Effect of home-based telecardiology on chronic heart failure: Costs and outcomes

S. Scalvini, S. Capomolla, E. Zanelli, M. Benigno, D. Domenighini, L. Paletta, F. Glisenti, A. Giordano

Research output: Contribution to journalArticlepeer-review


Chronic heart failure (CHF) remains a common cause of disability. We have investigated the use of home-based telecardiology (HBT) in CHF patients. Four hundred and twenty-six patients were enrolled in the study: 230 in the HBT group and 196 in the usual-care group. HBT consisted of trans-telephonic follow-up and electrocardiogram (ECG) monitoring, followed by visits from the paramedical and medical team. A one-lead ECG recording was transmitted to a receiving station, where a nurse was available for reporting and interactive teleconsultation. The patient could call the centre when assistance was required (tele-assistance), while the team could call the patient for scheduled appointments (telemonitoring). The one-year clinical outcomes showed that there was a significant reduction in rehospitalizations in the HBT group compared with the usual-care group (24% versus 34%, respectively). There was an increase in quality of life in the HBT group (mean Minnesota Living Questionnaire scores 29 and 23.5, respectively). The total costs were lower in the HBT group (€107,494 and €140,874, respectively). The results suggest that a telecardiology service can detect and prevent clinical instability, reduce rehospitalization and lower the cost of managing CHF patients.

Original languageEnglish
Pages (from-to)16-18
Number of pages3
JournalJournal of Telemedicine and Telecare
Issue numberSUPPL. 1
Publication statusPublished - 2005

ASJC Scopus subject areas

  • Health Policy
  • Nursing(all)
  • Health Informatics


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