Impact on clinical events and healthcare costs of adding telemedicine to multidisciplinary disease management programmes for heart failure: Results of a randomized controlled trial
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- dc.contributor.author Comín Colet, Josepca
- dc.contributor.author Enjuanes Grau, Cristinaca
- dc.contributor.author Verdú-Rotellar, José Maríaca
- dc.contributor.author Linas Alonso, Ana Mariaca
- dc.contributor.author Ruiz-Rodriguez, María del Pilarca
- dc.contributor.author González-Robledo, Ginaca
- dc.contributor.author Farré López, Núriaca
- dc.contributor.author Moliner Borja, Pedroca
- dc.contributor.author Ruiz-Bustillo, Soniaca
- dc.contributor.author Bruguera-Cortada, Jordica
- dc.date.accessioned 2016-09-01T07:40:54Z
- dc.date.issued 2016
- dc.description.abstract BACKGROUND: The role of telemedicine in the management of patients with chronic heart failure (HF) has not been fully elucidated. We hypothesized that multidisciplinary comprehensive HF care could achieve better results when it is delivered using telemedicine./nMETHODS AND RESULTS: In this study, 178 eligible patients with HF were randomized to either structured follow-up on the basis of face-to-face encounters (control group, 97 patients) or delivering health care using telemedicine (81 patients). Telemedicine included daily signs and symptoms based on telemonitoring and structured follow-up by means of video or audio-conference. The primary end-point was non-fatal HF events after six months of follow-up. The median age of the patients was 77 years, 41% were female, and 25% were frail patients. The hazard ratio for the primary end-point was 0.35 (95% confidence interval (CI), 0.20-0.59; p-value < 0.001) in favour of telemedicine. HF readmission (hazard ratio 0.39 (0.19-0.77); p-value=0.007) and cardiovascular readmission (hazard ratio 0.43 (0.23-0.80); p-value=0.008) were also reduced in the telemedicine group. Mortality was similar in both groups (telemedicine: 6.2% vs control: 12.4%, p-value > 0.05). The telemedicine group experienced a significant mean net reduction in direct hospital costs of €3546 per patient per six months of follow-up. CONCLUSIONS:/nAmong patients managed in the setting of a comprehensive HF programme, the addition of telemedicine may result in better outcomes and reduction of costs.ca
- dc.description.sponsorship This study was financially supported by Telefonica Soluciones S.A and Hospital del Mar Medical Research Institute (IMIM) upon Research and innovation agreement signed in 2008 between both institutions.
- dc.format.mimetype application/pdfca
- dc.identifier.citation Comín-Colet J, Enjuanes C, Verdú-Rotellar JM, Linas A, Ruiz-Rodriguez P, González-Robledo G et al. Impact on clinical events and healthcare costs of adding telemedicine to multidisciplinary disease management programmes for heart failure: Results of a randomized controlled trial. J Telemed Telecare. 2016 Jul;22(5):282-95. doi: 10.1177/1357633X15600583ca
- dc.identifier.doi http://dx.doi.org/10.1177/1357633X15600583
- dc.identifier.issn 1357-633X
- dc.identifier.uri http://hdl.handle.net/10230/27270
- dc.language.iso engca
- dc.publisher SAGE Publicationsca
- dc.relation.ispartof Journal of Telemedicine and Telecare. 2016 Jul;22(5):282-95
- dc.rights The final, definitive version of this paper has been published in J Telemed Telecare, 22(5), 2016 Jul., by SAGE Publications Ltd, All rights reserved. ©ca
- dc.rights.accessRights info:eu-repo/semantics/openAccessca
- dc.subject.other Infart de miocardica
- dc.subject.other Telecomunicació en medicinaca
- dc.title Impact on clinical events and healthcare costs of adding telemedicine to multidisciplinary disease management programmes for heart failure: Results of a randomized controlled trialca
- dc.type info:eu-repo/semantics/articleca
- dc.type.version info:eu-repo/semantics/acceptedVersionca