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Telemonitoring or Structured Telephone Support Programmes for Patients with Chronic Heart Failure: Systematic Review and Meta-Analysis

Clark, R. A., Inglis, S. C. , McAlister, F. A. , Cleland, J. G. F. , & Stewart, S. (2007) Telemonitoring or Structured Telephone Support Programmes for Patients with Chronic Heart Failure: Systematic Review and Meta-Analysis. British Medical Journal (BMJ), 334(7600), pp. 942-945.

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Abstract

Objective: To determine whether remote monitoring (structured telephone support or telemonitoring) without regular clinic or home visits improves outcomes for patients with chronic heart failure. Data sources: 15 electronic databases, hand searches of previous studies, and contact with authors and experts. Data extraction: Two investigators independently screened the results. Review methods: Published randomised controlled trials comparing remote monitoring programmes with usual care in patients with chronic heart failure managed within the community. Results: 14 randomised controlled trials (4264 patients) of remote monitoring met the inclusion criteria: four evaluated telemonitoring, nine evaluated structured telephone support, and one evaluated both. Remote monitoring programmes reduced the rates of admission to hospital for chronic heart failure by 21% (95% confidence interval 11% to 31%) and all cause mortality by 20% (8% to 31%); of the six trials evaluating health related quality of life three reported significant benefits with remote monitoring, and of the four studies examining healthcare costs with structured telephone support three reported reduced cost and one no effect. Conclusion: Programmes for chronic heart failure that include remote monitoring have a positive effect on clinical outcomes in community dwelling patients with chronic heart failure.

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186 citations in Web of Science®

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ID Code: 47341
Item Type: Journal Article
Keywords: article, clinical trial, controlled clinical trial, health care cost, heart failure, hospital admission, human, meta analysis, mortality, patient attitude, patient care, patient compliance, patient monitoring, priority journal, professional practice, quality of life, randomized controlled trial, systematic review, teleconsultation, telemonitoring, treatment outcome, Chronic Disease, Heart Failure, Congestive, Hospitalization, Humans, Randomized Controlled Trials, Remote Consultation, Telephone
DOI: 10.1136/bmj.39156.536968.55
ISSN: 0959-8138
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CARDIOVASCULAR MEDICINE AND HAEMATOLOGY (110200)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Nursing
Copyright Owner: BMJ Publishing Group
Deposited On: 30 Nov 2011 12:58
Last Modified: 26 Dec 2012 21:14

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