Continuità assistenziale nei pazienti con scompenso cardiaco: Ruolo delle tecnologie wireless per la telemedicina. II progetto ICAROS

Translated title of the contribution: Disease management for heart failure patients: Role of wireless technologies for telemedicine. The ICAROS project

Alessandra Villani, Gabriella Malfatto, Francesco Della Rosa, Giovanna Branzi, Simona Boarin, Claudio Borghi, Eugenio Cosentino, Massimo Gualerzi, Paolo Coruzzi, Enrico Molinari, Angelo Compare, Maurizio Cassi, Stefano Collatina, Gianfranco Parati

Research output: Contribution to journalArticlepeer-review

Abstract

Healthcare costs for heart failure are increasing. The need for a better care, however, has to be matched with a policy of cost containment. A way to improve the cost-effectiveness of heart failure care is the disease management approach, in which therapy, education and follow-up are tailored for each patient by a multidisciplinary team. Such a complex intervention can be facilitated by the use of telemedicine, which allows the remote control of considerable amounts of clinical data. In Italy, a few studies with telemedicine have been reported. A recent development in this field is represented by the ICAROS project (Integrated Care vs Conventional Intervention in Cardiac Failure Patients: Randomized Open Label Study), whose aim is to improve the clinical and psychological care of heart failure patients employing advanced wireless telecommunication technology. So far, we randomized 60 patients: 30 in usual ambulatory care, 30 in an intensive treatment group. The latter patients were instructed to use a portable computer to get in touch daily with the heart failure clinic and receive feedback instruction for the management of drug therapy and daily problems. At the first year of follow-up, the treatment group showed good compliance to drug prescriptions, and could easily handle the portable computer. The preliminary results of this ongoing study support the feasibility and appropriateness of new technologies for the management of heart failure, even in elderly patients in whom a limited expertise with these appliances could have been anticipated.

Translated title of the contributionDisease management for heart failure patients: Role of wireless technologies for telemedicine. The ICAROS project
Original languageItalian
Pages (from-to)107-114
Number of pages8
JournalGiornale Italiano di Cardiologia
Volume8
Issue number2
Publication statusPublished - Feb 2007

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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