Meta-Analysis Comparing Outcomes of Remote Hemodynamic Assessment Versus Standard Care in Patients With Heart Failure

In patients with congestive heart failure (CHF), remote hemodynamic monitoring can reduce heart failure exacerbation and mortality. In this study, we compared the effectiveness of remote hemodynamic monitoring with that of standard care in the management of patients with CHF. The remote monitoring g...

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Bibliographic Details
Published in:The American journal of cardiology 2023-04, Vol.192, p.79-87
Main Authors: Buttar, Chandan, Lakhdar, Sofia, Nso, Nso, Guzman-Perez, Laura, Dao, Tristan, Mahmood, Kiran, Hendel, Robert, Lavie, Carl J., Collura, Giovina, Trandafirescu, Theo
Format: Article
Language:English
Subjects:
Bias
Chi-square test
Cohort analysis
Congestive heart failure
Effectiveness
Heart Failure
Hemodynamics
Heterogeneity
Hospitalization
Humans
Meta-analysis
Monitoring
Monitoring, Physiologic - methods
Mortality
Pulmonary arteries
Remote monitoring
Statistical analysis
Statistical tests
Systematic review
Telemedicine
Variables
Citations: Items that this one cites
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Summary:In patients with congestive heart failure (CHF), remote hemodynamic monitoring can reduce heart failure exacerbation and mortality. In this study, we compared the effectiveness of remote hemodynamic monitoring with that of standard care in the management of patients with CHF. The remote monitoring group included 7,733 patients, and the control group included 7,567 patients. Chi-square test and I-square statistics were used to assess heterogeneity. Risk ratios (RRs) were calculated using fixed-effects and random-effects methods to determine the risk of all-cause hospitalization and CHF-related hospitalization (primary outcomes) and all-cause mortality and device outcomes (secondary outcomes). Pooled findings indicated a 7% lower risk of all-cause hospitalization in the remote monitoring group than that in the control group (RR 0.93, 95% confidence interval [CI] 0.89 to 0.98, p = 0.004). The results also revealed a 32% lower risk of CHF-related hospitalization in the remote monitoring group than that in the control group (RR 0.68, 95% CI 0.65 to 0.71, p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2022.12.033