Abstract
Caring for people with heart failure and many other medical problems through and beyond the COVID-19 pandemic: the advantages of universal access to home telemonitoring.
Highlights
In this issue of the Journal, Galinier et al.[1] report a randomised trial of care supported by home telemonitoring including almost 1000 patients with heart failure
The trial was neutral for its composite primary endpoint, unplanned hospitalisation for heart failure or all-cause mortality, and for all pre-specified secondary endpoints
A further analysis, focussing on first unplanned hospitalisation for heart failure, suggested a modest improvement, that was driven by larger effects in those who weighed themselves regularly or had greater functional limitation or who were more socially isolated
Summary
In this issue of the Journal, Galinier et al.[1] report a randomised trial of care supported by home telemonitoring including almost 1000 patients with heart failure. Some will view this trial as further evidence that home telemonitoring is ineffective for heart failure, ignoring the overall positive effect identified by systematic reviews.[2,3,4] Others will suggest the trial was neutral because of inadequate technology, lack of a robust and timely response to alerts, insufficient patient motivation and the problems inherent in conducting trials of service re-design. Multi-user systems in care homes or community tele-kiosks can make even more efficient use of equipment when social distancing is not possible or not required.
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