Qp.39 Improving Health Care Of Patients With Congestive Heart Failure Through Telemedecine Services: The Interlife Project

Author(s): 
C. Brotons1, C. Margeli2, C. Ceinos2, N. Maglaveras3, I. Lekka4
1 MD, PhD, Barcelona, Spain
2 MsC, Barcelona, Spain
3 PhD, Thessaloniki, Greece
4 MsC, Thessaloniki, Greece
Text: 
Backgroung / Aim.
Telemedicine services can prevent readmissions and improve health outcomes in patients with congestive health failure (CHF). The aim of this pilot study is to assess the feasibility and potential impact of home-centred monitoring through telemedicine services in patients with CHF through the INTERLIFE EU project.
Methods.
50 patients class NYHA II and III who met the criteria for CHF were recruited from two different settings, primary care (Sardenya-Barcelona, Spain) and hospital care (1st Cardiology Clinic. AHEPA Hospital. Thessaloniki-Greece). Patients were randomly assigned to telemedicine service (intervention group) or to conventional care (control group), and are being followed at the present time (six months of follow-up). All subjects of the intervention group are supplied with an electronic blood pressure monitor and an electronic weight scale, and they have to measure and transmit blood pressure and weight three times a week. Patients are using as type of data transmission either a World Wide Web, a wireless application protocol, or via computerised telephony (voice messaging).
Results.
The primary endpoints will be compliance in using the system, number of readmissions and quality of life related to health. Preliminary results from 15 patients in Thessaloniki-Greece showed a compliance of over 75% in using the systems and marked decrease of approximately 66% in hospital admissions comparing 10 month periods without and with intervention through the INTERLIFE MCC.
Conclusion.
Telemedicine services can increase patient compliance with the treatment/follow up protocol, reduce readmissions and increase quality of life.
Literature: 
QP.39 IMPROVING HEALTH CARE OF PATIENTS WITH CONGESTIVE HEART FAILURE THROUGH TELEMEDECINE SERVICES: THE INTERLIFE PROJECT