Heart failure & cardiomyopathiesCohort study

Weight Telemonitoring of Heart Failure Versus Standard of Care in a Real-World Setting: Results on Mortality and Hospitalizations in a 6-Month Nationwide Matched Cohort Study

Eur J Heart FailPublished

  • Retrospective cohort study
  • propensity-score matched
  • nationwide
  • claims database

Authors' conclusion

The results of this nationwide cohort study highlight a valuable role for telemonitoring solutions such as CCC in the management of high-risk HF patients.

Study context

Population
Adults with ICD-10-coded heart failure (HF) diagnosis, French national claims database (SNDS) linked to Chronic Care Connect (CCC) database, Feb 2018–Mar 2020matched cohort
Participants
1,358 vs 2,456
Exposure
Weight telemonitoring vs standard of care
  • Telemonitoringn = 1,358
  • Standard of care (SOC)n = 2,456reference
Outcome
Mortality, HF hospitalizations and associated costs
Follow-up
6 months

Main finding

As reported in the abstract

Telemonitoring vs SOCHazard ratio (95% CI)
mortality
0.71(0.56–0.89)
first HF hospitalization
1.81(1.55–2.13)
HF healthcare costs
relative cost 1.38 (95% CI 1.26–1.51)

Observational data: associations, not effects.

Further findings

Length of overnight HF hospitalization; emergency visits preceding HF hospitalization

Shorter average length of overnight HF hospitalization and fewer emergency visits preceding HF hospitalizations with telemonitoring vs SOC

Original publication

Weight Telemonitoring of Heart Failure Versus Standard of Care in a Real-World Setting: Results on Mortality and Hospitalizations in a 6-Month Nationwide Matched Cohort Study. Eur J Heart Fail. Published 7 March 2024. doi:10.1002/ejhf.3191

Summarised from the published abstract; every number is checked against it