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• W4313443459 abstract "Heart failure (HF) is associated with a high mortality rate and recurrent hospitalizations. Recently, remote monitoring has emerged as a valuable tool in HF care. Illectronic profiles (i.e. patients that do not have access or do not use connected devices) are likely not to receive standard remote monitoring as these solutions usually are online based. To compare the characteristics of digital patients (DP) vs. illectronic patients (IP) using remote monitoring for HF. Patients were followed by the Satelia®Cardio solution, a HF management solution with a remote monitoring system including therapeutic guidance by a dedicated nurse phone platform. The system is accessible from any devices, requiring no software installation, no external sensors. IP can use this system thanks to a phone nurse-lead platform. Within 48 hours after inclusion, patients are contacted by the platform nurse. During the monitoring, SMS with a link to a web page with 7 structured questions related to HF symptoms are sent to all patients. Body weight is also followed. In case of symptoms worsening and/or increase in body weight, the cardiologist in charge of the patient is notified. Since 2018, 7 916 HF patients were followed through Satelia®Cardio, among whom 5170 patients are still monitored. More than a third of patients were illectronic (38%). These IP were older (79 vs. 69), less likely to be male (60% vs. 70%) and had higher LVEF (43% vs. 39%). In the overall population, the main reasons for stopping the monitoring are related to the occurrence of death (31%), patient/HCP decision (59%), or other reasons (10%). In total, the monitored patients answered to 449,534 questionnaires, generating 1705 red alerts (4%) transmitted to the referent cardiologists. Further data will be presented at the time of the congress related to the number and profile of alerts, as well as their resolution, according to the DP vs. IP status. Illectronic patients represent more than a third of patients included in our large HF telemonitoring population. This profile is composed of individuals who are a decade older than digital patients, and consequently likely represent the majority of patients eligible to HF telemonitoring. Finding adequate technical solutions for illectronic patients appears mandatory to ensure the scalability of HF monitoring." @default.
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• W4313443459 date "2023-01-01" @default.
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• W4313443459 title "Remote monitoring for heart failure by a ready-to-use solution in France: Comparison of digital versus illectronic patients" @default.
• W4313443459 doi "https://doi.org/10.1016/j.acvdsp.2022.10.329" @default.
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