One Year Changes in Survival, Physiologic Measures and Quality of Life for Heart Failure Patients in a Home Telemonitoring Program

2.50
Hdl Handle:
http://hdl.handle.net/10755/148844
Type:
Presentation
Title:
One Year Changes in Survival, Physiologic Measures and Quality of Life for Heart Failure Patients in a Home Telemonitoring Program
Abstract:
One Year Changes in Survival, Physiologic Measures and Quality of Life for Heart Failure Patients in a Home Telemonitoring Program
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Blum, Kay, PhD
P.I. Institution Name:University of Maryland
Title:Nurse Practitioner
Co-Authors:Faith Janowick, BS; Stephen S. Gottlieb, MD
[Special invitation presentation] Background: A number of randomized studies of Disease Management (DM) programs for Heart Failure (HF) have been reported. There have been inconsistent results in relation to survival, quality of life (QOL) and hospitalizations. Objective: To evaluate the contribution of one strategy, home telemonitoring, in improving self care, quality of life and functional capacity while decreasing hospitalization and cost of care. Method: 204 patients with heart failure (HF) who had a hospitalization for HF in the last year were randomly assigned to the usual care (control) group or telemonitoring (participant) group. At enrollment, all subjects had a history and physical examination, completed the SF-36, Minnesota Living with Heart Failure survey (MLwHF), MMSE and blood sampling for Brain Natriuretic Peptide (BNP). All patients received the same education about HF, medications, diet restrictions and daily weights and were given a phone number to call with questions or significant changes in their weight or symptoms. Patients randomized to the participant group received a scale, blood pressure cuff, rhythm monitor and a modem that transmitted vital signs and weights automatically to a server in the office monitored by a heart failure Nurse Practitioner (NP). Individual parameters alerted the NP who was then able to adjust diuretics, order blood tests or arrange for the patient to be seen for any issue that could not be resolved. SF 36, MLwHF and BNP were measured at 6 months and 1 year. The 1 year followup also collected information about hospitalization, information about family support, consistency of medication administration and questions about ability to afford medication, food and housing over the previous year. The MMSE, fluid balance, CBC and Basic Metabolic Panel were repeated. Results: QOL improved in both groups and was not different between groups. There was no difference in survival or number of hospitalizations.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleOne Year Changes in Survival, Physiologic Measures and Quality of Life for Heart Failure Patients in a Home Telemonitoring Programen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148844-
dc.description.abstract<table><tr><td colspan="2" class="item-title">One Year Changes in Survival, Physiologic Measures and Quality of Life for Heart Failure Patients in a Home Telemonitoring Program</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Blum, Kay, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Maryland</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Practitioner</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">quieblum@comcast.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Faith Janowick, BS; Stephen S. Gottlieb, MD</td></tr><tr><td colspan="2" class="item-abstract">[Special invitation presentation] Background: A number of randomized studies of Disease Management (DM) programs for Heart Failure (HF) have been reported. There have been inconsistent results in relation to survival, quality of life (QOL) and hospitalizations. Objective: To evaluate the contribution of one strategy, home telemonitoring, in improving self care, quality of life and functional capacity while decreasing hospitalization and cost of care. Method: 204 patients with heart failure (HF) who had a hospitalization for HF in the last year were randomly assigned to the usual care (control) group or telemonitoring (participant) group. At enrollment, all subjects had a history and physical examination, completed the SF-36, Minnesota Living with Heart Failure survey (MLwHF), MMSE and blood sampling for Brain Natriuretic Peptide (BNP). All patients received the same education about HF, medications, diet restrictions and daily weights and were given a phone number to call with questions or significant changes in their weight or symptoms. Patients randomized to the participant group received a scale, blood pressure cuff, rhythm monitor and a modem that transmitted vital signs and weights automatically to a server in the office monitored by a heart failure Nurse Practitioner (NP). Individual parameters alerted the NP who was then able to adjust diuretics, order blood tests or arrange for the patient to be seen for any issue that could not be resolved. SF 36, MLwHF and BNP were measured at 6 months and 1 year. The 1 year followup also collected information about hospitalization, information about family support, consistency of medication administration and questions about ability to afford medication, food and housing over the previous year. The MMSE, fluid balance, CBC and Basic Metabolic Panel were repeated. Results: QOL improved in both groups and was not different between groups. There was no difference in survival or number of hospitalizations.</td></tr></table>en_GB
dc.date.available2011-10-26T09:51:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:51:36Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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