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J Card Fail. 2007 Nov;13(9):709-14.

Randomized trial of Telemonitoring to Improve Heart Failure Outcomes (Tele-HF): study design.

Author information

  • 1Department of Internal Medicine, Section of General Medicine, Yale University School of Medicine, New Haven, CT 06520-8025, USA.

Abstract

BACKGROUND:

Telemonitoring, the use of communication technology to monitor clinical status, is gaining attention as a strategy to improve the care of patients with heart failure. A system of frequent monitoring could alert clinicians to early heart failure decompensation, providing the opportunity for intervention before patients become severely ill and require hospitalization. Moreover, patients' participation in a daily monitoring program could have a favorable effect on their health behaviors. The literature on telemonitoring for heart failure, however, is quite limited.

METHODS AND MATERIALS:

Telemonitoring to Improve Heart Failure Outcomes (Tele-HF) is a randomized, controlled, trial designed to compare an automated, daily symptom, and self-reported weight monitoring intervention with usual care in reducing (all-cause) hospital readmissions and mortality among patients recently hospitalized with decompensated heart failure. The intervention will be implemented and all outcomes will be assessed over a 6-month period. The purpose of the intervention is to collect information about symptoms, clinical status and weight and to engage participants in their own self-care. Participants are recruited from general cardiology, heart failure specialty, and primary care practices across the United States.

CONCLUSIONS:

The results of this study may inform future policy decisions regarding implementation of telemonitoring in treatment of heart failure.

PMID:
17996818
[PubMed - indexed for MEDLINE]
PMCID:
PMC2702538
Free PMC Article

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