Remote telemonitoring of cardiovascular patients: Benefits, barriers, new suggestions

Hashemi, Atieh; Nourbakhsh, Sormeh; Tehrani, Pedram; Karimi, Alireza

doi:10.1016/j.artres.2018.04.001

Cited by 12 publications

(13 citation statements)

References 34 publications

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“…If these actions are not taken by the patient, telehealth interventions cannot function. Therefore, it is important to consider patient preferences during the design process [ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Telehealth on Hospital Services Use: Systematic Review and Meta-analysis

Peters¹,

Kooij²,

Lenferink³

et al. 2021

J Med Internet Res

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Background Telehealth interventions, that is, health care provided over a distance using information and communication technology, are suggested as a solution to rising health care costs by reducing hospital service use. However, the extent to which this is possible is unclear. Objective The aim of this study is to evaluate the effect of telehealth on the use of hospital services, that is, (duration of) hospitalizations, and to compare the effects between telehealth types and health conditions. Methods We searched PubMed, Scopus, and the Cochrane Library from inception until April 2019. Peer-reviewed randomized controlled trials (RCTs) reporting the effect of telehealth interventions on hospital service use compared with usual care were included. Risk of bias was assessed using the Cochrane Risk of Bias 2 tool and quality of evidence according to the Grading of Recommendations Assessment, Development and Evaluation guidelines. Results We included 127 RCTs in the meta-analysis. Of these RCTs, 82.7% (105/127) had a low risk of bias or some concerns overall. High-quality evidence shows that telehealth reduces the risk of all-cause or condition-related hospitalization by 18 (95% CI 0-30) and 37 (95% CI 20-60) per 1000 patients, respectively. We found high-quality evidence that telehealth leads to reductions in the mean all-cause and condition-related hospitalizations, with 50 and 110 fewer hospitalizations per 1000 patients, respectively. Overall, the all-cause hospital days decreased by 1.07 (95% CI −1.76 to −0.39) days per patient. For hospitalized patients, the mean hospital stay for condition-related hospitalizations decreased by 0.89 (95% CI −1.42 to −0.36) days. The effects were similar between telehealth types and health conditions. A trend was observed for studies with longer follow-up periods yielding larger effects. Conclusions Small to moderate reductions in hospital service use can be achieved using telehealth. It should be noted that, despite the large number of included studies, uncertainties around the magnitude of effects remain, and not all effects are statistically significant.

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“…If these actions are not taken by the patient, telehealth interventions cannot function. Therefore, it is important to consider patient preferences during the design process [ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Telehealth on Hospital Services Use: Systematic Review and Meta-analysis

Peters¹,

Kooij²,

Lenferink³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

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“…E há, a partir destes estudos, destaques para a necessidade de novos estudos e principalmente por um período mais longo. E por fim, cabe destacar que cada estudo se utiliza de formatos e tecnologias diferente para tornar possível o telemonitoramento o que pode ser considerado como viés para a comparação, havendo necessidade de maior aprofundamento acerca da temática 13,14,15,16. Ao analisarmos os estudos de revisão, qualitativos e observacional, os principais achados demonstram que o telemonitoramento mantém a associação com a redução da pressão arterial e ainda aponta a melhoria da adesão ao tratamento pelos hipertensos sendo invariavelmente mencionado como algo positivo, de baixo custo e relevante principalmente para os pacientes de alto risco 21,22 .…”

Section: Discussionunclassified

“…Um telemonitoramento com resultados positivos para este grupo, deve ser realizado por uma equipe multiprofissional preparada e com protocolos, especialmente de ajustes de anti-hipertensivos, bem estabelecidos, a fim de proporcionar aos pacientes um atendimento eficaz e com resultados plausíveis que ecoem em seu estilo e qualidade de vida 20,16,21,18,22 . Além disso, coloca o hipertenso no centro do seu cuidado e o auxilia no manejo e controle da sua própria doença, sendo uma intervenção desafiadora.…”

Section: A Relevância Do Telemonitoramento Para O Grupo De Hipertensosunclassified

A relevância do Telemonitoramento para hipertensos: uma revisão integrativa/ The relevance of Telemonitoring for hypertensive patients: an integrative review

Costa¹,

Correia²

2021

Braz. Ap. Sci. Rev.

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A hipertensão arterial representa um importante problema de saúde pública, culminando em um impacto significativo na qualidade de vida dos indivíduos. O uso do telemonitoramento se enquadra como um importante direcionamento e ferramenta a ser inserido nos programas e políticas de saúde no contexto da hipertensão arterial, visando o controle da pressão arterial e consequentemente a diminuição de desfechos adversos. Portanto, o objetivo foi analisar evidências científicas acerca da relevância e barreiras no telemonitoramento de hipertensos. Método: revisão integrativa, realizada em fevereiro de 2021. Para tal, utilizou-se os descritores em português, inglês e espanhol pra “hipertensão” e “telemonitoramento”, nas bases de dados, LILACS, MEDILINE e SCOPUS. Resultados: dos 139 artigos selecionados, foram incluídos 10 estudos que atenderam aos critérios de inclusão. Na análise foram agrupados em dois eixos “A relevância do telemonitoramento para o grupo de hipertensos” e as “Barreiras que dificultam o telemonitoramento”. Considerações Finais: o telemonitoramento se faz como uma abordagem promissora não limitada ao gerenciamento da doença, mas do indivíduo em si, especialmente àqueles em situações de alto risco de descompensação.

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“…Telecardiology can also help in first detection of new atrial fibrillation (A.F), home management of chronic A.F and home monitoring of cardiac implantable devices is feasible and associated with an early detection of medical and technical events. 8,9 The increasing burden of CVD necessitates the investigation of effectiveness of telemonitoring in CVD. Telecardiology applications can be useful in primary and secondary prevention of cardiovascular diseases, diagnosis of acute myocardial infarction, rehabilitation after cardiac events, management of chronic heart failure, arrhythmias and management of cardiac implantable electronic devices.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine in COVID-19 era

Nazim

Rahman²,

Uddin

2020

Birdem Med J

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Background: COVID-19 pandemic has set many things to new normal. Telemedicine, in its modern form, started in the 1960s. In this COVID era of isolation, lockdown and quarantine, telemedicine has emerged as an essential way to seek medical consultation. This study was designed to explore the practical utility of telemedicine. Methods: This was an observational study of real-life scenario. The data were collected from prescriptions of single, home-based, specialist clinical practice set-up. It was over a period of 26 days in the month of August 2020. The liking or disliking or preference of telemedicine was asked by the physician and was recorded. Emergency cases were not entertained. Repeat visit cases were not included in statistical analysis. The data were analyzed by SPSS 23. Results: A total of 453 cases were analysed. There were 40 COVID-19 cases and 413 non-COVID cases. COVID and non-COVID cases were analysed in different account. Thirty (75%) COVID-19 cases were RTPCR positive; asymptomatic (2, 5%), influenza-like illness (ILI) (16, 40%) and pneumonia (22, 55%). Thirty one (77.5%) were diabetic, 19 (47.%) had hypertension, 4 (10%) had bronchial asthma. Twenty four (60%) cases were treated with regimen following national guideline (dexa+antibiotic+enoxaparine). Non-COVID cases were with chronic diseases; diabetes mellitus (81.6%), hypertension (67.1%), bronchial asthma (9.2%), hypothyroidism (12.6%). Nearly half (45.8%) were insulin user. Among the respondants, 8.4% disliked service of telemedicine, 91.6% supported it but 41.9% expressed the wisdom of face to face consulation. Over half (51.8%) urged not to abandone it. Conclusion: Telemecinie may be a useful way of medical consultation where needed and indicated. Birdem Med J 2020; 10, COVID Supplement: 74-80

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Remote telemonitoring of cardiovascular patients: Benefits, barriers, new suggestions

Cited by 12 publications

References 34 publications

The Effect of Telehealth on Hospital Services Use: Systematic Review and Meta-analysis

The Effect of Telehealth on Hospital Services Use: Systematic Review and Meta-analysis

A relevância do Telemonitoramento para hipertensos: uma revisão integrativa/ The relevance of Telemonitoring for hypertensive patients: an integrative review

Telemedicine in COVID-19 era

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