{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T01:58:12Z","timestamp":1788055092433,"version":"build-2784847793"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":769,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T00:00:00Z","timestamp":1696464000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001665","name":"National Research Agency","doi-asserted-by":"publisher","award":["ANR-10-IAHU-04"],"award-info":[{"award-number":["ANR-10-IAHU-04"]}],"id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","award":["ANR\u201010\u2010IAHU\u201004"],"award-info":[{"award-number":["ANR\u201010\u2010IAHU\u201004"]}],"id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>From a patient and health system perspective, managing worsening heart failure (WHF) as an outpatient has become a priority. Remote management allows early detection of WHF, enabling timely intervention with the aim of preventing hospitalization. The objective of the study was to evaluate the feasibility and safety of remotely managing WHF events using a multiparametric platform.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>All patients enrolled in the heart failure remote management programme of the Bordeaux University Hospital Telemedicine Center between 1 January and 31 December 2021 were included in the study. Follow-up data were collected until 1 March 2022. Inclusion criteria were chronic heart failure (HF) with New York Heart Association \u2265II symptoms and an elevated B-type natriuretic peptide (BNP &amp;gt; 100 pg\/mL or N-terminal-pro-BNP &amp;gt; 1000 pg\/mL). Patient assessments were performed remotely and included measurements of body weight, blood pressure, heart rate, symptoms, biochemical parameters, and data from cardiac implantable electronic devices when available. In total, 161 patients (71 \u00b1 11 years old, 79% male) were followed for a mean of 291 \u00b1 66 days with a mean adherence to the remote monitoring system of 80 \u00b1 20%. Over this period, 52 (32.3%) patients had 105 WHF events, of which 66 (63%) were successfully managed remotely, the remaining requiring hospitalization. Freedom from WHF events and hospitalization at 300 days were 66% and 85%, respectively (P &amp;lt; 0.001 for the difference). Increased level of BNP was associated with an increased risk of WHF event [hazard ratio (HR) per unit increase in BNP: 1.001; 95% confidence interval (CI) 1\u20131.002; P = 0.001] and hospitalization (HR 1.002; 95% CI 1.002\u20131.003; P = 0.002). A decrease in the level of glomerular filtration rate was associated with an increased risk of hospitalization (HR per unit decrease in estimated glomerular filtration rate: 0.946; 95% CI 0.906\u20130.989; P = 0.014). WHF event recurrence and (re)hospitalization rates at 1-month were similar among patients managed remotely (18% and 12%, respectively) and those requiring hospitalization (21% and 10%, respectively). Iatrogenic complications occurred more often during hospitalization than remote management (26% vs. 3%, P &amp;lt; 0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our study suggests that remote management of WHF events based on a multiparametric approach led by a telemedical centre is feasible and safe. Adopting such a strategy for patients with chronic HF could reduce HF-related hospitalizations with expected benefits for patients, care providers, and health care systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ehf2.14553","type":"journal-article","created":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T13:30:00Z","timestamp":1696599000000},"page":"3637-3645","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Remote Management of Worsening Heart Failure to Avoid Hospitalization in a Real-World Setting"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4355-2967","authenticated-orcid":false,"given":"Sylvain","family":"Ploux","sequence":"first","affiliation":[{"name":"Cardio-Thoracic Unit, Bordeaux University Hospital (CHU) , Pessac ,","place":["France"]},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, fondation Bordeaux Universit\u00e9 , Bordeaux ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Strik","sequence":"additional","affiliation":[{"name":"Cardio-Thoracic Unit, Bordeaux University Hospital (CHU) , Pessac ,","place":["France"]},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, fondation Bordeaux Universit\u00e9 , Bordeaux ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. Daniel","family":"Ramirez","sequence":"additional","affiliation":[{"name":"Division of Cardiology, University of Ottawa Heart Institute , Ottawa ,","place":["Canada"]},{"name":"School of Epidemiology and Public Health, University of Ottawa , Ottawa ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Buliard","sequence":"additional","affiliation":[{"name":"Cardio-Thoracic Unit, Bordeaux University Hospital (CHU) , Pessac ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00e9mi","family":"Chauvel","sequence":"additional","affiliation":[{"name":"Cardio-Thoracic Unit, Bordeaux University Hospital (CHU) , Pessac ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Dos Santos","sequence":"additional","affiliation":[{"name":"Cardio-Thoracic Unit, Bordeaux University Hospital (CHU) , Pessac ,","place":["France"]},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, fondation Bordeaux Universit\u00e9 , Bordeaux ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Ha\u00efssaguerre","sequence":"additional","affiliation":[{"name":"Cardio-Thoracic Unit, Bordeaux University Hospital (CHU) , Pessac ,","place":["France"]},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, fondation Bordeaux Universit\u00e9 , Bordeaux ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Jobb\u00e9-Duval","sequence":"additional","affiliation":[{"name":"Department of Heart Failure and Transplant, \u2018Louis Pradel\u2019 Cardiologic Hospital, Hospices Civils de Lyon , Lyon ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Picard","sequence":"additional","affiliation":[{"name":"Cardio-Thoracic Unit, Bordeaux University Hospital (CHU) , Pessac ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cl\u00e9ment","family":"Riocreux","sequence":"additional","affiliation":[{"name":"Cardio Vascular Interventional Therapy and Imaging (CaVITI), Image Science for Interventional Techniques (ISIT), Clermont Universit\u00e9, Universit\u00e9 d'Auvergne , Clermont-Ferrand ,","place":["France"]},{"name":"Department of Cardiology, CHU Clermont-Ferrand , Clermont-Ferrand ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romain","family":"Eschalier","sequence":"additional","affiliation":[{"name":"Cardio Vascular Interventional Therapy and Imaging (CaVITI), Image Science for Interventional Techniques (ISIT), Clermont Universit\u00e9, Universit\u00e9 d'Auvergne , Clermont-Ferrand ,","place":["France"]},{"name":"Department of Cardiology, CHU Clermont-Ferrand , Clermont-Ferrand ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Bordachar","sequence":"additional","affiliation":[{"name":"Cardio-Thoracic Unit, Bordeaux University Hospital (CHU) , Pessac ,","place":["France"]},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, fondation Bordeaux Universit\u00e9 , Bordeaux ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,10,5]]},"reference":[{"key":"2026012113213614600_ehf214553-bib-0001","doi-asserted-by":"publisher","first-page":"1789","DOI":"10.1016\/S0140-6736(18)32279-7","article-title":"Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990\u20132017: A systematic analysis for the global burden of disease study 2017","volume":"392","author":"GBD 2017 Disease and Injury Incidence and Prevalence Collaborators","year":"2018","journal-title":"Lancet"},{"key":"2026012113213614600_ehf214553-bib-0002","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1016\/j.ahj.2007.01.041","article-title":"Repeated hospitalizations predict mortality in the community population with heart failure","volume":"154","author":"Setoguchi","year":"2007","journal-title":"Am Heart J"},{"key":"2026012113213614600_ehf214553-bib-0003","doi-asserted-by":"publisher","first-page":"1482","DOI":"10.1161\/CIRCULATIONAHA.107.696906","article-title":"Candesartan in heart failure: Assessment of reduction in mortality and morbidity (CHARM) investigators. 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