To evaluate the effectiveness of various remote monitoring (RM) modalities in managing heart failure (HF) and identify which patient characteristics influence outcomes.
Key Findings:
RM reduced total HF hospitalisations (IRR 0.81, 95% CI 0.72–0.91).
RM reduced first HF hospitalisations (RR 0.82, 95% CI 0.76–0.88).
RM reduced all-cause mortality (RR 0.90, 95% CI 0.84–0.95).
Invasive hemodynamic monitoring was most effective for total HF hospitalisations.
Structured telephone support was most effective for first HF hospitalisation and all-cause mortality.
Interpretation:
RM consistently improves HF outcomes across diverse patient and study characteristics, indicating its broad applicability.
Limitations:
Current evidence does not allow for targeted RM implementation for specific patients, limiting practical application.
Lack of significant interaction effects in subgroup analyses may limit understanding of which patients benefit most, suggesting a need for further research.
Conclusion:
RM is effective in improving HF outcomes, but further research is needed to identify specific patient populations that would benefit most from targeted RM approaches, emphasizing the importance of this identification.
by Niels T. B. Scholte, Pascal R. D. Clephas, Eric Boersma, Muhammed T. Gürgöze, Eelko Ronner, Lida Feyz, Rudolf A. de Boer, Robert M. A. van der Boon, Jasper J. Brugts
