News from IMIM
A study by the Cardiology Service's Heart Failure Unit at the Hospital del Mar and IMIM (Hospital del Mar Medical Research Institute) has demonstrated that patients with chronic heart failure (HF) who are telephonically monitored have better results with regard to relapse and rehospitalisation than patients that receive conventional on-site follow-up. For six months the researchers used an electronic platform to analyse the evolution of a group of telephonically monitored patients, who used videoconferencing to communicate with the healthcare team. According to the study published in the Journal of Telemedicine and Telecare, the group being monitored using telemedicine also involved a 3,546 euro reduction in average cost per patient compared to the control group, over the six months of follow-up.
The study was conducted using 178 patients suffering chronic HF, with an average age of 77. The participants were randomly assigned to one of the two monitoring models to be compared: a control group of 97 patients who had face-to-face appointments with the medical staff, and a telemedicine group of 81 patients where these meetings were held via videoconference. 25% of the sample set were fragile patients who were distributed between the two groups to ensure balanced allocation of participants in delicate health. “Both groups were monitored and treated in the same way in terms of the number of scheduled visits and content of the care, because both strategies shared the same protocols”, explains Dr. Josep Comín Colet, head of the Heart Failure Unit at the Hospital del Mar and a researcher in the IMIM's cardiology group.
Comín J*, Enjuanes C, Verdú JM, Linas A, Ruiz-Rodríguez P, González-Robledo G, Farré N, Moliner P, Ruiz-Bustillo S, Bruguera J. Impact on clinical events and healthcare costs of adding telemedicine to multidisciplinary disease management programmes for heart failure: Results of a randomized controlled trial. J TelemedTelecare 2015