Masotta Vittorio, Dante Angelo, Caponnetto Valeria, Marcotullio Alessia, Ferraiuolo Fabio, Bertocchi Luca, Camero Francesco, Lancia Loreto, Petrucci Cristina
Department of Life, Health and Environmental Sciences, University of L'Aquila, Via Giuseppe Petrini, L'Aquila 67100, Italy.
Department of Life, Health and Environmental Sciences, University of L'Aquila, Via Giuseppe Petrini, L'Aquila 67100, Italy.
Heart Lung. 2024 Mar-Apr;64:149-167. doi: 10.1016/j.hrtlng.2024.01.003. Epub 2024 Jan 18.
Heart failure (HF) is a cardiac clinical syndrome that involves complex pathological aetiologies. It represents a growing public health issue and affects a significant number of people worldwide.
To synthesize evidence related to the impact of telemonitoring strategies on mortality and hospital readmissions of heart failure patients.
A systematic literature review was conducted using PubMed, Scopus, CINAHL, IEEE Xplore Digital Library, Engineering Source, and INSPEC. To be included, studies had to be in English or Italian and involve heart failure patients of any NYHA class, receiving care through any telecare, remote monitoring, telemonitoring, or telehealth programmes. Articles had to contain data on both mortality and number of patients who underwent rehospitalizations during follow-ups. To explore the effectiveness of telemonitoring strategies in reducing both one-year all-cause mortality and one-year rehospitalizations, studies were synthesized through meta-analyses, while those excluded from meta-analyses were summarized narratively.
Sixty-one studies were included in the review. Narrative synthesis of data suggests a trend towards a reduction in deaths among monitored patients, but the number of rehospitalized patients was higher in this group. Meta-analysis of studies reporting one-year all-cause mortality outlined the protective power of care models based on telemonitoring in reducing one-year all-cause mortality. Meta-analysis of studies reporting the number of rehospitalized patients in one-year outlined that telemonitoring is effective in reducing the number of rehospitalized patients when compared with usual care strategies.
Evidence from this review confirms the benefits of telemonitoring in reducing mortality and rehospitalizations of HF patients. Further research is needed to reduce the heterogeneity of the studies.
心力衰竭（HF）是一种涉及复杂病理病因的心脏临床综合征。它是一个日益严重的公共卫生问题，影响着全球大量人口。
综合有关远程监测策略对心力衰竭患者死亡率和再入院率影响的证据。
使用PubMed、Scopus、CINAHL、IEEE Xplore数字图书馆、工程资源库和INSPEC进行系统的文献综述。纳入的研究必须为英文或意大利文，且涉及任何纽约心脏协会（NYHA）分级的心力衰竭患者，通过任何远程护理、远程监测、远程监控或远程医疗计划接受护理。文章必须包含随访期间的死亡率和再次住院患者数量的数据。为了探讨远程监测策略在降低一年全因死亡率和一年再入院率方面的有效性，通过荟萃分析对研究进行综合，而那些被排除在荟萃分析之外的研究则进行叙述性总结。
该综述纳入了61项研究。数据的叙述性综合表明，接受监测的患者死亡人数有减少的趋势，但该组再次住院的患者人数较多。对报告一年全因死亡率的研究进行的荟萃分析概述了基于远程监测的护理模式在降低一年全因死亡率方面的保护作用。对报告一年再入院患者数量的研究进行的荟萃分析表明，与常规护理策略相比，远程监测在减少再入院患者数量方面是有效的。
本综述的证据证实了远程监测在降低心力衰竭患者死亡率和再入院率方面的益处。需要进一步研究以减少研究的异质性。
