Heart failure & cardiomyopathiesRandomised controlled trial
Multifaceted Strategy Based on Automated Text Messaging After a Recent Heart Failure Admission
- Randomised controlled trial
- multicentre (30 heart failure (HF) clinics in Brazil)
Authors' conclusion
An intensive telemonitoring strategy applied in the vulnerable period after an HF admission was feasible, well-accepted, and increased scores of HF self-care but did not translate to reductions in NT-proBNP levels nor improvement in a composite hierarchical clinical outcome.
Study context
- Population
- Patients with LVEF <40% and mobile phone access, enrolled up to 30 days after an HF admission
- Participants
- 699 patients
- Comparison
- Telemonitoring strategy vs standard care
- Telemonitoringn = 352
- Standard caren = 347reference
- Primary endpoint
- Change in NT-proBNP from baseline
- Follow-up
- 180 days
Primary result
NT-proBNP
Ratio of change
0.92
95% CI 0.77–1.11
P = 0.39
By group
As reported in the abstract
Further findings
| Outcome | Telemonitoring | Standard care | win ratio (95% CI) | P value | |
|---|---|---|---|---|---|
| Hierarchical composite (CV death, HF hospitalization, NT-proBNP variation) | 40.8% | 39.3% | 1.04 (0.86–1.26) | ||
| 0.512Win ratio (log scale) |
| Outcome | score difference (95% CI) | P value |
|---|---|---|
| HF self-care score · up to 30 days | −2.21 (−3.67 to −0.74) | P = 0.001 |
| HF self-care score · 180 days | −2.08 (−3.59 to −0.57) | P = 0.004 |
- Satisfaction with telemonitoring (net promoting score) · 180 days
- 78.5
- Hierarchical composite (CV death, HF hospitalization, N-terminal pro-brain natriuretic peptide (NT-proBNP) variation): wins of 122 144 comparisons
Original publication
Multifaceted Strategy Based on Automated Text Messaging After a Recent Heart Failure Admission. JAMA Cardiol. Published 1 February 2024. doi:10.1001/jamacardio.2023.4501
Summarised from the published abstract; every number is checked against it