Impact of Telemonitoring on Health Status
| Autor: | Jeph Herrin, John A. Spertus, Yevgeniy Khariton, Harlan M. Krumholz, Natalie Jayaram, Jennifer A. Mattera, Beth Hodshon, Fengming Tang, Sarwat I. Chaudhry |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Health Status MEDLINE 030204 cardiovascular system & hematology Article law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Surveys and Questionnaires Humans Medicine 030212 general & internal medicine Disease management (health) Social Behavior Aged Heart Failure Chi-Square Distribution business.industry Repeated measures design Recovery of Function Middle Aged medicine.disease Telemedicine United States Confidence interval Telephone Self Care Clinical trial Treatment Outcome Heart failure Linear Models Physical therapy Female Cardiology and Cardiovascular Medicine business Chi-squared distribution |
| Zdroj: | Circulation: Cardiovascular Quality and Outcomes. 10 |
| ISSN: | 1941-7705 1941-7713 |
| DOI: | 10.1161/circoutcomes.117.004148 |
| Popis: | Background— Although noninvasive telemonitoring in patients with heart failure does not reduce mortality or hospitalizations, less is known about its effect on health status. This study reports the results of a randomized clinical trial of telemonitoring on health status in patients with heart failure. Methods and Results— Among 1521 patients with recent heart failure hospitalization randomized in the Tele-HF trial (Telemonitoring to Improve Heart Failure Outcomes), 756 received telephonic monitoring and 765 usual care. Disease-specific health status was measured with the Kansas City Cardiomyopathy Questionnaire (KCCQ) within 2 weeks of discharge and at 3 and 6 months. Repeated measures linear regression models were used to assess differences in KCCQ scores between patients assigned to telemonitoring and usual care over 6 months. The baseline characteristics of the 2 treatment arms were similar (mean age, 61 years; 43% female and 39% black). Over the 6-month follow-up period, there was a statistically significant, but clinically small, difference between the 2 groups in their KCCQ overall summary and subscale scores. The average KCCQ overall summary score for those receiving telemonitoring was 2.5 points (95% confidence interval, 0.38–4.67; P =0.02) higher than usual care, driven primarily by improvements in symptoms (3.5 points; 95% confidence interval, 1.18–5.82; P =0.003) and social function (3.1 points; 95% confidence interval, 0.30–6.00; P =0.03). Conclusions— Telemonitoring results in statistically significant, but clinically small, improvements in health status when compared with usual care. Given that the KCCQ was a secondary outcome, the benefits should be confirmed in future studies. Clinical Trial Registration— URL: https://www.clinicaltrials.gov/ . Unique identifier: NCT00303212. |
| Databáze: | OpenAIRE |
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