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- Titel:
Combined telemonitoring and telecoaching for heart failure improves outcome.
- Dokumenttyp:
- Journal Article
- Autor(en):
- Knoll, Katharina; Rosner, Stefanie; Gross, Stefan; Dittrich, Dino; Lennerz, Carsten; Trenkwalder, Teresa; Schmitz, Stefanie; Sauer, Stefan; Hentschke, Christian; Dörr, Marcus; Kloss, Christian; Schunkert, Heribert; Reinhard, Wibke
- Abstract:
- Telemedicine has been shown to improve the outcome of heart failure (HF) patients in addition to medical and device therapy. We investigate the effectiveness of a comprehensive telehealth programme in patients with recent hospitalisation for HF on subsequent HF hospitalisations and mortality compared to usual care in a real-world setting. The telehealth programme consists of daily remote telemonitoring of HF signs/symptoms and regular individualised telecoaching sessions. Between January 2018 and September 2020, 119,715 patients of a German health insurer were hospitalised for HF and were eligible for participation in the programme. Finally, 6065 HF patients at high risk for re-hospitalisation were enroled. Participants were retrospectively compared to a propensity score matched usual care group (n = 6065). Median follow-up was 442 days (IQR 309-681). Data from the health insurer was used to evaluate outcomes. After one year, the number of hospitalisations for HF (17.9 vs. 21.8 per 100 patient years, p < 0.001), all-cause hospitalisations (129.0 vs. 133.2 per 100 patient years, p = 0.015), and the respective days spent in hospital (2.0 vs. 2.6 days per year, p < 0.001, and 12.0 vs. 13.4, p < 0.001, respectively) were significantly lower in the telehealth than in the usual care group. Moreover, participation in the telehealth programme was related to a significant reduction in all-cause mortality compared to usual care (5.8 vs. 11.0 %, p < 0.001). In a real-life setting of ambulatory HF patients at high risk for re-hospitalisation, participation in a comprehensive telehealth programme was related to a reduction of HF hospitalisations and all-cause mortality compared to usual care.
- Zeitschriftentitel:
- NPJ Digit Med
- Jahr:
- 2023
- Band / Volume:
- 6
- Heft / Issue:
- 1
- Volltext / DOI:
- doi:10.1038/s41746-023-00942-4
- PubMed:
- http://view.ncbi.nlm.nih.gov/pubmed/37848681
- TUM Einrichtung:
- Klinik für Herz- und Kreislauferkrankungen im Erwachsenenalter (DHM) (Prof. Schunkert)
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