Heart failure & cardiomyopathiesCohort study
Remote Management of Patients With Heart Failure in Medically Underserved Areas
- cohort
- consecutive patients
- 2 French university hospitals
Authors' conclusion
Our study showed no difference in primary outcome among HF patients enrolled in a structured, multiparametric RM program, irrespective of MUAs.
Study context
- Population
- Patients with chronic heart failure (HF) enrolled in a standardized, multiparametric, HF remote management (RM) program in 2 French regions, April 2020 to December 202232% lived in medically underserved areas (MUAs)
- Participants
- 1,040 patients
- Exposure
- MUAs vs no MUAs patients enrolled in a structured RM program
- Outcome
- Composite of:
- Unplanned HF hospitalization
- All-cause mortality (annualized rate)
- Follow-up
- Median 20 (IQR: 10-24) months
Main finding
As reported in the abstract
Adjusted hazard ratio
0.93
95% CI 0.68–1.27
P = 0.84
By group
MUAs
adjusted HR 0.93 (95% CI 0.68–1.27); P = 0.84
- Overall population annualized rate
- 13.7% (95% CI: 11.9-15.9)
Observational data: associations, not effects.
Further findings
| Outcome | P value |
|---|---|
| Survival curves (Kaplan-Meier) · no difference | P = 0.83 |
Original publication
Remote Management of Patients With Heart Failure in Medically Underserved Areas. JACC Adv. Published 19 March 2026. doi:10.1016/j.jacadv.2026.102676
Summarised from the published abstract; every number is checked against it