P220 REMOTE MONITORING IN FOLLOW–UP OF ELDERLY PATIENTS WITH HEART FAILURE

Abstract

Background: Hospitalization is the home route after discharge of elderly patients with heart failure are associated with a high mortality rate (up to 50 % in the first six months) and repeated re-hospitalizations in the first three months, with a peak within thirty days of discharge despite therapy. Telehomecare offers concrete answers to the needs of specialized assistance, usable and in real time, but, on the other hand, the telematic follow-up lends itself to a considerable degree of distrust of non-traditional organizational models. Objectives: The primary objective of this project is to evaluate the reduction of re- hospitalizations through a telematic follow-up by creating a low-cost virtual clinic. Secondary objective to assess the quality of life in the elderly large patient and the managerial continuity between hospital-home. MATERIALS AND Methods: An initial narrative review of the literature was conducted by consulting the major data-bases available (Pub-Med, Chinhal and Cochrane Library) and then a qualitative survey of a sample of convenience of 31 users with an average age of 80,4 aa to assess the effectiveness of virtual follow-up . To assess the quality of life (qol) will be administered the questionnaire MLIHF Minnesota living with Heart Failure. The data will then be recorded on an excel sheet and analyzed through the R-Studio software. Results: Through telemedicine interventions and teleconsultation has been achieved to a greater awareness of the health status of the patient and an empowerment of the selfcare that helps to ensure therapeutic adherence and to contain and/or avoid the progression of NYHA class, also improving the quality of life and the disconfort of travel Conclusions: Home telemonitoring opens up new perspectives for chronically serious patients and shows potential benefits for patients' quality of life and cost containment. In our experience, the monitoring of telemedicine in patients with Heart Failure of high risk age (average age 80.4 years) will lead to an increased awareness of the disease, and the complete and specific training of the caregiver will become fundamental to build a solid social network system for the success of teledisease management.