School of Information Systems, Computing and Maths, Brunel University, Uxbridge UB8 3PH, UK.
J Telemed Telecare. 2011;17(1):7-14. doi: 10.1258/jtt.2010.100113. Epub 2010 Nov 19.
We conducted a systematic review of large, well-conducted randomised trials designed to evaluate the effectiveness of telemonitoring on patients with congestive heart failure (CHF). Two people reviewed 125 articles independently and selected 13 articles for final review. These studies concerned 3480 patients. The follow-up period of the studies was 3-15 months. Pooled estimate results showed that there was an overall reduction in all-cause mortality (P = 0.02). There was no overall reduction in all-cause hospital admission (P = 0.84), although there was a reduction in CHF hospital admission (P = 0.0004). There was no reduction in all-cause emergency admission (P = 0.67). There was no significant difference in length of stay in hospital, medication adherence or cost. Telemonitoring in conjunction with nurse home visiting and specialist unit support can be effective in the clinical management of patients with CHF and help to improve their quality of life.
我们对旨在评估远程监测对充血性心力衰竭（CHF）患者有效性的大型、精心设计的随机试验进行了系统评价。两个人独立审查了 125 篇文章，并选择了 13 篇文章进行最终审查。这些研究涉及 3480 名患者。研究的随访时间为 3-15 个月。汇总估计结果显示，全因死亡率总体降低（P = 0.02）。全因住院率没有总体降低（P = 0.84），尽管心力衰竭住院率降低（P = 0.0004）。全因急诊入院率没有降低（P = 0.67）。住院时间、药物依从性或成本没有显著差异。远程监测结合家庭访视和专科支持小组可有效管理 CHF 患者，并有助于提高他们的生活质量。
