TY - JOUR
T1 - Disease management with home telemonitoring aimed at substitution of usual care in the Netherlands
T2 - Post-hoc analyses of the e-Vita HF study
AU - Brons, Maaike
AU - Rutten, Frans H
AU - Zuithoff, Nicolaas P A
AU - Oerlemans, Marish I F J
AU - Asselbergs, Folkert W
AU - Koudstaal, Stefan
N1 - Funding Information: Folkert W. Asselbergs is supported by UCL Hospitals NIHR Biomedical Research Center. Funding Information: The study was supported by the Foundation Care Within Reach (In Dutch: Stichting Zorg Binnen Bereik). Publisher Copyright: © 2021 The Authors
PY - 2022/1
Y1 - 2022/1
N2 - BACKGROUND: Home telemonitoring in heart failure (HF) patients may reduce workload of HF nurses by reducing face-to-face contacts. The aim of this study is to assess whether telemonitoring as a substitution could have negative effects as expressed by less reduction in circulating natriuretic peptide levels between baseline and one-year of follow up compared to usual care.METHODS: A post-hoc analysis of the e-Vita HF trial, a three-arm parallel randomized trial conducted in stable HF patients. Patients were randomized into three arms: (i) usual HF outpatient care, (ii) usual care combined with the use of the website heartfailurematters.org, and (iii) telemonitoring (e-Vita HF platform) instead of face-to-face consultations. Mixed linear model analyses were applied to assess differences in the N-terminal prohormone of brain natriuretic peptide (NT-proBNP) levels between the three arms over a year.RESULTS: A total of 223 participants could be included (mean age 67.1 ± 10.1 years, 27% women, New York Heart Association class I-IV; 39%, 38%, 14%, and 9%). The mean left ventricular ejection fraction was 35 ± 10%. The median of routine face-to-face contacts over a year was 1.0 lower (2.0 vs. 3.0) in the third arm compared with usual care. Median NT-proBNP levels did not significantly differ between the three arms.CONCLUSION: In stable and optimally treated HF patients, telemonitoring causing a reduction of routine face-to-face contacts seems not to negatively affect hemodynamic status as measured by NT-proBNP levels over time.
AB - BACKGROUND: Home telemonitoring in heart failure (HF) patients may reduce workload of HF nurses by reducing face-to-face contacts. The aim of this study is to assess whether telemonitoring as a substitution could have negative effects as expressed by less reduction in circulating natriuretic peptide levels between baseline and one-year of follow up compared to usual care.METHODS: A post-hoc analysis of the e-Vita HF trial, a three-arm parallel randomized trial conducted in stable HF patients. Patients were randomized into three arms: (i) usual HF outpatient care, (ii) usual care combined with the use of the website heartfailurematters.org, and (iii) telemonitoring (e-Vita HF platform) instead of face-to-face consultations. Mixed linear model analyses were applied to assess differences in the N-terminal prohormone of brain natriuretic peptide (NT-proBNP) levels between the three arms over a year.RESULTS: A total of 223 participants could be included (mean age 67.1 ± 10.1 years, 27% women, New York Heart Association class I-IV; 39%, 38%, 14%, and 9%). The mean left ventricular ejection fraction was 35 ± 10%. The median of routine face-to-face contacts over a year was 1.0 lower (2.0 vs. 3.0) in the third arm compared with usual care. Median NT-proBNP levels did not significantly differ between the three arms.CONCLUSION: In stable and optimally treated HF patients, telemonitoring causing a reduction of routine face-to-face contacts seems not to negatively affect hemodynamic status as measured by NT-proBNP levels over time.
KW - B-type natriuretic peptides
KW - Heart failure
KW - Home telemonitoring
KW - N-terminal prohormone of brain natriuretic peptide
UR - http://www.scopus.com/inward/record.url?scp=85113499156&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.jjcc.2021.08.003
DO - https://doi.org/10.1016/j.jjcc.2021.08.003
M3 - Article
C2 - 34454810
SN - 0914-5087
VL - 79
SP - 1
EP - 5
JO - Journal of cardiology
JF - Journal of cardiology
IS - 1
ER -