Heart failure & cardiomyopathies
The effect of tablet computer-based telemonitoring added to an established telephone disease management program on heart failure hospitalizations: The Specialized Primary and Networked Care in Heart Failure (SPAN-CHF) III Randomized Controlled Trial
Primary result · Days hospitalized for HFResult — go to the resultIncidence rate ratio 0.82 95% CI 0.43–1.58Authors' conclusion
The addition of tablet-based telemonitoring to an established HF telephone-based disease management program did not reduce HF hospitalizations; however, study power was limited.
Study context
- Population
- Patients with heart failure (HF) and at least 1 high risk feature for hospitalization98% completed 90-day follow-up
- Participants
- 212 patients
- Comparison
- Telemonitoring vs Telephone
- Telemonitoringn = 159
- Telephonen = 53reference
- Primary endpoint
- Number of days hospitalized for HF
- Follow-up
- 90 days
Methodological details3:1 randomisation, 3 hospitals in Massachusetts, Enrolment August 2014 to April 2019
- 3:1 randomisation
- 3 hospitals in Massachusetts
- Enrolment August 2014 to April 2019
Primary result
Days hospitalized for HF
Incidence rate ratio
0.82
95% CI 0.43–1.58
P = 0.442
By group
Telemonitoring vs Telephone
IRR 0.82 (95% CI 0.43–1.58); P = 0.442
As reported in the abstract
Original publication
The effect of tablet computer-based telemonitoring added to an established telephone disease management program on heart failure hospitalizations: The Specialized Primary and Networked Care in Heart Failure (SPAN-CHF) III Randomized Controlled Trial. Am Heart J. Published 25 February 2023. doi:10. 1016/ j. ahj. 2023. 02. 007
Summarised from the published abstract; every number is checked against it