[Invasive telemonitoring in patients with heart failure]
Ortega Sánchez P C, Llanos Méndez A
Record ID 32013000373
Spanish
Authors' objectives:
Telemonitoring systems allow the measurement of cardiac pressures by a sensor located in the heart or pulmonary artery, so that they can adjust the pharmacological treatment of heart failure using objective physiological data obtained from the patient's home.
To evaluate the effectiveness and safety of these devices a systematic review was made obtaining 11 articles, 3 of whom were high-quality clinical trials and 2 non-controlled experimental studies (beforeafter).
Authors' recommendations:
The 4 systems tested (CardioMEMSR, ChronicleR, ImPressureR and HeartPODR) were described as safe and decreased the number of admissions and / or emergency rooms visits. There was only one clinical trial, conducted with CardioMEMSR, to demonstrate this significantly.
CardioMEMSR demostrated a reduction of the risk of hospitalization related to heart failure in the intervention group versus the control group of 30% (0.31 vs. 0.44, p <0.0001) at 6 month follow-up. In addition, improved survival with less chance of hospitalization or death in the intervention group versus control (HR = 0.71, 95% CI 0.55 to 0.92) during follow-up period, and the quality of life patients too.
CardioMEMSR made an economic study that increasing the ratio of integrating the system into the standard of care for the management of heart failure was estimated at $ 13,979 per QALY gained.
The development of these systems of telemonitoring are an alternative to guide the pharmacological treatment of heart failure and their promising results must be evaluated over time.
Details
Project Status:
Completed
URL for project:
https://www.aetsa.org/publicacion/telemonitorizacion-invasiva-en-pacientes-con-insuficiencia-cardiaca/
Year Published:
2012
URL for published report:
https://www.aetsa.org/download/publicaciones/antiguas/AETSA_2010_2-5_Telemonitor.pdf
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Spain
MeSH Terms
- Humans
- Monitoring, Physiologic
- Telemetry
- Heart Failure
- Telemedicine
Contact
Organisation Name:
Andalusian Health Technology Assessment Area
Contact Address:
Area de Evaluacion de Tecnologias Sanitarias Sanitarias de Andalucia (AETSA) Avda. Innovación, s/n Edificio Arena 1. Sevilla (Spain) Tel. +34 955 006 309
Contact Name:
aetsa.csalud@juntadeandalucia.es
Contact Email:
aetsa.csalud@juntadeandalucia.es
Copyright:
Andalusian Agency for Health Technology Assessment (AETSA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.