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Telemanagement in Chronic Heart Failure

A Review

  • Review Article
  • Published:
Disease Management & Health Outcomes

Abstract

Telehealth has emerged as a promising approach for optimizing outcomes in chronic heart failure (CHF). Telehealth is broadly defined as the use of audio, video, and other telecommunications and electronic information technologies to offer health services, transfer various types of information, and assist healthcare personnel at remote sites. The use of telehealth as a strategy for the management of CHF can be very beneficial in combating episodes of exacerbation and preventing rehospitalizations, urgent care visits, and emergency room visits. This article provides a review of the use of telehealth and telemanagement in CHF, including a discussion of telehealth modalities and research on telehealth for CHF management.

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References

  1. American Heart Association. Heart disease and stroke statistics: 2003 update [online]. Available from URL: http://www.americanheart.org. [Accessed 2003 Aug 20]

  2. Ueshima H. Population differences in serum total cholesterol level and coronary heart disease [paper presentation]. XIIIth International Symposium on Atherosclerosis; 2003 Sep 28–Oct 2; Kyoto, Japan

  3. International Atherosclerosis Society. Harmonized clinical guidelines on prevention of atherosclerosis and cardiovascular disease [online]. Available from URL: http://www.athero.org/ [Accessed 2003 Feb 10]

  4. National Heart, Lung, and Blood Institute, National Institutes of Health. Data fact sheet: congestive heart failure in the United States: a new epidemic [online]. Available from URL: http://www.nhlbi.nih.gov/health/public/heart/other/CHF.htm [Accessed 2003 Aug 29]

  5. Albert NM. Manipulating survival and life quality outcomes in heart failure through disease state management. Crit Care Nurs Clin North Am 1999; 11(2): 121–41

    PubMed  CAS  Google Scholar 

  6. Field MJ, Grigsby J. Telemedicine and remote patient monitoring. JAMA 2002; 288: 23–425

    Article  Google Scholar 

  7. Grady KL, Dracup K, Kennedy G, et al. Team management of patients with heart failure: a statement for healthcare professionals from the cardiovascular nursing council of the American Heart Association. Circulation 2000; 102(19): 2443–56

    Article  PubMed  CAS  Google Scholar 

  8. McAlister FA, Lawson FM, Teo KK, et al. A systematic review of randomized trials of disease management programs in heart failure. Am J Med 2001; 110(5): 378–84

    Article  PubMed  CAS  Google Scholar 

  9. Philbin EF, Rocco TA, Lindenmuth NW, et al. The results of a randomized trial of a quality improvement intervention in the care of patients with heart failure: the MISCHF Study investigators. Am J Med 2000; 109(6): 443–9

    Article  PubMed  CAS  Google Scholar 

  10. Warner P, Hutchinson C. Heart failure management. J Nurs Adm 1999; 29(7–8): 28–37

    PubMed  CAS  Google Scholar 

  11. University of Calgary Health Telematics Unit. State of the science report. Socioeconomic impact of telehealth: evidence now for health care in the future [online]. Available from URL: http://www.fp.ucalgary.ca/telehealth/SOS%20Final%20Report.pdf [Accessed 2003 Aug 20]

  12. Ackerman M, Craft R, Ferrante F, et al. Telemedicine/telehealth: an international perspective. Telemedicine technology. Telemed J E Health 2002; 8: 71–8

    Article  PubMed  Google Scholar 

  13. De Lusignan S, Meredith K, Wells S, et al. A controlled pilot study in the use of telemedicine in the community on the management of heart failure: a report of the first three months. Stud Health Technol Inform 1999; 64: 126–37

    PubMed  Google Scholar 

  14. Telemedicine Research Center 2002. What is telemedicine? [online]. Available from URL: http://trc.telemed.org/telemedicine/primer.asp [Accessed 2003 Aug 15]

  15. Alberta Research Council. Telehomecare users requirements (2002) [online]. Available from URL: http://www.telehealthlab.com/pubs/Telehomecare_User_Requirements_200204042.htm [Accessed 2003 Dec 29]

  16. Benatar D, Bondmass M, Ghitelman J, et al. Outcomes of chronic heart failure. Arch Intern Med 2003; 163(3): 347–52

    Article  PubMed  Google Scholar 

  17. Bondmass M, Bolger N, Bastro G, et al. The effect of physiologic home monitoring and telemanagement on chronic heart failure outcomes. Internet J Asthma Allergy Immunol 1999; 3: 2

    Google Scholar 

  18. Artinian NT, Harden JK, Kronenberg MW, et al. Pilot study of a web-based compliance monitoring device for patients with congestive heart failure. Heart Lung 2003; 32(4): 226–33

    Article  PubMed  Google Scholar 

  19. Heidenreich PA, Ruggerio CM, Bassie BM. Effect of a home monitoring system on hospitalization and resource use for patients with heart failure. Am Heart J 1999; 138: 633–40

    Article  PubMed  CAS  Google Scholar 

  20. Shah NB, Der E, Ruggerio C, et al. Prevention of hospitalizations for heart failure with an interactive home monitoring program. Am Heart J 1998; 135: 173–8

    Article  Google Scholar 

  21. Cordisco ME, Beniamnovitz A, Hammond K, et al. Use of telemonitoring to decrease the rate of hospitalization in patients with severe congestive heart failure. Am J Cardiol 1999; 84(7): 860–2

    Article  PubMed  CAS  Google Scholar 

  22. Cameron A. Telemanagement minimizes hospitalization for CHF. Pharmacoeconomics Outcomes News 1998; 158: 3–4

    Google Scholar 

  23. Zimmerman L, Barnason S, Mieveen J, et al. Impact of a home communication intervention on postoperative recovery outcomes in CABG patients [abstract 3464]. Proceedings of the Midwest Nursing Research Society 26th Annual Research Conference; 2002 Mar; Cleveland

    Google Scholar 

  24. Bowles K, Marcus S, Basfield-Holland E. Outcomes of tele-video versus telephone follow up of high risk congestive heart failure home care patients [abstract]. Washington DC: State of the Science Congress; 2002 Sep

    Google Scholar 

  25. De Lusignan S, Wells S, Johnson P, et al. Compliance and effectiveness of 1 year’s home telemonitoring: the report of a pilot study of patients with chronic heart failure. Eur J Heart F 2001; 3: 723–30

    Article  Google Scholar 

  26. Bennett SJ, Hays LM, Arnould M. Heart messages: a tailored message intervention for improving heart failure outcomes. J Cardiovasc Nurs 2000; 14(4): 94–105

    PubMed  CAS  Google Scholar 

  27. Jenkins RL, McSweeney M. Assessing elderly patients with congestive heart failure via in-home interactive telecommunications. J Gerontol Nurs 2001; 27(1): 21–7

    PubMed  CAS  Google Scholar 

  28. Palladino M, LeVan P, Spear S, et al. Quantification of interventions and outcomes in an outpatient telemanagement and care management congestive heart failure program. Congest Heart Fail 2000; 6(3): 146–51

    Article  PubMed  Google Scholar 

  29. Knox D, Mischke L. Implementing a congestive heart failure disease management program to decrease length of stay and cost. J Cardiovasc Nurs 1999; 14(1): 44–74

    Google Scholar 

  30. Mueller TM, Vuckovic KM, Knox DA, et al. Telemanagement of heart failure: a diuretic treatment algorithm for advanced practice nurses. Heart Lung 2002; 31: 340–7

    Article  PubMed  Google Scholar 

  31. Davis C. Heart link: healthcare informatics, 1999: 207-9. Available from URL: http://www.healthcare-informatics.com [Accessed 2002 May 8]

  32. Heart Alert, S.E. Consortium. Available from URL: http://www.heartalert.net/Prescriptions/SEConsortium_files/frame.htm [Accessed 2003 Jan 9]

  33. Dimmick SL, Burgiss SG, Robbins S, et al. Outcomes of an integrated telehealth network demonstration project. Telemed J E Health 2003; 9(1): 13–23

    Article  PubMed  Google Scholar 

  34. Moore SM, Brennan P, Visovsky C, et al. Effects of a computerized home support program on CABG recovery symptoms during the first week after discharge. Am J Crit Care 2001; 10: 210–1

    Google Scholar 

  35. Moore SM, Dolansky MA. Randomized trial of a home recovery intervention following coronary artery bypass surgery. Res Nurs Health 2001; 24: 93–104

    Article  PubMed  CAS  Google Scholar 

  36. Brennan PF, Moore SM, Bjornsdottir G, et al. HeartCare: an internet-based information and support system for patient home recovery after coronary artery bypass graft (CABG) surgery. J Adv Nurs 2001; 35: 699–708

    Article  PubMed  CAS  Google Scholar 

  37. Jerant A, Rahman A, Nesbitt T. Reducing the cost of frequent hospital admissions for congestive heart failure: a randomized trial of a home telecare intervention. Med Care 2001; 39(11): 1234–45

    Article  PubMed  CAS  Google Scholar 

  38. Jerant A, Rahman A, Martinez C, et al. A randomized trial of telenursing to reduce hospitalization for heart failure: patient centered outcomes and nursing indicators. Home Health Care Serv Q 2003; 22: 1–20

    Article  PubMed  Google Scholar 

  39. Stewart S, Pearson S, Horowitz JD. Effects of a home-based intervention among patients with congestive heart failure discharged from acute hospital care. Arch Intern Med 1998; 158(10): 1067–72

    Article  PubMed  CAS  Google Scholar 

  40. Johnston B, Wheeler L, Deuser J, et al. Outcomes of the Kaiser permanente telehome health research project. Arch Fam Med 2000; 9(1): 40–5

    Article  PubMed  CAS  Google Scholar 

  41. Dahle K, Smith J, Ingersol G, et al. Impact of a nurse practitioner on costs of managing inpatients with heart failure. Am J Cardiol 1998; 82(5): 686–8

    Article  PubMed  CAS  Google Scholar 

  42. Fonarow GC, Gawlinski A, Moughrabi S, et al. Improved treatment of coronary heart disease by implementation of a Cardiac Hospitalization Atherosclerosis Management Program (CHAMP). Am J Cardiol 2001; 87(7): 819–22

    Article  PubMed  CAS  Google Scholar 

  43. Paul S. Implementing an outpatient congestive heart failure clinic: the nurse practitioner role. Heart Lung 1997; 26: 486–91

    Article  PubMed  CAS  Google Scholar 

  44. American Telemedicine Association. Expanded medicare coverage of telemedicine passes the Senate [online]. Available from URL: http://www.atmeda.org/news/newres.htm [Accessed 2003 Aug 8]

  45. Joint Commission on Accreditation of Health Care Organizations. Existing requirements for telemedicine practitioners explained. Joint Commission Perspectives 2003; 23: 4

    Google Scholar 

  46. National Archives and Records Administration. Federal Register Rules and Regulations. Telehealth Services 2001; 66(212): 55281–5

    Google Scholar 

  47. Jacobus C. Telemedicine technology review: why hasns’t telemedicine taken off yet? Cybernet Medical 2003. Available from URL: http://www.cybernetmedical.com/files/telemedicinereview.pdf [Accessed 2003 Aug 8]

  48. Clough K, Mallinson M, Jarine I. The potential for telemedicine to improve coronary heart disease services. J Telemed Telecare 2001; 7 Suppl. 1: 49–51

    Article  PubMed  Google Scholar 

  49. ClinicalTrials.gov. 2003. Evaluating telehealth home care for elderly veterans with congestive heart failure [online]. Available from URL: http://www.clinicaltrials.gov [Accessed 2003 Aug 20]

  50. CRISP. Monitoring of heart failure patients via the internet. 2003. Available from URL: http://crisp.cit.nih.gov/crisp [Accessed 2003 Aug 20]

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Acknowledgments

The authors report no funding has supported the preparation of this manuscript and they report no conflict of interest with the material presented.

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Authors and Affiliations

  1. Rush University College of Nursing, 600 S. Paulina, 1062B AAC, Chicago, Illinois, 60612, USA

    Ruth M. Kleinpell (Associate Professor)

  2. Department of Cardiology, University of Illinois at Chicago, Chicago, Illinois, USA

    Boaz Avitall

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  1. Ruth M. Kleinpell
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  2. Boaz Avitall
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Correspondence to Ruth M. Kleinpell.

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Kleinpell, R.M., Avitall, B. Telemanagement in Chronic Heart Failure. Dis-Manage-Health-Outcomes 13, 43–52 (2005). https://doi.org/10.2165/00115677-200513010-00005

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