Abstract
In developed countries heart failure is one of the most important causes of death, followed closely by strokes and other cerebrovascular diseases. It is one of the major healthcare issues in terms of increasing number of patients, rate of hospitalizations and costs. The main aim of this paper is to present telemedicine applications for monitoring and follow-up of heart failure and to show how these systems can help reduce costs of administering heart failure. The search for e-health applications and systems in the field of telemonitoring of heart failure was pursued in IEEE Xplore, Science Direct, PubMed and Scopus systems between 2005 and the present time. This search was conducted between May and June 2015, and the articles deemed to be of most interest about treatment, prevention, self-empowerment and stabilization of patients were selected. Over 100 articles about telemonitoring of heart failure have been found in the literature reviewed since 2005, although the most interesting ones have been selected from the scientific standpoint. Many of them show that telemonitoring of patients with a high risk of heart failure is a measure that might help to reduce the risk of suffering from the disease. Following the review conducted, in can be stated that via the research articles analysed that telemonitoring systems can help to reduce the costs of administering heart failure and result in less re-hospitalization of patients.
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References
WHO. The Top Ten Causes Of Death. Available from: http://www.who.int/mediacentre/factsheets/fs310.pdf (last accessed 20 Apr 2016).
McMurray, J.J., Pfeffer MA (2005) heart failure. The Lancet. 365(9474):1877–1888, 2005.
Herreros, J., and Trainini, J.C., Chachques JC (2011) alternatives to heart transplantation: integration of biology with surgery. Front Biosci. 1(3):635–647, 2011.
Cano Martín JA, Martínez-Pérez B, De la Torre-Díez I, López-Coronado M (2014) Economic impact assessment from the use of a mobile app for the self-management of heart diseases by patients with heart failure in a Spanish region. J Med Syst. 2014;38(9):96.
Harding, J.D., Jessup M (2005) new directions in the medical management of heart failure. Seminars in Thoracic and Cardiovascular Surgery. 17(4):334–342, 2005.
Myers, S., Grant, R., Lungn, N., and Holbert, B., Kvedar J (2006) impact of home-based monitoring on the care of patients with congestive heart failure. Home Health Care Management & Practice. 18(6):444–451, 2006.
Mampuya, A., (2002) telemedicine for the heart. MedicaMundi. 46(2):26–30, 2002.
Ansari, M., Massie BM (2003) heart failure: how big is the problem? Who are the patients? What does the future hold? Am Heart J. 146:1–4, 2003.
Krishnam, P., Prasad, SG (2012) telemedicine and cardiology-decade of our experience. Journal of Indian College of Cardiology. 2(1):4–16, 2012.
Dorman, T., (2001) telecardiology and the intensive care unit. Crit Care Clin. 17(2):293–301, 2001.
Jaligam VR, Scott LC, El Hajj SC, Smart F (2012) Outcome Measures of Heart Failure Telemedicine Clinic vs. Face to Face Therapy. J Card Fail. 2012;18(8):S87.
Scalvini, S., et al., (2001) potential cost reductions for the National Health Service through a telecardiology service dedicated to general practice physicians. Italian Heart Journal Supplement. 2(10):1091–1097, 2001.
Mahesh, V., and Kandaswamy, A., Venkatesan R (2009) telecardiology for rural health care. Proceedings of International Journal of Recent Trends in Engineering, November, 2009.
Molefi, M., and Fortuin, J., Wynchank S (2006) tele-cardiology. Cardiovascular Journal of Southern Africa. 17(1):27–32, 2006.
Meystre, S., (2005) the current state of telemonitoring: a comment on the literature. Telemed J E Health. 11(1):63–69, 2005.
Roth, A., and Gadot, R., Kalter E (2005) tele-cardiology for patients with chronic heart failure: the 'SHL' experience in Israel and Germany. Studies in Health Technology and Informatics. 114:235–237, 2005.
Giordano, A., et al., Multicenter randomised trial on home-based telemanagement to prevent hospital readmission of patients with chronic heart failure. Int J Cardiol. 131(2):192–199, 2009.
Bui, A.L., Fonarow GC (2012) home monitoring for heart failure management. Journal of the American College of Cardiology. 59(2):97–104, 2012.
Hersh W, et al (2001) Clinical outcomes resulting from telemedicine interventions: a systematic review. BMC Med Inform Decis Mak. 2001;1:5.
Pawar, P., Jones, V., and van Beijnum, B.F., Hermens H (2012) a framework for the comparison of mobile patient monitoring systems. J Biomed Inform. 45(3):544–556, 2012.
Morera, E.P., de la Torre, D.I., García-Zapirain, B., and López-Coronado, M., Arambarri J (2016) security recommendations of mHealth apps: elaboration of a Developer’s guide. J Med Syst. 40(6):152, 2016.
Tan, J., E-health prospects: mobile health, virtual reality and consumer driven ehealth systems. In: E-healthcare information systems: an introduction for students and professionals. Jossey-Boss. 2005:523–553, 2005.
Jones, V.M., et al., MobiHealth: mobile health services based on body area networks. In: Mhealth: emerging mobile health systems. Springer. 2006:219–236, 2006.
Martínez-Pérez, B., De la Torre-Díez, I., and Sainz-de-Abajo, B., López-Coronado M (2014) comparison of mobile apps for the leading causes of death among different income zones: a review of literature and apps stores. JMIR Mhealth Uhealth. 2(1):e1, 2014.
Benatar, D., Bondmass, M., and Ghitelman, J., Avitall, B (2003) outcomes of chronic heart failure. Archives of Internal Medicine. 163(3):347–352, 2003.
Hailey D, Ohinmaa A, Roine R (2004) Evidence for the benefits of telecardiology applications: A systematic review. HTA 34. Health Technology Assessment, 2004.
Sable, C., (2004) telemedicine applications in pediatric cardiology. Pediatric Cardiology Today. 2(7):1–4, 2004.
Scalvini, S., Glisenti F (2005) centenary of tele-electrocardiography and telephonocardiography-where are we today? J Telemed Telecare. 11(7):325–330, 2005.
Chow, C., et al., (2007) cardiovascular disease and risk factors among 345 adults in rural India-the Andhra Pradesh rural health initiative. Int J Cardiol. 1:180–185, 2007.
Tiwari, A.K., et al., (2008) tele-medicine: an assessment for delivery of quality healthcare. Health and Population-Perspectives and Issues National Institute of Health and Family Welfare. 3:182–188, 2008.
Jerant, A.F., and Azari, R., Nesbitt TS (2001) reducing the cost of frequent hospital admissions for congestive heart failure: a randomized trial of a home telecare intervention. Med Care. 39:1234–1245, 2001.
Kashem, A., Droogan, M.T., Santamore, W.P., and Wald, J.W., Bove AA (2008) managing heart failure care using an internet-based telemedicine system. J Card Fail. 14(2):121–126, 2008.
Nikus, K., Lähteenmäki, J., and Lehto, P., Eskola M (2009) the role of continuous monitoring in a 24/7 telecardiology consultation service-a feasibility study. J Electrocardiol. 42(6):473–480, 2009.
Lin, Y.H., et al., (2010) an intelligent telecardiology system using a wearable and wireless ECG to detect atrial fibrillation. IEEE Trans Inf Technol B. 14(3):726–733, 2010.
Burri, H., et al., (2010) the monitoring resynchronization devices and cardiac patients (MORE-CARE) study: rationale and design. Am Heart J. 160(1):42–48, 2010.
Ceylan, R., and Özbay, Y., Karlik B (2010) telecardiology and Teletreatment system Design for Heart Failures Using Type-2 fuzzy clustering neural networks. International Journal of Artificial Intelligence and Expert Systems (IJAE). 1(4):100–110, 2010.
Costa, C., Oliveira JL (2012) telecardiology through ubiquitous internet services. Int J Med Inform. 81(9):612–621, 2012.
Hsieh, J.C., Hsu MW (2012) a cloud computing based 12-lead ECG telemedicine service. BMC Med Inform Decis Mak. 12:77, 2012.
Rice P (2011) Telemonitoring for long term conditions: a workbook for implementing new service models. A workbook for implementing new service models, October 2011.
Massie B, et al (2001) A controlled trial of heart failure management programs. Journal of the American College of Cardiology 2001;37:1A–648A.
Roth, A., et al., (2000) potential reduction of costs and hospital emergency department visits resulting from prehospital transtelephonic triage - the shared experience in Israel. Clinical Cardiology. 23:271–276, 2000.
Scalvini S, et al (2005) Effect of home-based telecardiology on chronic heart failure: costs and outcomes. J Telemed Telecare. 2005;11:16–18.
Ellery, S., et al., (2006) predicting mortality and rehospitalization in heart failure patients with home monitoring--the home CARE pilot study. Clinical Research in Cardiology. 95:29–35, 2006.
Kraai, I.H., Luttik, M.L.A., de Jong, R.M., and Jaarsma, T., Hillege HL (2011) heart failure patients monitored with telemedicine: patient satisfaction, a review of the literature. J Card Fail. 17(8):684–690, 2011.
Chaudhry, S.K., et al., (2007) telemonitoring for patients with chronic heart failure: a systematic review. J Card Fail. 13(1):56–62, 2007.
Paré, G., and Jaana, M., Sicotte C (2007) systematic review of home telemonitoring for chronic diseases: the evidence base. Journal of the American Medical Informatics Association. 4(3):269–277, 2007.
Pinna, G.D., et al., (2007) home telemonitoring of vital signs and cardiorespiratory signals in heart failure patients: system architecture and feasibility of the HHH model. Int J Cardiol. 120(3):371–379, 2007.
Mortara, A., et al., 2009) home telemonitoring in heart failure patients: the HHH study (home or Hospital in Heart Failure. European Journal of Heart Fail. 11(3):312–318, 2009.
Jehn, M., et al., (2009) accelerometer-based quantification of 6-minute walk test performance in patients with chronic heart failure: applicability in telemedicine. J Card Fail. 15(4):334–340, 2009.
Klersy, C., De Silvestri, A., Gabutti, G., and Regoli, F., Auricchio a (2009) a meta-analysis of remote monitoring of heart failure patients. J Am Coll Cardiol. 54(18):1683–1694, 2009.
Hawkins, M.N., and Wright, D.J., Capewell S (2011) heart failure services in the United Kingdom: rethinking the machine bureaucracy. Int J Cardiol. 162(3):143–148, 2011.
Koehler, F., et al., (2011) telemedicine in heart failure: pre-specified and exploratory subgroup analyses from the TIM-HF trial. Int J Cardiol. 161(3):143–150, 2011.
Paré, G., et al., Clinical effects of home telemonitoring in the context of diabetes, asthma, heart failure and hypertension: a systematic review. J Med Internet Res. 2010:2(2), 2010.
Anker, S.D., and Koehler, F., Abraham WT (2011) telemedicine and remote management of patients with heart failure. The Lancet. 378(9792):20–26, 2011.
Boyne, J.J., et al., (2012) tailored telemonitoring in patients with heart failure: results of a multicentre randomized controlled trial. Eur J Heart Fail. 14(7):791–801, 2012.
Takahashi, P.Y., et al., (2012) a randomized controlled trial of telemonitoring in older adults with multiple health issues to prevent hospitalizations and emergency department visits. Arch Intern Med. 172(10):773–779, 2012.
Winkler, S., et al., (2011) a new telemonitoring system intended for chronic heart failure patients using mobile telephone technology - feasibility study. Int J Cardiol. 153(1):55–58, 2011.
Klasnja, P., Pratt, W (2012) healthcare in the pocket: mapping the space of mobile-phone health interventions. J Biomed Inform. 45(1):184–198, 2012.
Eisenstein E (2005) Conduting an economic analysis to assess the electrodiogram's value. J Electrocardiol. 2005;39:241–247.
Buysse, H., et al., Cost-effectiveness of telemonitoring for high-risk pregnant women. Int J Med Inform. 77:470–476, 2008.
Goncalves, B., et al., ECG data provision for telehomecare monitoring SAC, Fortaleza, Ceara. Brazil. 1374-1379, 2008.
Bardram, J., et al., Thomsen, designing for transformation in collaboration: a study of the deployment of homecare technology, ACM, November 6-9. Sanible Island. 2005:294–303, 2005.
Andersen T, et al (2011) Designing for collaborative interpretation in telemonitoring: Re-introducing patients as diagnostic agents. Int J Med Inform. 2011;80:112–126.
Seto, E., et al., Developing healthcare rule-based expert systems: case study of a heart failure telemonitoring system. Int J Med Inform. 81(8):556–565, 2012.
Karhula, T., Vuorinen, A.L., Rääpysjärvi, K., Pakanen, M., Itkonen, P., Tepponen, M., Junno, U.M., Jokinen, T., van Gils, M., Lähteenmäki, J., and Kohtamäki, K., Saranummi N (2015) telemonitoring and mobile phone-based health coaching among Finnish diabetic and heart disease patients: randomized controlled trial. J Med Internet Res. 17(6):e153, 2015.
Vuorinen, A.L., Leppänen, J., Kaijanranta, H., Kulju, M., Heliö, T., and van Gils, M., Lähteenmäki J (2014) use of home telemonitoring to support multidisciplinary Care of Heart Failure Patients in Finland: randomized controlled trial. J Med Internet Res. 16(12):e282, 2014.
Suh, M.K., Chen, C.A., et al., (2011) a remote patient monitoring system for congestive heart failure. J Med Syst. 35(5):1165–1179, 2011.
Acknowledgments
Thanks to Dr. Pravin Amrut Pawar from Telemedicine Group of University of Twente, The Netherlands, Dr. Rahime Ceylan from Department of Electrical & Electronics Engineering of Selcuk University, Turkey, and Dr. Roberto Maestri from S. Maugeri Foundation, Italy for providing us with some figures in this article, such as Figs. 4, 5 and 6. Moreover, thanks to the Service of Cardiology of the Clinic University Hospital of Valladolid, Spain for the collaboration in this work.
This research has been partially supported by the European Commission and the Ministry of Industry, Energy and Tourism under the project AAL-20125036 named “WetakeCare: ICT- based Solution for (Self-) Management of Daily Living”.
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de la Torre Díez, I., Garcia-Zapirain, B., Méndez-Zorrilla, A. et al. Monitoring and Follow-up of Chronic Heart Failure: a Literature Review of eHealth Applications and Systems. J Med Syst 40, 179 (2016). https://doi.org/10.1007/s10916-016-0537-y
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DOI: https://doi.org/10.1007/s10916-016-0537-y