Gli effetti del Telemonitoraggio sulla riospedalizzazione e sulla mortalità nei pazienti con scompenso cardiaco: una revisione della letteratura

Carlo Federico Spatola, Fabio D’Agostino, Rosaria Alvaro, Ercole Vellone


Introduzione: lo Scompenso Cardiaco (SC) è una patologia a gestione complessa che determina un carico economico e sociale molto gravoso per il paziente, le famiglie ed il sistema sanitario.
Materiali e metodi: mediante una revisione condotta su database bibliografici sono stati analizzati 18 trial clinici randomizzati controllati (RCT) che descrivono gli effetti del telemonitoraggio (TM) sulle riospedalizzazioni (RI) e sui tassi di mortalità dei pazienti con SC.

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Riferimenti bibliografici

gO AS, mOZAFFARIAN D, ROgER Vl et al. Heart disease and stroke statistics – 2013 up- date: A report from the American Heart Association. Circulation 2013; 127: e6– e245.

COCCHIERI A, RIEgEl B, D’AgOSTINO F, ROC- CO g, FIDA R, AlVARO R, VEllONE E. Describ- ing self-care in Italian adults with heart failure and identifying determinants of poor self-care. European Journal of Cardiovascular Nursing. In Press. DOI: 10.1177/147451511351 8442.

VEllONE E, RIEgEl B, D’AgOSTINO F et al. Struc- tural Equation Model Testing the Situ- ation-speci c Theory of Heart Failure Self-Care. Journal of Advanced Nursing. 2013; 69: 2481-2492.

BuI Al, FONAROW gC. Home monitoring for heart failure management. J Am Coll Cardiol. 2012 Jan 10;59(2):97-104.

FONAROW gC, STOugH Wg, ABRAHAm WT, Al- BERT Nm, gHEORgHIADE m, gREENBERg BH et al. Characteristics, treatments, and out- comes of patients with preserved systol- ic function hospitalized for heart failure: a report from the OPTIMIZE-HF Registry. J Am Coll Cardiol. 2007 Aug 21;50(8):768- 77.

ROgER Vl, WESTON SA, REDFIElD mm, HEll- ERmANN-HOmAN JP, KIllIAN J, yAWN BP et al. Trends in heart failure incidence and sur- vival in a community-based population. JAMA. 2004 Jul 21;292(3):344-50.

KAlOgEROPOulOS A, gEORgIOPOulOu V, KRITCHEVSKy SB, PSATy Bm, SmITH Nl, NEWmAN AB et al. Ep- idemiology of incident heart failure in a contemporary elderly cohort: the health, aging, and body composition study. Arch Intern Med. 2009 Apr 13;169(7):708-15.

SETO E. Cost comparison between tele- monitoring and usual care of heart fail- ure: a systematic review. Telemed J E Health. 2008 Sep;14(7):679-86.

BRAuNSCHWEIg F,COWIE mR,AuRICCHIO A.What are the costs of heart failure? Europace. 2011 May;13 Suppl 2:ii13-7.

HuNT SA, ABRAHAm WT, CHIN mH, FElDmAN Am, FRANCIS gS, gANIATS Tg et al. ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult: a report of the American Col- lege of Cardiology/American Heart As- sociation Task Force on Practice Guide- lines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure): devel- oped in collaboration with the American College of Chest Physicians and the In- ternational Society for Heart and Lung Transplantation: endorsed by the Heart Rhythm Society. Circulation. 2005 Sep 20;112(12):e154-235.

SOlOmON SD, DOBSON J, POCOCK S, SKAlI H, mC- muRRAy JJ, gRANgER CB et al. In uence of non fatal hospitalization for heart failure on subsequent mortality in patients with chronic heart failure. Circulation. 2007 Sep 25;116(13):1482-7. Programma Valutazione Esiti (PNE) Ed. 2012, SDO 2005-2011. 2012 [cited 2012 28/09/2012]; Available from: Ultimo accesso 30 marzo 2014

WHEllAN DJ, HASSElBlAD V, PETERSON E, O’CON- NOR Cm, SCHulmAN KA. Meta-analysis and review of heart failure disease manage- ment randomized controlled clinical tri- als. Am Heart J. 2005 Apr;149(4):722-9.

JOVICIC A, HOlROyD-lEDuC Jm, STRAuS SE. Ef- fects of self-management intervention on health outcomes of patients with heart failure: a systematic review of random- ized controlled trials. BMC Cardiovasc Disord. 2006;6:43.

DONAHO EK, TRuPP RJ. Hemodynamic monitoring in heart failure: a nursing perspective. Heart Fail Clin. 2009 Apr;5(2):271-8.

BOWlES KH, BAugH AC. Applying research ev- idence to optimize telehomecare. J Car- diovasc Nurs. 2007 Jan-Feb;22(1):5-15.

mOHER D, HOPEWEll S, SCHulZ KF, mONTO- RI V, gOTZSCHE PC, DEVEREAuX PJ et al. CON- SORT 2010 explanation and elabora- tion: updated guidelines for reporting parallel group randomised trials. BMJ. 2010;340:c869.

PEKmEZARIS R, mITZNER I, PECINKA KR, NOuRy- AN CN, lESSER ml, SIEgEl M et al. The im- pact of remote patient monitoring (tele- health) upon Medicare bene ciaries with heart failure. Telemed J E Health. 2012


WEINTRAuB A,gREgORy D,PATEl AR,lEVINE D,VE- NESy D, PERRy K et al. A multicenter random- ized controlled evaluation of automated home monitoring and telephonic dis- ease management in patients recently hospitalized for congestive heart failure: the SPAN-CHF II trial. J Card Fail. 2010 Apr;16(4):285-92.

FERRANTE D, VARINI S, mACCHIA A, SOIFER S, BA- DRA R, Nul D et al. Long-term results af- ter a telephone intervention in chronic heart failure: DIAL (Randomized Trial of Phone Intervention in Chronic Heart Fail- ure) follow-up. J Am Coll Cardiol. 2010 Jul 27;56(5):372-8.

TOmPKINS C, ORWAT J. A randomized tri- al of telemonitoring heart failure pa- tients. J Healthc Manag. 2010 Sep- Oct;55(5):312-22; discussion 22-3.

DAR O, RIlEy J, CHAPmAN C, DuBREy SW, mOR- RIS S, ROSEN SD et al. A randomized trial of home telemonitoring in a typical elder- ly heart failure population in North West London: results of the Home-HF study. Eur J Heart Fail. 2009 Mar;11(3):319-25.

WADE mJ, DESAI AS, SPETTEll Cm, SNyDER AD, mCgOWAN-STACKEWICZ V, KummER PJ et al. Telemonitoring with case manage- ment for seniors with heart failure. Am J Manag Care. 2011 Mar;17(3):e71-9.

WAKEFIElD BJ, WARD mm, HOlmAN JE, RAy A, SCHERuBEl m, BuRNS Tl et al. Evaluation of home telehealth following hospitaliza- tion for heart failure: a randomized trial. Telemed J E Health.2008 Oct;14(8):753- 61.

DANSKy KH, VASEy J, BOWlES K. Impact of tele- health on clinical outcomes in patients with heart failure. Clin Nurs Res. 2008 Aug;17(3):182-99.

gIORDANO A, SCAlVINI S, ZANEllI E, CORRA u, lON- gOBARDI gl, RICCI VA et al. Multicenter ran- domised trial on home-based teleman- agement to prevent hospital readmission of patients with chronic heart failure. Int J Cardiol. 2009 Jan 9;131(2):192-9.

SCHERR D,KASTNER P,KOllmANN A,HAllAS A,AuER J, KRAPPINgER H et al. Effect of home-based telemonitoring using mobile phone tech- nology on the outcome of heart failure patients after an episode of acute de- compensation: randomized controlled tri- al. J Med Internet Res. 2009;11(3):e34.

BOyNE JJ, VRIJHOEF HJ, CRIJNS HJ, DE WEERD g, KRAgTEN J, gORgElS AP et al. Tailored tele- monitoring in patients with heart fail- ure: results of a multicentre randomized controlled trial. Eur J Heart Fail. 2012 Jul;14(7):791-801.

lyNgA P, PERSSON H, HAgg-mARTINEll A, HAg- gluND E, HAgERmAN I, lANgIuS-EKlOF A et al. Weight monitoring in patients with se- vere heart failure (WISH). A randomized controlled trial. Eur J Heart Fail. 2012 Apr;14(4):438-44.

DENDAlE P, DE KEulENAER g, TROISFONTAINES P, WEyTJENS C, mullENS W, ElEgEERT I et al. Ef- fect of a telemonitoring-facilitated collab- oration between general practitioner and heart failure clinic on mortality and re- hospitalization rates in severe heart fail- ure: the TEMA-HF 1 (TElemonitoring in the MAnagement of Heart Failure) study. Eur J Heart Fail. 2012 Mar;14(3):333-40.

KOEHlER F, WINKlER S, SCHIEBER m, SECHTEm u, STANgl K, BOHm m et al. Impact of remote telemedical management on mortality and hospitalizations in ambulatory pa- tients with chronic heart failure: the tele- medical interventional monitoring in heart failure study. Circulation. 2011 May 3;123(17):1873-80.

ANTONICEllI R, TESTARmATA P, SPAZZAFumO l, gA- glIARDI C, BIlO g, VAlENTINI M et al. Impact of telemonitoring at home on the man- agement of elderly patients with con- gestive heart failure. J Telemed Telecare. 2008;14(6):300-5.

CHAuDHRy SI, mATTERA JA, CuRTIS JP, SPERTuS JA, HERRIN J, lIN Z et al. Telemonitoring in patients with heart failure. N Engl J Med. 2010 Dec 9;363(24):2301-9.

mORTARA A, PINNA gD, JOHNSON P, mAESTRI R, CAPOmOllA S, lA ROVERE mT et al. Home telemonitoring in heart failure pa- tients: the HHH study (Home or Hospital in Heart Failure). Eur J Heart Fail. 2009 Mar;11(3):312-8.

CHEN yH, HO yl, HuANg HC, Wu HW, lEE Cy, HSu TP et al. Assessment of the clinical outcomes and cost-effectiveness of the management of systolic heart failure in Chinese patients using a home-based intervention. J Int Med Res. 2010 Jan- Feb;38(1):242-52.

VEllONE E, CHuNg ml, COCCHIERI A, ROCCO g, AlVARO R, RIEgEl B. Effects of Self-Care on Quality of Life in Adults with Heart Fail- ure and Their Spousal Caregivers:Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model. Journal of Fa- mily Nursing. 2014, 20(1):120-141.


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