Impact of remote telemedical management on mortality and hospitalizations in ambulatory patients with chronic heart failure: The telemedical interventional monitoring in heart failure study

584Citations
Citations of this article
488Readers
Mendeley users who have this article in their library.

Abstract

Background- This study was designed to determine whether physician-led remote telemedical management (RTM) compared with usual care would result in reduced mortality in ambulatory patients with chronic heart failure (HF). Methods and Results- We enrolled 710 stable chronic HF patients in New York Heart Association functional class II or III with a left ventricular ejection fraction ≤35% and a history of HF decompensation within the previous 2 years or with a left ventricular ejection fraction ≤25%. Patients were randomly assigned (1:1) to RTM or usual care. Remote telemedical management used portable devices for ECG, blood pressure, and body weight measurements connected to a personal digital assistant that sent automated encrypted transmission via cell phones to the telemedical centers. The primary end point was death from any cause. The first secondary end point was a composite of cardiovascular death and hospitalization for HF. Baseline characteristics were similar between the RTM (n=354) and control (n=356) groups. Of the patients assigned to RTM, 287 (81%) were at least 70% compliant with daily data transfers and no break for >30 days (except during hospitalizations). The median follow-up was 26 months (minimum 12), and was 99.9% complete. Compared with usual care, RTM had no significant effect on all-cause mortality (hazard ratio, 0.97; 95% confidence interval, 0.67 to 1.41; P=0.87) or on cardiovascular death or HF hospitalization (hazard ratio, 0.89; 95% confidence interval, 0.67 to 1.19; P=0.44). Conclusions- In ambulatory patients with chronic HF, RTM compared with usual care was not associated with a reduction in all-cause mortality. Copyright © 2011 American Heart Association. All rights reserved.

References Powered by Scopus

The PHQ-9: A new depression diagnostic and severity measure

4592Citations
N/AReaders
Get full text

Sequential treatment assignment with balancing for prognostic factors in the controlled clinical trial

1930Citations
N/AReaders
Get full text

ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008. The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM)

1702Citations
N/AReaders
Get full text

Cited by Powered by Scopus

2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

7930Citations
N/AReaders
Get full text

Heart Disease and Stroke Statistics - 2014 Update: A report from the American Heart Association

4813Citations
N/AReaders
Get full text

Heart disease and stroke statistics-2013 update: A Report from the American Heart Association

4573Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Koehler, F., Winkler, S., Schieber, M., Sechtem, U., Stangl, K., Böhm, M., … Anker, S. D. (2011). Impact of remote telemedical management on mortality and hospitalizations in ambulatory patients with chronic heart failure: The telemedical interventional monitoring in heart failure study. Circulation, 123(17), 1873–1880. https://doi.org/10.1161/CIRCULATIONAHA.111.018473

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 187

60%

Researcher 96

31%

Professor / Associate Prof. 23

7%

Lecturer / Post doc 8

3%

Readers' Discipline

Tooltip

Medicine and Dentistry 178

65%

Nursing and Health Professions 40

15%

Engineering 36

13%

Computer Science 21

8%

Article Metrics

Tooltip
Mentions
News Mentions: 6
References: 1

Save time finding and organizing research with Mendeley

Sign up for free