PMID- 21979603
OWN - NLM
STAT- MEDLINE
DCOM- 20120301
LR  - 20111010
IS  - 1758-1109 (Electronic)
IS  - 1357-633X (Linking)
VI  - 17
IP  - 7
DP  - 2011
TI  - Home-based telemanagement in chronic heart failure: an 8-year single-site 
      experience.
PG  - 382-6
LID - 10.1258/jtt.2011.110201 [doi]
AB  - During an eight-year period, 358 patients with chronic heart failure (CHF) were 
      enrolled in a six-month home-based telemanagement (HBT) programme. The efficacy 
      of the programme was evaluated in two four-year periods, based on changes in 
      clinical, functional, Quality of Life (QoL) status and rate of hospital 
      readmission. The New York Heart Association (NYHA) class and the number of 
      patients with comorbidities increased significantly in the second period, while 
      the number of patients with beta-blockers decreased significantly (P < 0.01). 
      Following the HBT programme, non-cardiovascular hospital readmission rate and 
      all-cause readmission rate increased by 11% (P < 0.03) and 13% (P < 0.05), 
      respectively. On re-evaluation after six months (238 patients) there was a 
      general improvement in clinical, functional and QoL status and a significant 
      increase in the mean daily dosage of beta-blockers prescribed. Our experience 
      confirms that HBT for patients with CHF is associated with favourable effects on 
      hospital readmission for cardiovascular reasons and on QoL. However, a more 
      comprehensive multidisciplinary approach will probably be required to obtain 
      favourable effects on total morbidity.
FAU - Giordano, Amerigo
AU  - Giordano A
AD  - Cardiovascular Rehabilitation Department, Fondazione Salvatore Maugeri, IRCCS, 
      Institute of Lumezzane, Via Giuseppe Mazzini 129, 25066 Lumezzane, Brescia, 
      Italy. amerigo.giordano@fsm.it
FAU - Zanelli, Emanuela
AU  - Zanelli E
FAU - Scalvini, Simonetta
AU  - Scalvini S
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20111006
PL  - England
TA  - J Telemed Telecare
JT  - Journal of telemedicine and telecare
JID - 9506702
RN  - 0 (Adrenergic beta-Antagonists)
SB  - IM
MH  - Adrenergic beta-Antagonists/therapeutic use
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Failure/prevention & control/*therapy
MH  - Home Care Services, Hospital-Based/*organization & administration
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Education as Topic/*organization & administration
MH  - Patient Readmission/statistics & numerical data
MH  - Patient Satisfaction/*statistics & numerical data
MH  - Program Evaluation
MH  - *Quality of Life
MH  - Severity of Illness Index
MH  - Telemedicine/*organization & administration
EDAT- 2011/10/08 06:00
MHDA- 2012/03/02 06:00
CRDT- 2011/10/08 06:00
PHST- 2011/10/08 06:00 [entrez]
PHST- 2011/10/08 06:00 [pubmed]
PHST- 2012/03/02 06:00 [medline]
AID - jtt.2011.110201 [pii]
AID - 10.1258/jtt.2011.110201 [doi]
PST - ppublish
SO  - J Telemed Telecare. 2011;17(7):382-6. doi: 10.1258/jtt.2011.110201. Epub 2011 Oct 
      6.