Effects of tailored telemonitoring on functional status and health-related quality of life in patients with heart failure.

[vc_row full_width=”stretch_row” css=”.vc_custom_1548353430222{background-color: #8a1465 !important;}”][vc_column][vc_empty_space height=”10px”][/vc_column][/vc_row][vc_row full_width=”stretch_row”][vc_column][vc_empty_space height=”4px”][vc_custom_heading source=”post_title” font_container=”tag:h1|text_align:left|color:%23333333″ google_fonts=”font_family:Raleway%3A100%2C200%2C300%2Cregular%2C500%2C600%2C700%2C800%2C900|font_style:400%20regular%3A400%3Anormal”][/vc_column][/vc_row][vc_row][vc_column width=”2/3″][vc_column_text css=”.vc_custom_1575544774578{margin-top: 5px !important;margin-right: 5px !important;margin-bottom: 5px !important;margin-left: 5px !important;border-top-width: 2px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: #ededed !important;}”]Research article published on Pubmed. 2019 November 27

AUTHORS: Gingele AJ, Ramaekers B, Brunner-La Rocca HP, De Weerd G, Kragten J, van Empel V, van der Weg K,  Bert Vrijhoef HJM, Gorgels A, Cleuren G, Boyne JJJ, Knackstedt C.


ABSTRACT

BACKGROUND:
Functional status and health-related quality of life (HRQoL) are important in patients with heart failure (HF). Little is known about the effect of telemonitoring on functional status and HRQoL in that population.

METHODS AND RESULTS:
A total of 382 patients with HF (New York Heart Association class 2-4) were included in a randomised controlled trial to investigate the effect of tailored telemonitoring on improving HRQoL and functional status in HF patients. Randomisation was computer-generated with stratification per centre. At baseline and after 12 months, patients’ functional status was determined by metabolic equivalent scores (METS). HRQoL was measured with the EuroQol five dimensions questionnaire (EQ-5D), visual analogue scale (VAS) and Borg rating of perceived exertion scale (Borg). Additional outcome data included number of HF-related outpatient clinic visits and mortality. Telemonitoring was statistically significantly related to an increase in METS after 1 year (regression coefficient 0.318; p = 0.01). Telemonitoring did not improve Borg, EQ-5D or VAS scores after 1 year. EQ-5D [hazard ratio (HR) 0.20, 95% confidence interval (CI) 0.07-0.54], VAS (HR 0.98, 95% CI 0.96-0.99), Borg (HR 1.21, 95% CI 1.11-1.31) and METS (HR 0.73, 95% CI 0.58-0.93) at baseline were significantly associated with survival after 12 months.

CONCLUSIONS:
Tailored telemonitoring stabilised the functional status of HF patients but did not improve HRQoL. Therefore, telemonitoring may help to prevent deterioration of exercise capacity in patients with HF. However, because our study is a reanalysis of a randomised controlled trial (RCT), this is considered hypothesis-generating and should be confirmed by adequately powered RCTs.

[/vc_column_text][/vc_column][vc_column width=”1/3″][vc_column_text css=”.vc_custom_1575544800102{margin-top: 10px !important;}”]Keywords: Health-related quality of life, Heart failure, Telemedicine[/vc_column_text][vc_separator css=”.vc_custom_1555607586280{margin-top: -4px !important;}”][vc_btn title=”Full-text article (Pubmed)” style=”custom” custom_background=”#8eb223″ custom_text=”#ffffff” align=”center” i_icon_fontawesome=”fa fa-arrow-right” button_block=”true” add_icon=”true” link=”url:https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F31414308|title:Springer%20link|target:%20_blank|”][vc_separator][vc_posts_slider type=”flexslider_slide” count=”All” interval=”0″ slides_content=”teaser” slides_title=”1″ title=”See also:” posttypes=”post” categories=”publications” css=”.vc_custom_1555606478402{background-position: center !important;background-repeat: no-repeat !important;background-size: contain !important;}”][/vc_column][vc_column][vc_empty_space][/vc_column][/vc_row][vc_row full_width=”stretch_row” css=”.vc_custom_1548353430222{background-color: #8a1465 !important;}”][vc_column][vc_empty_space height=”2px”][/vc_column][/vc_row]

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