ArticleThe European journal of general practice2017
Telemonitoring in-home complex chronic patients from primary care in routine clinical practice: Impact on healthcare resources use.
Article in The European journal of general practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Efficacy of telemedicine for the management of cardiovascular disease: a systematic review and meta-analysis.The Lancet. Digital health · 2022Pooled it
- Remote Monitoring Systems for Patients With Chronic Diseases in Primary Health Care: Systematic Review.JMIR mHealth and uHealth · 2021Pooled it
- Factors influencing the effectiveness of remote patient monitoring interventions: a realist review.BMJ open · 2021Pooled it
- [Effectiveness of interventions based on telemedicine on health outcomes in patients with multimorbidity in Primary Care: A systematic review].Atencion primaria · 2020Pooled it
- Nurses' perspectives on the use of telemonitoring in the management of people with diabetes and hypertension.Revista brasileira de enfermagem · 2025Article
- Information and Communications Technologies Enabling Integrated Primary Care for Patients With Complex Care Needs: Scoping Review.Journal of medical Internet research · 2023Article
- Implementation of Telemonitoring in Health Care: Facilitators and Barriers for Using eHealth for Older Adults with Chronic Conditions.Risk management and healthcare policy · 2023Article
- The Impact of Telemonitoring on Improving Glycemic and Metabolic Control in Previously Lost-to-Follow-Up Patients with Type 2 Diabetes Mellitus: A Single-Center Interventional Study in the United Arab Emirates.International journal of clinical practice · 2022Article
- Article
- Clinical outcomes of digital sensor alerting systems in remote monitoring: a systematic review and meta-analysis.NPJ digital medicine · 2021Review
- The promise of eHealth for primary care: opportunities for service delivery, patient-doctor communication, self-management, shared decision making and research.The European journal of general practice · 2018Article
- A Component-Based Approach for Securing Indoor Home Care Applications.Sensors (Basel, Switzerland) · 2017Article
- Motivation of Physicians to Use and Recommend Apps for the Treatment of Haemophilia.Inquiry : a journal of medical care organization, provision and financingArticle
- Article
Corrections and comments
- Erratum issuedErratum.2017
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecent evidence indicates that home telemonitoring of chronic patients reduces the use of healthcare resources. However, further studies exploring this issue are needed in primary care.
objectivesTo assess the impact of a primary care-based home telemonitoring intervention for highly unstable chronic patients on the use of healthcare resources.
methodsA one-year follow-up before and after exploratory study, without control group, was conducted. Housebound patients with heart failure or chronic lung disease, with recurrent hospital admissions, were included. The intervention consisted of patient's self-measurements and responses to a health status questionnaire, sent daily from smartphones to a web-platform (aided by an alert system) reviewed by healthcare professionals. The primary outcome measure was the number of hospital admissions occurring 12 months before and after the intervention. Secondary outcomes were length of hospital stay and number of emergency department attendances. Primary care nurses were mainly in charge of the telemonitoring process and were assisted by the general practitioners when required.
resultsFor the 28 patients who completed the follow-up (out of 42 included, 13 patients died and 1 discontinued the intervention), a significant reduction in hospitalizations, from 2.6 admissions/patient in the previous year (standard deviation, SD: 1.6) to 1.1 (SD: 1.5) during the one-year telemonitoring follow-up (P <0.001), and emergency department attendances, from 4.2 (SD: 2.6) to 2.1 (SD: 2.6) (P <0.001) was observed. The length of hospital stay was reduced non-significantly from 11.4 to 7.9 days.
conclusionIn this small exploratory study, the primary care-based telemonitoring intervention seemed to have a positive impact decreasing the number of hospital admissions and emergency department attendances.
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