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http://hdl.handle.net/2445/173776
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DC Field | Value | Language |
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dc.contributor.author | Jiménez Marrero, Santiago | - |
dc.contributor.author | Yun, Sergi | - |
dc.contributor.author | Cainzos Achirica, Miguel | - |
dc.contributor.author | Enjuanes, Cristina | - |
dc.contributor.author | Garay, Alberto | - |
dc.contributor.author | Farre, Nuria | - |
dc.contributor.author | Verdú, Jose M. | - |
dc.contributor.author | Linas, Anna | - |
dc.contributor.author | Ruiz, Pilar | - |
dc.contributor.author | Hidalgo, Encarnación | - |
dc.contributor.author | Calero, Esther | - |
dc.contributor.author | Comín Colet, Josep | - |
dc.date.accessioned | 2021-02-09T12:34:10Z | - |
dc.date.available | 2021-02-09T12:34:10Z | - |
dc.date.issued | 2020-01-01 | - |
dc.identifier.issn | 1357-633X | - |
dc.identifier.uri | http://hdl.handle.net/2445/173776 | - |
dc.description.abstract | Background The efficacy of telemedicine in the management of patients with chronic heart failure and left ventricular ejection fraction ≥40% is poorly understood. The aim of our analysis was to evaluate the efficacy of a telemedicine-based intervention specifically in these patients, as compared to standard of care alone. Methods The Insuficiència Cardiaca Optimització Remota (iCOR) study was a single centre, randomised, controlled trial, designed to evaluate a telemedicine intervention added to an existing hospital/primary care multidisciplinary, integrated programme for chronic heart failure patients. 178 participants were randomised to telemedicine or usual care, and were followed for six months. For the present sub-analysis, only iCOR participants (n = 116) with left ventricular ejection fraction ≥40% were included. The primary study endpoint was the incidence of an acute non-fatal heart failure event, defined as a new episode of worsening of symptoms and signs consistent with acute heart failure requiring intravenous diuretic therapy. The healthcare-related costs in each study group were also evaluated. Results The incidence of the first occurrence of the primary endpoint was significantly lower in the telemedicine arm (22% vs 56%, p<0.001), with a hazard ratio of 0.33 comparing to the usual care arm (95% confidence interval 0.17-0.64). Telemedicine was also associated with lower mean overall chronic heart failure care-related costs compared to usual care (8163¿ vs 4993¿, p=0.001). The results were consistent in both left ventricular ejection fraction of 40-49% and left ventricular ejection fraction ≥50% patients. Conclusions Our results suggest that telemedicine is a promising strategy for the management of chronic heart failure patients with left ventricular ejection fraction ≥40%. These findings should be replicated in larger cohorts. | - |
dc.format.extent | 9 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | SAGE Publications | - |
dc.relation.isformatof | Versió postprint del document publicat a: https://doi.org/10.1177/1357633X18796439 | - |
dc.relation.ispartof | Journal of Telemedicine and Telecare, 2020, vol. 26, num. 1-2, p. 64-72 | - |
dc.relation.uri | https://doi.org/10.1177/1357633X18796439 | - |
dc.rights | cc-by-nc-nd (c) Jiménez Marrero, Santiago et al., 2020 | - |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es | - |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Insuficiència cardíaca | - |
dc.subject.classification | Malalties cròniques | - |
dc.subject.classification | Telecomunicació en medicina | - |
dc.subject.other | Heart failure | - |
dc.subject.other | Chronic diseases | - |
dc.subject.other | Telecommunication in medicine | - |
dc.title | Impact of telemedicine on the clinical outcomes and healthcare costs of patients with chronic heart failure and mid-range or preserved ejection fraction managed in a multidisciplinary chronic heart failure programme: A sub-analysis of the iCOR randomized trial | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/acceptedVersion | - |
dc.identifier.idgrec | 702610 | - |
dc.date.updated | 2021-02-09T12:34:11Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 30193564 | - |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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702610.pdf | 225.64 kB | Adobe PDF | View/Open |
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