Non‐invasive telemonitoring improves outcomes in heart failure with reduced ejection fraction : a study in high‐risk patients
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2020 |
| Outros Autores: | , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10451/44404 |
Resumo: | © 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
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Non‐invasive telemonitoring improves outcomes in heart failure with reduced ejection fraction : a study in high‐risk patientsTelemonitoringNon-invasive monitoringHeart failureReduced ejection fraction© 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.Aims: Non-invasive telemonitoring (TM) in patients with heart failure (HF) and reduced left ventricular ejection fraction (HFrEF) may be useful in the early diagnosis of HF decompensation, allowing therapeutic optimization and avoiding re-hospitalization. We describe a TM programme in this population and evaluate its effectiveness during a 12 month period. Methods and results: We conducted a single-centre study of patients discharged from hospital after decompensated HF, allocated into three groups: prospective TM programme, prospective HF protocol follow-up programme (PFP) with no TM facilities, and retrospective propensity-matched usual care (UC). TM effectiveness was assessed by all-cause hospitalizations and mortality; HF-related hospitalization (HFH), days lost to unplanned hospital admissions/death, functional capacity and quality of life (New York Heart Association, Kansas City Cardiomyopathy Questionnaire, 6 min walk test, and plasma N-terminal pro-brain natriuretic peptide) were also evaluated. A total of 125 patients were included [65.9 ± 11.9 years, 32% female, left ventricular ejection fraction 27% (21-32)]. TM was similar to PFP regarding effectiveness; TM reduced all-cause hospitalization and mortality (HR 0.27; 95% CI 0.11-0.71; P < 0.01) and HFH (HR 0.29; 95% CI 0.10-0.89; P < 0.05) as compared with UC. TM reduced the average number of days lost due to unplanned hospital admissions or all-cause death as compared with PFP (5.6 vs. 12.4 days, P < 0.05) and UC (5.6 vs. 48.8 days, P < 0.01). Impact on quality of life was similar between TM and PFP (P = 0.36). Conclusions: In patients with HFrEF and recent HF hospitalization, non-invasive TM reduced 12 month all-cause hospitalization/mortality and HFH as compared with usual care. TM also reduced the number of days lost due to unplanned hospital admission/death as compared with either an optimized protocol-based follow-up programme or usual care.This work was supported by National Health System programme with specific budget attributed to non-invasive TM of HF patients. TM was performed in cooperation with Linde Healthcare®, which had no role in the data interpretation or writing of the report. The corresponding author had full access to all the data in the study and had the final responsibility for the decision to submit for publication.John Wiley and SonsRepositório da Universidade de LisboaNunes-Ferreira, AfonsoAgostinho, João R.Rigueira, JoanaAguiar-Ricardo, InêsGuimarães, TatianaSantos, RafaelRodrigues, TiagoCunha, NelsonAntónio, Pedro SilvérioCouto Pereira, Sara CristinaMorais, PedroMendes Pedro, MónicaVeiga, FátimaPinto, Fausto J.Brito, Dulce2020-09-21T14:15:50Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/44404engESC Heart Failure, 19 September 202010.1002/ehf2.129992055-5822info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:45:26Zoai:repositorio.ul.pt:10451/44404Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:56:59.379869Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Non‐invasive telemonitoring improves outcomes in heart failure with reduced ejection fraction : a study in high‐risk patients |
| title |
Non‐invasive telemonitoring improves outcomes in heart failure with reduced ejection fraction : a study in high‐risk patients |
| spellingShingle |
Non‐invasive telemonitoring improves outcomes in heart failure with reduced ejection fraction : a study in high‐risk patients Nunes-Ferreira, Afonso Telemonitoring Non-invasive monitoring Heart failure Reduced ejection fraction |
| title_short |
Non‐invasive telemonitoring improves outcomes in heart failure with reduced ejection fraction : a study in high‐risk patients |
| title_full |
Non‐invasive telemonitoring improves outcomes in heart failure with reduced ejection fraction : a study in high‐risk patients |
| title_fullStr |
Non‐invasive telemonitoring improves outcomes in heart failure with reduced ejection fraction : a study in high‐risk patients |
| title_full_unstemmed |
Non‐invasive telemonitoring improves outcomes in heart failure with reduced ejection fraction : a study in high‐risk patients |
| title_sort |
Non‐invasive telemonitoring improves outcomes in heart failure with reduced ejection fraction : a study in high‐risk patients |
| author |
Nunes-Ferreira, Afonso |
| author_facet |
Nunes-Ferreira, Afonso Agostinho, João R. Rigueira, Joana Aguiar-Ricardo, Inês Guimarães, Tatiana Santos, Rafael Rodrigues, Tiago Cunha, Nelson António, Pedro Silvério Couto Pereira, Sara Cristina Morais, Pedro Mendes Pedro, Mónica Veiga, Fátima Pinto, Fausto J. Brito, Dulce |
| author_role |
author |
| author2 |
Agostinho, João R. Rigueira, Joana Aguiar-Ricardo, Inês Guimarães, Tatiana Santos, Rafael Rodrigues, Tiago Cunha, Nelson António, Pedro Silvério Couto Pereira, Sara Cristina Morais, Pedro Mendes Pedro, Mónica Veiga, Fátima Pinto, Fausto J. Brito, Dulce |
| author2_role |
author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
| dc.contributor.author.fl_str_mv |
Nunes-Ferreira, Afonso Agostinho, João R. Rigueira, Joana Aguiar-Ricardo, Inês Guimarães, Tatiana Santos, Rafael Rodrigues, Tiago Cunha, Nelson António, Pedro Silvério Couto Pereira, Sara Cristina Morais, Pedro Mendes Pedro, Mónica Veiga, Fátima Pinto, Fausto J. Brito, Dulce |
| dc.subject.por.fl_str_mv |
Telemonitoring Non-invasive monitoring Heart failure Reduced ejection fraction |
| topic |
Telemonitoring Non-invasive monitoring Heart failure Reduced ejection fraction |
| description |
© 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020-09-21T14:15:50Z 2020 2020-01-01T00:00:00Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/44404 |
| url |
http://hdl.handle.net/10451/44404 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
ESC Heart Failure, 19 September 2020 10.1002/ehf2.12999 2055-5822 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
| dc.publisher.none.fl_str_mv |
John Wiley and Sons |
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John Wiley and Sons |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799134512628629504 |