In this issue of the Journal, Galinier et al. report a randomised trial of care supported by home telemonitoring including almost 1000 patients with heart failure. Telemonitoring consisted of questions about symptoms and daily weights. Data were relayed to a secure server, which generated alerts, to which nurses responded, during routine working hours, by advising patients whether they should contact their family practitioner or cardiologist. Compliance with measuring weight was often poor. We are not told how many patients contacted a doctor, what advice they received, or whether they complied with it. This complex chain of communication is only as strong as its weakest link.
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- Heart failure
- home telemonitoring
- randomised control trial
- patient monitoring
Cleland, J. G. F., Clark, R. A., Pellicori, P., & Inglis, S. C. (2020). 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. European Journal of Heart Failure, 22(6), 995-998. https://doi.org/10.1002/ejhf.1864