A Meta-Analysis of Remote Monitoring of Heart Failure Patients

Catherine Klersy, Annalisa De Silvestri, Gabriella Gabutti, François Regoli, Angelo Auricchio

Research output: Contribution to journalArticle

Abstract

Objectives: The purpose of this study was to assess the effect of remote patient monitoring (RPM) on the outcome of chronic heart failure (HF) patients. Background: RPM via regularly scheduled structured telephone contact between patients and health care providers or electronic transfer of physiological data using remote access technology via remote external, wearable, or implantable electronic devices is a growing modality to manage patients with chronic HF. Methods: After a review of the literature published between January 2000 and October 2008 on a multidisciplinary heart failure approach by either usual care (in-person visit) or RPM, 96 full-text articles were retrieved: 20 articles reporting randomized controlled trials (RCTs) and 12 reporting cohort studies qualified for a meta-analysis. Results: Respectively, 6,258 patients and 2,354 patients were included in RCTs and cohort studies. Median follow-up duration was 6 months for RCTs and 12 months for cohort studies. Both RCTs and cohort studies showed that RPM was associated with a significantly lower number of deaths (RCTs: relative risk [RR]: 0.83, 95% confidence interval [CI]: 0.73 to 0.95, p = 0.006; cohort studies: RR: 0.53, 95% CI: 0.29 to 0.96, p <0.001) and hospitalizations (RCTs: RR: 0.93, 95% CI: 0.87 to 0.99, p = 0.030; cohort studies: RR: 0.52, 95% CI: 0.28 to 0.96, p <0.001). The decrease in events was greater in cohort studies than in RCTs. Conclusions: RPM confers a significant protective clinical effect in patients with chronic HF compared with usual care.

Original languageEnglish
Pages (from-to)1683-1694
Number of pages12
JournalJournal of the American College of Cardiology
Volume54
Issue number18
DOIs
Publication statusPublished - Oct 27 2009

Keywords

  • device-based monitoring
  • heart failure
  • meta-analysis
  • outcome
  • remote monitoring

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'A Meta-Analysis of Remote Monitoring of Heart Failure Patients'. Together they form a unique fingerprint.

  • Cite this