INGAR - Instituto de Desarrollo y diseño, CONICET & Universidad Tecnológica Nacional, Avellaneda 3657, Santa Fe, S3002GJC, Argentina; Laboratorio de Investigaciones Cardiovasculares Multidisciplinarias - LICaM-, Universidad Nacional de Tucumán, Av. Independencia 1800, Tucumán T4002BLR, Argentina.
Departamento de Electrónica, Eléctrica y Computación, Universidad Nacional de Tucumán, Av. Independencia 1800, Tucumán T4002BLR, Argentina.
Comput Methods Programs Biomed. 2021 Apr;201:105950. doi: 10.1016/j.cmpb.2021.105950. Epub 2021 Jan 21.
Heart Failure (HF) is mostly a lifestyle-related disease that is suited to telemonitoring since patients' signs and symptoms can be assessed remotely by healthcare providers. Today, non-invasive telemonitoring programs are increasingly used in HF care to detect patients' deterioration. This study aims to review and assess the distinctive characteristics of the different telemonitoring systems (TMS) tested in HF patients through clinical trials (CTs). Discussing the impact of the evaluation results of these systems is also another objective of this work.
The search for CTs studies related to non-invasive home TMS in HF patients has been made in Cochrane Library. Research works of interest were limited to those articles published between 2005 and March 2019.
A total of 24 CTs that fully met the inclusion criteria were included in the final review. The main functionalities of these TMS were analyzed and compared among them. Also, the monitored parameters and significant findings of each trial were described.
This review shows a wide difference among available functionalities deployed by the reviewed systems. Most of them did not take into account the recommendations of HF management specialists, detailed in the evidence-based Clinical Practice Guidelines (CPGs) of the most relevant cardiology associations. Due to this, there is a wide variety of TMS, which makes a comparison among them difficult. However, the few systems that comply with the CPGs recommendations found promising results, suggesting that the design of TMS for the HF management should take into account the recommendations of specialists (CPGs).
心力衰竭（HF）主要是一种与生活方式相关的疾病，非常适合远程监测，因为医疗保健提供者可以远程评估患者的体征和症状。如今，非侵入性远程监测计划越来越多地用于 HF 护理，以检测患者的病情恶化。本研究旨在通过临床试验（CT）回顾和评估在 HF 患者中测试的不同远程监测系统（TMS）的独特特征。讨论这些系统评估结果的影响也是这项工作的另一个目标。
在 Cochrane Library 中搜索与 HF 患者非侵入性家庭 TMS 相关的 CT 研究。有兴趣的研究工作仅限于 2005 年至 2019 年 3 月期间发表的文章。
共有 24 项完全符合纳入标准的 CT 纳入最终综述。分析和比较了这些 TMS 的主要功能。还描述了每个试验的监测参数和重要发现。
本综述表明，所审查系统提供的可用功能之间存在很大差异。它们中的大多数都没有考虑到 HF 管理专家的建议，这些建议详细记录在大多数相关心脏病协会的循证临床实践指南（CPGs）中。因此，存在各种各样的 TMS，这使得它们之间的比较变得困难。然而，符合 CPG 建议的少数系统发现了有前途的结果，这表明 TMS 的设计应考虑到专家的建议（CPGs）。
