Heart Failure, Congestive
Conditions
Keywords
Telemonitoring, Cost-effectiveness, Heart failure, Case management
Brief summary
The purpose of this study is to investigate if telemonitoring results in a decrease in hospital admissions, with equal quality of care defined as mortality, quality of life and unplanned visits with caregivers. Telemonitoring is expected to be more cost-effective than usual care in patients with heart failure.
Interventions
Patients are followed on distance by the Health Buddy system.
Health Buddy in patients home situation.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients \> 18 years * Patients with heart failure NYHA classification II-III-IV * Patient experienced a period of fluid retention * Patient is treated by a cardiologist * Patient is followed-up by a heart failure nurse * Adequate knowledge of the Dutch language * Patient has an active telephone connection, preferably analogue * Patient is mental competent * Patient has the disposal of a balance
Exclusion criteria
* Patients suffering from COPD, Gold classification 3 or 4 * Patient is a dialysis patient * Patient has a visual restriction to read the dialogues on the Health Buddy * Patient is hard of hearing or deaf * Patient suffers from a lethal sickness with a prognosis \< 1 year * Patient participates in another trial * Patient needs a hospital admission on short time, i.e., \< 3 months * Patient used the Health Buddy in an earlier stage * Patient is an illiterate person.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To what extent does the use of Health Buddy result in a decrease in hospital admissions? | one year |
| To what extent is Health Buddy® more cost-effective than usual care? | one year |
| To what extent will the amount of planned contacts decrease without an increase of unplanned contacts? | one year |
Secondary
| Measure | Time frame |
|---|---|
| What is the effect of Health Buddy® in patients with heart failure in regard to drug consumption and therapy compliance and level of knowledge, and quality of life? | one year |
| To what extent is it - based on patients' characteristics - possible to identify patient with benefits? | one year |
Countries
Netherlands