PMID- 24163234
OWN - NLM
STAT- MEDLINE
DCOM- 20140409
LR  - 20131028
IS  - 1758-1109 (Electronic)
IS  - 1357-633X (Linking)
VI  - 19
IP  - 5
DP  - 2013 Jul
TI  - Meta-analysis and meta-regression of telehealth programmes for patients with 
      chronic heart failure.
PG  - 249-59
LID - 10.1177/1357633X13495490 [doi]
AB  - To assess the effectiveness of telehealth used for chronic heart failure (CHF) 
      patients, we searched for peer-reviewed, randomized controlled trials published 
      between 2001 and 2012. A total of 33 studies met the inclusion criteria. There 
      were 26 studies (79%) which concerned tele-monitoring and 7 (21%) which concerned 
      case management or nurse administered telephone-based management. There were 7530 
      patients in all, with an average age of 69 years. A meta-analysis showed that 
      telehealth programmes had significant overall effectiveness in reducing all-cause 
      mortality (Fixed effect model risk ratio 0.76, 95% CI 0.66 to 0.88), CHF-related 
      hospitalization (Random effect model risk ratio 0.72, 95% CI 0.61 to 0.85) and 
      CHF-related length of stay (Random effect model mean difference -1.41 days, 95% 
      CI -2.43 to -0.39). In addition, telehealth programmes showed significantly 
      greater effectiveness in reducing mortality and hospitalizations among patients 
      with higher New York Heart Association (NYHA) categories. With age and NYHA held 
      constant, recording questionnaire (symptoms) data could reduce the mortality risk 
      by 34% and the risk of CHF-related hospitalization by 15%; adding a pulse (heart 
      rate) detector could reduce the mortality risk by 40% and the risk of CHF-related 
      hospitalization by 43%. Finally, telehealth programmes showed a tapering effect 
      on mortality reduction: the longer the follow-up period, the less effective they 
      were on decreasing mortality. In conclusion, telehealth programmes demonstrated 
      clinical effectiveness in patients with CHF compared with usual care.
FAU - Xiang, Rui
AU  - Xiang R
AD  - Columbia University, New York, USA.
FAU - Li, Lin
AU  - Li L
FAU - Liu, Sheena Xin
AU  - Liu SX
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
DEP - 20130709
PL  - England
TA  - J Telemed Telecare
JT  - Journal of telemedicine and telecare
JID - 9506702
SB  - IM
MH  - Chronic Disease
MH  - Heart Failure/mortality/*therapy
MH  - Humans
MH  - Length of Stay
MH  - Peer Review, Research
MH  - Randomized Controlled Trials as Topic
MH  - Regression Analysis
MH  - Telemedicine/*methods
EDAT- 2013/10/29 06:00
MHDA- 2014/04/10 06:00
CRDT- 2013/10/29 06:00
PHST- 2013/10/29 06:00 [entrez]
PHST- 2013/10/29 06:00 [pubmed]
PHST- 2014/04/10 06:00 [medline]
AID - 1357633X13495490 [pii]
AID - 10.1177/1357633X13495490 [doi]
PST - ppublish
SO  - J Telemed Telecare. 2013 Jul;19(5):249-59. doi: 10.1177/1357633X13495490. Epub 
      2013 Jul 9.