结合远程监控和心力衰竭的远程教学,改善了心力衰竭的结果
Katharina Knoll1,2, Stefanie Rosner1, Stefan Gross3,4
1German Heart Centre Munich, Department of Cardiology, Technical University Munich, Munich, Germany.
NPJ digital medicine
|October 17, 2023
概括
一个全面的远程医疗计划显著降低了心力衰竭 (HF) 住院治疗和高风险患者的全因死亡率,与通常的护理相比. 这项现实研究强调了远程监控和远程教练对高频管理的有效性.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心力衰竭 (HF) 的管理需要持续的监测和支持,以防止医院再入院.
- 远程医疗干预已在改善HF等慢性疾病患者的治疗结果方面展现出前景.
研究的目的:
- 评估综合远程医疗计划在减少随后的心脏衰竭住院和死亡率方面的有效性.
- 为了比较HF患者在远程医疗计划中的结果与现实世界的常规护理.
主要方法:
- 对6065名高风险心力衰竭患者的回顾性分析,这些患者参加了远程医疗计划.
- 倾向性得分匹配被用来比较远程医疗参与者与接受常规护理的6065名患者.
- 从德国医疗保险公司收集了关于住院和死亡率的数据,平均随访时间为442天.
主要成果:
- 远程医疗组的HF住院率显著降低 (17.9比21.8每100个患者年) 和所有原因住院率 (129.0比133.2每100个患者年).
- 远程医疗计划中的患者在HF和所有原因的医院住院日数减少.
- 远程医疗组的全因死亡率显著降低 (5.8%对11.0%).
结论:
- 一个全面的远程医疗计划,包括远程监测和远程教练,可以有效地减少心力衰竭住院.
- 远程医疗干预可以显著降低高风险心力衰竭患者的全因死亡率.
- 这项研究证明了远程医疗在管理门诊性心力衰竭患者中的现实价值.
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