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

Am Heart JPublished Randomised controlled trial

Primary result · Days hospitalized for HFResult — go to the resultIncidence rate ratio 0.82 95% CI 0.43–1.58

Authors' 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

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