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      Use of Electronic Messages in the Follow-Up of Patients With Heart Failure: Randomized Pilot Study

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          Abstract

          Heart Failure (HF) has been ide.epsied as an important public health problem, with high morbidity and mortality, despite advances in current therapy. New strategies are demanded to reduce the number of hospitalizations and deaths. Telemedicine approaches could improve the management of patients with cardiovascular conditions. Sixty patients with heart failure with reduced ejection fraction (HFrEF) were randomized to this pilot study. Weekly electronic messages were sent for 1 year. The use of telemedicine was effective instrument for the evolutionary follow-up of patients with HFrEF during the COVID-19 pandemic, but did not demonstrate an impact on the reduction of cardiovascular outcomes or hospitalization for HF. REBEC - Brazilian Registry of Clinical Trials ide.epsier RBR-5q6x56k. Monitoring heart disease patients via WhatsApp during the COVID-19 pandemic. Available from http://www.ensaiosclinicos.gov.br/rg/RBR-5q6x56k/

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          2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC.

          Piotr Ponikowski, Adriaan A. Voors, Stefan D. Anker … (2016)
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            Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure: The Better Effectiveness After Transition -- Heart Failure (BEAT-HF) Randomized Clinical Trial.

            Michael Ong, Patrick S Romano, Sarah Edgington … (2016)
            It remains unclear whether telemonitoring approaches provide benefits for patients with heart failure (HF) after hospitalization.
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              Telemonitoring in patients with heart failure.

              Sarwat I Chaudhry, Jennifer A Mattera, Jeptha Curtis … (2010)
              Small studies suggest that telemonitoring may improve heart-failure outcomes, but its effect in a large trial has not been established. We randomly assigned 1653 patients who had recently been hospitalized for heart failure to undergo either telemonitoring (826 patients) or usual care (827 patients). Telemonitoring was accomplished by means of a telephone-based interactive voice-response system that collected daily information about symptoms and weight that was reviewed by the patients' clinicians. The primary end point was readmission for any reason or death from any cause within 180 days after enrollment. Secondary end points included hospitalization for heart failure, number of days in the hospital, and number of hospitalizations. The median age of the patients was 61 years; 42.0% were female, and 39.0% were black. The telemonitoring group and the usual-care group did not differ significantly with respect to the primary end point, which occurred in 52.3% and 51.5% of patients, respectively (difference, 0.8 percentage points; 95% confidence interval [CI], -4.0 to 5.6; P=0.75 by the chi-square test). Readmission for any reason occurred in 49.3% of patients in the telemonitoring group and 47.4% of patients in the usual-care group (difference, 1.9 percentage points; 95% CI, -3.0 to 6.7; P=0.45 by the chi-square test). Death occurred in 11.1% of the telemonitoring group and 11.4% of the usual care group (difference, -0.2 percentage points; 95% CI, -3.3 to 2.8; P=0.88 by the chi-square test). There were no significant differences between the two groups with respect to the secondary end points or the time to the primary end point or its components. No adverse events were reported. Among patients recently hospitalized for heart failure, telemonitoring did not improve outcomes. The results indicate the importance of a thorough, independent evaluation of disease-management strategies before their adoption. (Funded by the National Heart, Lung, and Blood Institute; ClinicalTrials.gov number, NCT00303212.).
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                Author and article information

                Journal
                Journal ID (nlm-ta): Health Serv Insights
                Journal ID (iso-abbrev): Health Serv Insights
                Journal ID (publisher-id): HIS
                Journal ID (hwp): sphis
                Title: Health Services Insights
                Publisher: SAGE Publications (Sage UK: London, England )
                ISSN (Electronic): 1178-6329
                Publication date (Electronic): 14 February 2023
                Publication date Collection: 2023
                Volume: 16
                Electronic Location Identifier: 11786329231154692
                Affiliations
                [1 ]Postgraduate Program in Medicine and Health (PPgMS), Faculty of Medicine of Bahia, Federal University of Bahia, Salvador, Bahia, Brazil
                [2 ]General Hospital Roberto Santos/SUS-Bahia, Salvador, Bahia, Brazil
                [3 ]Federal University of Bahia, Salvador, Bahia, Brazil
                [4 ]Medical School, Bahiana School of Medicine and Public Health, EBMSP, Salvador, Bahia, Brazil
                [5 ]Medical School, Federal University of Bahia, Salvador, Bahia, Brazil
                [6 ]Medical School, UNIFACS, Salvador, Bahia, Brazil
                Author notes
                [*]Igor Santos Schonhofen, Postgraduate Program in Medicine and Health, Faculty of Medicine of Bahia, Federal University of Bahia, Doutor Augusto Viana Street - Canela, Salvador, Bahia, 40110-060, Brazil. Email: igorschon@ 123456hotmail.com
                Author information
                https://orcid.org/0000-0003-2142-1413
                Article
                Publisher ID: 10.1177_11786329231154692
                DOI: 10.1177/11786329231154692
                PMC ID: 9932788
                PubMed ID: 36816534
                SO-VID: 80337a7d-2285-4cd7-ae9f-bcbdb9c11c67
                Copyright © © The Author(s) 2023
                License:

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Date received : 8 October 2022
                Date accepted : 13 January 2023
                Categories
                Subject: Health Promotion, Disease Prevention and Lifelong Care Strategies
                Subject: Original Research
                Custom metadata
                cover-date January-December 2023
                typesetter ts1

                Keywords: heart failure,whatsapp®,covid-19,telemedicine,electronic messages,virtual care,telehealth
                Data availability:
                Keywords: heart failure, whatsapp®, covid-19, telemedicine, electronic messages, virtual care, telehealth

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