failure (HF) is associated with a high mortality rate and recurrent hospitalizations. Recently, remote monitoring (RM) has emerged as a valuable tool in HF care. Poor digital literacy patients (i.e. patients that do not have access or do not use connected devices) are likely not to receive standard RM as these solutions usually are online based. To compare the characteristics of digitally literate patients (DLP) vs. poor digital literacy patients (PDLP) using RM for HF. Patients were followed by Satelia®Cardio, a HF management solution with a RM system including therapeutic guidance by a dedicated nurse phone platform. The system is accessible from any devices, requiring no software installation, no external sensors. DLP answer the questionnaire online and the PDLP answer by phone thanks to the nurse-lead platform. Within 48 hours after inclusion, patients are contacted by the platform nurse (Figure 1). During the monitoring, SMS with a link to a web page with 7 structured questions related to HF symptoms are sent to all patients. Body weight is also followed. In case of symptoms worsening and/or increase in body weight, the cardiologist in charge of the patient is notified. Since 2018, 11 371 HF patients were followed through Satelia®Cardio, among whom 6822 patients are still monitored. The mean age was 74 years (18–102y). More than a third of patients are PDLP (40%). These PDLP were older (79 vs. 69), less likely to be male (60% vs. 70%) and had higher LVEF (43% vs. 39%). In the overall population, the main reasons for stopping the monitoring are related to the occurrence of death (31%), patient/HCP decision (59%), or other reasons (10%). A total of 16,826 hospitalizations were recorded in the global population, with most of them due to HF (54%), and 19% being conventional hospitalizations. The length of hospital stay ranged up to 12 days. Further data will be presented at the time of the congress related to the number and profile of alerts, as well as their resolution, according to the DLP vs. PDLP status. PDLP represent more than a third of patients included in our large HF tele-monitoring population. This profile is composed of individuals who are a decade older than DLP, and consequently likely represent the majority of patients eligible to HF tele-monitoring. Finding adequate technical solutions for PDLP appears mandatory to ensure the scalability of HF RM. [ABSTRACT FROM AUTHOR] |
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