ArticleJACC. Heart failure2021
Outpatient Management of Heart Failure During the COVID-19 Pandemic After Adoption of a Telehealth Model.
Article in JACC. Heart failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed, 51 citations in OpenAlex.
- Healthcare System Resilience and Adaptation: A 6-Year Analysis of Heart Failure Care in the Veterans Affairs System.Circulation. Heart failure · 2026Article
- Feasibility of a Mobile-Based Home Monitoring System for Patients With Heart Failure: Mixed Methods Pilot Study.JMIR human factors · 2026Article
- Changes in Clinician Telemedicine Use and Care Patterns for Patients With Heart Failure in the United States.Circulation. Population health and outcomes · 2026Article
- Healthcare System Resilience and Adaptation: A Six-Year Analysis of Heart Failure Care in the Veterans Affairs System.medRxiv : the preprint server for health sciences · 2025Article
- Changes in heart failure healthcare in general practice during the COVID-19 pandemic: a survey.BJGP open · 2025Article
- Understanding Home Health Agencies' Perspectives Toward Telehealth Use Among Home Health Stakeholders in the Post-COVID-19 Era: Qualitative Interview Study.Journal of medical Internet research · 2025Article
- Article
- Outpatient care changes and associated mortality among Veterans with heart failure during the COVID-19 pandemic.PloS one · 2025Article
- Impact of Telehealth on Health Disparities Associated With Travel Time to Hospital for Patients With Recurrent Admissions: 4-Year Panel Data Analysis.Journal of medical Internet research · 2024Article
- Population-based disease-group analysis of Spanish excess mortality in the early COVID-19 pandemic period.Open heart · 2024Article
- Comparison of Short-Term Health Care Utilization Between Telemedicine-Delivered vs In-Person Care Visits for Heart Failure.JACC. Advances · 2024Article
- Impact of a clinician-to-clinician electronic consultation in heart failure patients with previous hospital admissions.European heart journal. Digital health · 2024Article
- Possible mechanisms of SARS-CoV-2-associated myocardial fibrosis: reflections in the post-pandemic era.Frontiers in microbiology · 2024Review
- Predicting monthly hospital outpatient visits based on meteorological environmental factors using the ARIMA model.Scientific reports · 2023Article
- Improving Access to Cardiovascular Care Through Telehealth: A Single-Center Experience.Cardiology research · 2023Article
- Management and outcomes of chest pain telemedicine visits in a cardiology clinic during the COVID-19 pandemic.Proceedings (Baylor University. Medical Center) · 2023Article
- Overview of telehealth in the United States since the COVID-19 public health emergency: a narrative review.mHealth · 2023Review
- Investigating the Association Between Telemedicine Use and Timely Follow-Up Care After Acute Cardiovascular Hospital Encounters.JACC. Advances · 2022Article
- Reflecting on the advancements of HFrEF therapies over the last two decades and predicting what is yet to come.European heart journal supplements : journal of the European Society of Cardiology · 2022Article
- An electronic consultation program impacts on heart failure patients' prognosis: implications for heart failure care.ESC heart failure · 2022Article
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study sought to determine whether the increased use of telehealth was associated with a difference in outcomes for outpatients with heart failure.
backgroundThe COVID-19 pandemic led to dramatic changes in the delivery of outpatient care. It is unclear whether increased use of telehealth affected outcomes for outpatients with heart failure.
methodsIn March 2020, a large Midwestern health care system, encompassing 16 cardiology clinics, 16 emergency departments, and 12 hospitals, initiated a telehealth-based model for outpatient care in the setting of the COVID-19 pandemic. A propensity-matched analysis was performed to compare outcomes between outpatients seen in-person in 2018 and 2019 and via telemedicine in 2020.
resultsAmong 8,263 unique patients with heart failure with 15,421 clinic visits seen from March 15 to June 15, telehealth was employed in 88.5% of 2020 visits but in none in 2018 or 2019. Despite the pandemic, more outpatients were seen in 2020 (n = 5,224) versus 2018 and 2019 (n = 5,099 per year). Using propensity matching, 4,541 telehealth visits in 2020 were compared with 4,541 in-person visits in 2018 and 2019, and groups were well matched. Mortality was similar for telehealth and in-person visits at both 30 days (0.8% vs 0.7%) and 90 days (2.9% vs 2.4%). Likewise, there was no excess in hospital encounters or need for intensive care with telehealth visits.
conclusionsA telehealth model for outpatients with heart failure allowed for distanced encounters without increases in subsequent acute care or mortality. As the pressures of the COVID-19 pandemic abate, these data suggest that telehealth outpatient visits in patients with heart failure can be safely incorporated into clinical practice.
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