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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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Evaluation of a Mobile Application for Heart Failure Telemonitoring
Diana Marcela Achury Saldaña1, Rafael A Gonzalez, Angel Garcia
1Author Affiliations: Nursing Faculty (Ms Achury Saldaña) and Engineering Faculty (Dr Gonzalez), and Faculty of Medicine (Drs Garcia and Bohorquez), Pontificia Universidad Javeriana; and Heart Failure Clinic (Ms Aponte), Hospital Universitario San Ignacio (Dr Mariño), Bogotá, Colombia.
Computers, Informatics, Nursing : CIN
|May 16, 2021
Summary
This study developed a telemonitoring app for heart failure patients, improving treatment adherence and self-care. The app demonstrated significant potential in preventing complications and reducing hospital readmissions.
Area of Science:
- Cardiology
- Digital Health
- Health Informatics
Background:
- Heart failure (HF) management requires robust patient adherence to treatment.
- Traditional follow-up methods can be enhanced by technology.
- Telemonitoring offers promising avenues for improved HF patient care.
Purpose of the Study:
- To develop and evaluate a telemonitoring application for heart failure patients.
- To assess the application's impact on clinical decision-making and patient outcomes.
- To gauge user acceptance of the telemonitoring system.
Main Methods:
- A 6-month pilot observational study involving 20 heart failure outpatients and 2 nurses.
- Development of a dual-interface application: web for clinicians, mobile for patients.
- Technological acceptance questionnaire administered post-study.
Main Results:
- The application generated 64 real-time alerts, facilitating early clinical intervention.
- A significant 91% of patients avoided hospital readmissions during the study.
- High user acceptance reported by both patients and nurses.
Conclusions:
- The developed telemonitoring application shows considerable utility.
- It serves as an effective complementary strategy for heart failure patient follow-up.
- The system supports both clinician oversight and patient self-care effectively.
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