Effective technologies for noninvasive remote monitoring in heart failure

Conway, Aaron, Inglis, Sally C. and Clark, Robyn A. (2014) Effective technologies for noninvasive remote monitoring in heart failure. Telemedicine and e-Health, 20 6: 531-538. doi:10.1089/tmj.2013.0267


Author Conway, Aaron
Inglis, Sally C.
Clark, Robyn A.
Title Effective technologies for noninvasive remote monitoring in heart failure
Journal name Telemedicine and e-Health   Check publisher's open access policy
ISSN 1556-3669
1530-5627
Publication date 2014-06-01
Year available 2014
Sub-type Article (original research)
DOI 10.1089/tmj.2013.0267
Open Access Status
Volume 20
Issue 6
Start page 531
End page 538
Total pages 8
Place of publication New Rochelle, NY United States
Publisher Mary Ann Liebert Inc Publishers
Collection year 2015
Language eng
Abstract Background: Trials of new technologies to remotely monitor for signs and symptoms of worsening heart failure are continually emerging. The extent to which technological differences impact the effectiveness of noninvasive remote monitoring for heart failure management is unknown. This study examined the effect of specific technology used for noninvasive remote monitoring of people with heart failure on all-cause mortality and heart failure-related hospitalizations. Materials and Methods: A subanalysis of a large systematic review and meta-analysis was conducted. Studies were stratified according to the specific type of technology used, and separate meta-analyses were performed. Four different types of noninvasive remote monitoring technologies were identified, including structured telephone calls, videophone, interactive voice response devices, and telemonitoring. Results: Only structured telephone calls and telemonitoring were effective in reducing the risk of all-cause mortality (relative risk [RR]=0.87; 95% confidence interval [CI], 0.75-1.01; p=0.06; and RR=0.62; 95% CI, 0.50-0.77; p<0.0001, respectively) and heart failure-related hospitalizations (RR=0.77; 95% CI, 0.68-0.87; p<0.001; and RR=0.75; 95% CI, 0.63-0.91; p=0.003, respectively). More research data are required for videophone and interactive voice response technologies. Conclusions: This subanalysis identified that only two of the four specific technologies used for noninvasive remote monitoring in heart failure improved outcomes. When results of studies that involved these disparate technologies were combined in previous meta-analyses, significant improvements in outcomes were identified. As such, this study has highlighted implications for future meta-analyses of randomized controlled trials focused on evaluating the effectiveness of remote monitoring in heart failure.
Keyword Heart failure
Remote monitoring
Systematic review
Meta-analysis
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Nursing, Midwifery and Social Work Publications
 
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