Clinical and psychological telemonitoring and telecare of high risk heart failure patients

Alessandra Villani, Gabriella Malfatto, Angelo Compare, Francesco Della Rosa, Lara Bellardita, Giovanna Branzi, Enrico Molinari, Gianfranco Parati

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

We conducted a trial of telemonitoring and telecare for patients with chronic heart failure leaving hospital after being treated for clinical instability. Eighty patients were randomized before hospital discharge to a usual care group (n = 40: follow-up at the outpatient clinic) or to an integrated management group (n = 40: patients learned to use a handheld PDA and kept in touch daily with the monitoring centre). At enrolment, the groups were similar for all clinical variables. At one-year follow-up, integrated management patients showed better adherence, reduced anxiety and depression, and lower NYHA class and plasma levels of BNP with respect to the usual care patients (e.g. NYHA class 2.1 vs 2.4, P <0.02). Mortality and hospital re-admissions for congestive heart failure were also reduced in integrated management patients (P <0.05). Integrated management was more expensive than usual care, although the cost of adverse events was 42% lower. In heart failure patients at high risk of relapse, the regular acquisition of simple clinical information and the possibility for the patient to contact the clinical staff improved drug titration, produced better psychological status and quality of life, and reduced hospitalizations for heart failure.

Original languageEnglish
Pages (from-to)468-475
Number of pages8
JournalJournal of Telemedicine and Telecare
Volume20
Issue number8
DOIs
Publication statusPublished - Dec 16 2014

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Heart Failure
Psychology
Hospital Mortality
Ambulatory Care Facilities
Patient Care
Hospitalization
Anxiety
Quality of Life
Depression
Costs and Cost Analysis
Recurrence
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Health Informatics
  • Medicine(all)

Cite this

Clinical and psychological telemonitoring and telecare of high risk heart failure patients. / Villani, Alessandra; Malfatto, Gabriella; Compare, Angelo; Rosa, Francesco Della; Bellardita, Lara; Branzi, Giovanna; Molinari, Enrico; Parati, Gianfranco.

In: Journal of Telemedicine and Telecare, Vol. 20, No. 8, 16.12.2014, p. 468-475.

Research output: Contribution to journalArticle

Villani, Alessandra ; Malfatto, Gabriella ; Compare, Angelo ; Rosa, Francesco Della ; Bellardita, Lara ; Branzi, Giovanna ; Molinari, Enrico ; Parati, Gianfranco. / Clinical and psychological telemonitoring and telecare of high risk heart failure patients. In: Journal of Telemedicine and Telecare. 2014 ; Vol. 20, No. 8. pp. 468-475.
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