Heart failure & cardiomyopathies
Remote Management of Worsening Heart Failure to Avoid Hospitalization in a Real-World Setting
Authors' conclusion
Our study suggests that remote management of WHF events based on a multiparametric approach led by a telemedical centre is feasible and safe.
Study context
- Population
- Chronic heart failure (HF), NYHA ≥II, elevated BNP (>100 pg/mL) or NT-proBNP (>1000 pg/mL), enrolled in a HF remote management programme (Bordeaux University Hospital Telemedicine Center), 2021mean follow-up 291 ± 66 days
- Participants
- 161 participants
- Exposure
- Managed remotely vs Requiring hospitalization
- Outcome
- Feasibility and safety of remotely managing WHF events using a multiparametric platform
Methodological detailssingle-centre, real-world
- Single-centre
- Real-world
Main finding
As reported in the abstract
WHF events and remote management
- Patients with worsening heart failure (WHF) events
- 52 (32.3%)
- WHF events
- 105
- WHF events successfully managed remotely
- 66 (63%)
- Freedom from WHF events at 300 days
- 66%
- Freedom from hospitalization at 300 days
- 85%
- Difference, freedom from WHF events vs hospitalization
- P < 0.001
- Mean adherence to remote monitoring
- 80 ± 20%
Observational data: associations, not effects.
Further findings
| Outcome | HR (95% CI) | P value | |
|---|---|---|---|
| Predictors of WHF event and hospitalizationBNP (per unit increase) · WHF event | 1.001 (1–1.002) | P = 0.001 | |
| Predictors of WHF event and hospitalizationBNP (per unit increase) · hospitalization | 1.002 (1.002–1.003) | P = 0.002 | |
| Predictors of WHF event and hospitalizationeGFR (per unit decrease) · hospitalization | 0.946 (0.906–0.989) | P = 0.014 | |
| 0.512Hazard ratio (log scale) |
WHF event recurrence and (re)hospitalization · 1 month
WHF recurrence
(Re)hospitalization
WHF event recurrence and (re)hospitalization · 1 month
- Similar between groups
Safety
Iatrogenic complications · more often during hospitalization
P < 0.001
Original publication
Remote Management of Worsening Heart Failure to Avoid Hospitalization in a Real-World Setting. ESC Heart Fail. Published 5 October 2023. doi:10.
Summarised from the published abstract; every number is checked against it