Results of a 12-month telemonitoring of chronic heart failure patients after hospitalization with its decompensation

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Abstract

Nowadays, the aspect of the advisability of remote medical monitoring of chronic heart failure (CHF) patients still remains relevant.

The aim: to compare two strategies for managing patients with CHF after discharge from the hospital and to estimate the effectiveness of active outpatient monitoring model of CHF patients by means of telemonitoring use.

Material and methods. The study included hospitalized patients with decompensated CHF: group 1 (studied) – 70 persons who underwent telemonitoring after discharge; 2nd (control) group – 65 persons. The participants underwent a general clinical examination, quality of life (QoL) was determined according to the Minnesota questionnaire, an assessment was made according to the Self-help Capacity Scale for patients with CHF, adherence to treatment was assessed using the Morisky–Green questionnaire, anxiety and depression according to HADS-A and HADS-D, the number of calls ambulance teams and repeated hospitalizations was estimated within a year after discharge.

Results. In 12 months after inpatient treatment, positive dynamics was revealed in the study group: in comparison with the control group, the index of life quality according to the questionnaire in it was higher by 15.8 points, according to the self-help questionnaire – by 12,3 points, according to the Morisky–Green questionnaire – by 2,6 points. In addition, in the study group, the score for HADS-A was 3,1 less, and for HADS-D – 2,8 less than in the control group. Annual analysis showed that in the study group, emergency calls and hospitalizations were 4,9 times and 2,3 times less, respectively, than in the control group.

Conclusion. Active outpatient monitoring with the use of telemonitoring of CHF patients in a year after discharge from the hospital allows to increase the quality of life, ability to self-help, adherence to treatment, reduce the level of anxiety and depression, and the number of repeated hospitalizations.

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About the authors

Natalya V. Pyrikova

Altai State Medical University of the Ministry of Healthcare of Russia

Author for correspondence.
Email: allinatali@mail.ru
ORCID iD: 0000-0003-4387-7737

MD, associate professor, professor of the Department of faculty therapy and occupational diseases

Russian Federation, Barnaul

Nikita A. Mozgunov

Regional Clinical Emergency Hospital No. 2

Email: nikita-mn@mail.ru
ORCID iD: 0000-0001-7335-377X

head of the admission department

Russian Federation, Barnaul

Irina V. Osipova

Altai State Medical University of the Ministry of Healthcare of Russia

Email: i.v.osipova@gmail.com
ORCID iD: 0000-0002-6845-6173

MD, professor, head of the Department of faculty therapy and occupational diseases

Russian Federation, Barnaul

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Supplementary files

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2. Fig.1. Study Design

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3. Fig.2. Dynamics of functional class (FC) indicators of chronic heart failure in the study and control groups after 9 and 12 months of observation

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4. Fig.3. The total number of emergency calls (AMC) and repeated hospitalizations in the study and control groups after discharge from the hospital

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