Improving Heart Failure Outcomes Through Telehomecare: A Comprehensive Review of Technologies in Practice

This project evaluated telehomecare technologies in the management of heart failure, with a focus on comparing invasive and noninvasive devices and impact on clinical outcomes, hospitalizations, and patient self-management. A literature review was conducted using PubMed to identify studies published in adults between 2015 and 2024 that examined telehomecare and telemonitoring interventions in heart failure. Search terms included telehealth, telehomecare, telemonitoring, and heart failure. Eligible studies included randomized controlled trials, observational studies, systematic reviews, and meta-analyses evaluating both invasive and noninvasive technologies. Across the reviewed studies, several invasive and noninvasive telehomecare interventions were identified that were associated with improvements in clinical and patient-centered outcomes. Remote monitoring enabled earlier detection of clinical deterioration, reduced all-cause and heart failure-related hospitalizations, and enhanced patient engagement and self-management. Benefits were greatest when monitoring tools were used consistently, integrated into structured care programs, and supported by timely clinical follow-up. Telehomecare represents an effective and patient-centered approach to heart failure management. Invasive monitoring devices provide strong evidence and benefits for high-risk patients through continuous physiologic assessment, while noninvasive tools offer accessible solutions for daily monitoring and self-management. When incorporated into coordinated care models, telehomecare improves outcomes and reduces the burden of heart failure.