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首页> 外文期刊>Journal of cardiac failure >A Randomized Clinical Trial of the Clinical Effects of EnhancedHeart Failure Monitoring Using a Computer-Based TelephonicMonitoring System in Older Minorities and Women
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A Randomized Clinical Trial of the Clinical Effects of EnhancedHeart Failure Monitoring Using a Computer-Based TelephonicMonitoring System in Older Minorities and Women

机译：使用基于计算机的电话监控系统对老年人和女性进行增强型心力衰竭监测的临床效果的随机临床试验

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Background: Prior studies suggest that disease management programs may be effective in improving clinical outcomes in patients with heart failure (HF). However, the use of these programs in settings with limited sources and among diverse population is not know. Thus the present study was designed to assess the impact of a computer-based home disease management program (Alere DayLmk HF Monitoring System [HEMS]) on the clinical outcomes of Medicare beneficiaries with HF who were elderly, women, and non-white males who received the care from a community-based primary care practitioner. Methods and Results: The Heart Failure Home Care (HFHC) trial was a multicenter, randomized, controlled trial of HFMS versus standard heart failure care (SC: enhanced patient education, education to clinicians, and follow-up).The primary study end point was treatment failure, defined as a composite of cardiovascular death or rehospitalization for heart failure within 6 months of enrollment. Among patients rehospitalized for HF, length of hospital stay was also considered a primary end point. A total of 315 patients were randomized: 160 to HFMS and 155 to SC. Although the incidence of the primary outcome was somewhat higher in the SC arm (28.8% versus 21.2%, P = .15), the difference was not statistically different. The length of hospital stay was also similar in both groups.Conclusions: Our study results suggest that enhanced patient education and follow-up is as successful as a sophisticated home monitoring device with an interactive program in patients with HF who are elderly, women and non-Caucasian males and receive the care from a community-based primary care practitioner. ^g>Clinical outcomes, disease management program, heart failure.
机译：背景：先前的研究表明，疾病管理计划可能有效改善心力衰竭（HF）患者的临床结局。但是，尚不知道在来源有限和人口众多的环境中如何使用这些程序。因此，本研究旨在评估基于计算机的家庭疾病管理程序（Alere DayLmk HF监测系统[HEMS]）对老年，女性和非白人男性的HF医保受益人的临床结局的影响从社区的初级保健医生那里获得了护理。方法和结果：心力衰竭家庭护理（HFHC）试验是HFMS与标准心力衰竭护理（SC：加强患者教育，对临床医生的教育以及随访）的多中心，随机，对照试验。是治疗失败，定义为入组后6个月内因心力衰竭导致的心血管死亡或重新住院。在因HF而再次住院的患者中，住院时间也被认为是主要终点。共有315例患者被随机分组​​：HFMS 160例，SC 155例。尽管SC组的主要结局发生率较高（28.8％对21.2％，P = .15），但差异无统计学意义。结论：我们的研究结果表明，对于老年，女性和非老年心衰患者，加强患者的教育和随访与采用交互式程序的先进家庭监测设备一样，具有交互式程序是成功的。 -高加索男性，并从社区初级保健医生那里获得护理。 ^ g>临床结果，疾病管理计划，心力衰竭。

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