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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
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Heart failure non-invasive home telemonitoring systems: A systematic review
Lucía M Yanicelli1, Carla B Goy2, Ernesto C Martínez3
1INGAR - Instituto de Desarrollo y diseño, CONICET & Universidad Tecnológica Nacional, Avellaneda 3657, Santa Fe, S3002GJC, Argentina; Laboratorio de Investigaciones Cardiovasculares Multidisciplinarias - LICaM-, Universidad Nacional de Tucumán, Av. Independencia 1800, Tucumán T4002BLR, Argentina.
Computer Methods and Programs in Biomedicine
|February 4, 2021
Summary
Telemonitoring systems (TMS) for heart failure (HF) vary widely in features and often neglect clinical practice guidelines. Systems aligning with guidelines show promising results for HF management.
Area of Science:
- Cardiology
- Digital Health
- Health Services Research
Background:
- Heart Failure (HF) is a lifestyle-related condition amenable to remote monitoring.
- Non-invasive telemonitoring systems (TMS) are increasingly utilized for early detection of HF patient deterioration.
Purpose of the Study:
- To review and assess the characteristics of various TMS used in HF clinical trials (CTs).
- To discuss the impact and evaluation results of these telemonitoring systems.
Main Methods:
- A systematic search for CTs on non-invasive home TMS for HF patients was conducted in the Cochrane Library.
- Studies published between 2005 and March 2019 were included.
Main Results:
- 24 CTs met the inclusion criteria for the review.
- Analysis and comparison of TMS functionalities, monitored parameters, and key findings were performed.
- Significant heterogeneity was observed in the functionalities of the reviewed TMS.
Conclusions:
- Most TMS did not adhere to recommendations from HF management specialists and Clinical Practice Guidelines (CPGs).
- The diversity in TMS design complicates direct comparisons.
- TMS designed in accordance with CPGs demonstrated promising outcomes, highlighting the importance of specialist recommendations for HF management.
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