Frailty-Based Remote Monitoring in Older Adults With Heart Failure: Conceptual Framework for Adaptive Digital Health Strategies

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Remote monitoring is crucial in heart failure management but often overlooks the needs of older, frail populations.
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Frailty significantly impacts health outcomes in heart failure, necessitating its integration into telemonitoring design.
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The proposed frailty-adaptive framework categorizes patients into four trajectories: robust, prefrail, frail, and palliative.
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Telemonitoring should be patient-centered, adapting monitoring objectives and responses based on individual frailty levels.
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Real-world telemonitoring programs can effectively support frail patients through structured workflows and caregiver involvement.

Journal Of Medical Internet Research (Jmir)

by Rémi Esser, Olivier Maurou, Marine Larbaneix, Alejandro Mondragon, Marlène Esteban, Christine Farges, Nicolas Pages, Sophie Nisse Durgeat, Marc Harboun
May 20, 2026

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