Canadian Agency for Drugs and Technologies in Health, Ottawa, Ontario, Canada.
J Telemed Telecare. 2010;16(2):68-76. doi: 10.1258/jtt.2009.090406. Epub 2009 Dec 11.
We conducted a systematic review of the literature about home telemonitoring compared with usual care. An electronic literature search was conducted to identify studies of home telemonitoring use in congestive heart failure (CHF) patients. Twenty-one original studies on home telemonitoring for patients with CHF were included (3082 patients). A random effects model was used to compute treatment efficacy to measure the average effect of the intervention across all studies where the quantitative pooling of results was appropriate. Home telemonitoring reduced mortality (risk ratio = 0.64; 95% CI: 0.48-0.85) compared with usual care. Several studies suggested that home telemonitoring also helped to lower the number of hospitalizations and the use of other health services. Patient quality of life and satisfaction with home telemonitoring were similar or better than with usual care. More studies of higher methodological quality are required to give more precise information about the potential clinical effectiveness of home telehealth interventions.
我们对家庭远程监护与常规护理进行了系统的文献回顾。进行了电子文献检索，以确定充血性心力衰竭（CHF）患者家庭远程监护使用的研究。共纳入 21 项关于 CHF 患者家庭远程监护的原始研究（3082 例患者）。使用随机效应模型计算治疗效果，以衡量所有适当进行结果定量汇总的研究中干预的平均效果。与常规护理相比，家庭远程监护降低了死亡率（风险比=0.64；95%CI：0.48-0.85）。一些研究表明，家庭远程监护还有助于减少住院次数和其他卫生服务的使用。患者的生活质量和对家庭远程监护的满意度与常规护理相似或更好。需要更多方法学质量更高的研究来提供有关家庭远程医疗干预潜在临床效果的更精确信息。
