PMID- 16942416
OWN - NLM
STAT- MEDLINE
DCOM- 20061031
LR  - 20211203
IS  - 1530-5627 (Print)
IS  - 1530-5627 (Linking)
VI  - 12
IP  - 4
DP  - 2006 Aug
TI  - Web-based Internet telemedicine management of patients with heart failure.
PG  - 439-47
AB  - An Internet-based store-and-retrieval telemedicine system to communicate between 
      patients and their healthcare provider was tested. The system requires no 
      specialized equipment, is Web-based, and allows frequent surveillance of the 
      health status of the patients with heart failure (HF). Thirty six patients were 
      recruited to evaluate a Web-based telemedicine system for reducing care 
      encounters. Eighteen patients were randomized to the telemedicine arm (group T), 
      and 18 were given usual clinical care (group C) in our HF center. Patients in 
      group T reported three times weekly via a secure Internet site for telemedicine 
      intervention. We studied patients with HF with New York Heart Association (NYHA) 
      class 2 to 4 with hospitalization within past 6 months. Mean age was 56.1 +/- 
      12.6 years (66.7% male; 66.7% Caucasian, 27.8% African American, and 5.6% 
      Hispanic). Mean ejection fraction (EF) was 23.9% +/- 17.6% in group T and 26.6% 
      +/- 16.4% in group C. Over an 8-month period, unscheduled (group T-3; group C-5), 
      and scheduled clinic visits (group T-11, group C-7) were similar (p = NS); one 
      group T patient was transplanted, one group C patient died. Total hospital days 
      were lower with group T (44 days) compared to group C (133 days), p < 0.05. An 
      Internet-based telemedicine system was able to closely monitor patients with HF. 
      Surveillance through Internet-based telemedicine resulted in less hospitalization 
      compared to control patients. This system may be helpful in reducing the cost of 
      HF patient care.
FAU - Kashem, Abul
AU  - Kashem A
AD  - Section of Cardiology, Temple University School of Medicine, Philadelphia, 
      Pennsylvania 19140, USA.
FAU - Droogan, Marie T
AU  - Droogan MT
FAU - Santamore, William P
AU  - Santamore WP
FAU - Wald, Joyce W
AU  - Wald JW
FAU - Marble, Judith F
AU  - Marble JF
FAU - Cross, Robert C
AU  - Cross RC
FAU - Bove, Alfred A
AU  - Bove AA
LA  - eng
GR  - HL065073/HL/NHLBI NIH HHS/United States
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - Telemed J E Health
JT  - Telemedicine journal and e-health : the official journal of the American 
      Telemedicine Association
JID - 100959949
SB  - IM
MH  - Computer Security
MH  - *Disease Management
MH  - Ethnicity
MH  - Female
MH  - Health Services/*statistics & numerical data
MH  - Heart Failure/ethnology/*therapy
MH  - Humans
MH  - *Internet
MH  - Male
MH  - Middle Aged
MH  - *Telemedicine
EDAT- 2006/09/01 09:00
MHDA- 2006/11/01 09:00
CRDT- 2006/09/01 09:00
PHST- 2006/09/01 09:00 [pubmed]
PHST- 2006/11/01 09:00 [medline]
PHST- 2006/09/01 09:00 [entrez]
AID - 10.1089/tmj.2006.12.439 [doi]
PST - ppublish
SO  - Telemed J E Health. 2006 Aug;12(4):439-47. doi: 10.1089/tmj.2006.12.439.