{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:03:30Z","timestamp":1777935810629,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2015,3,11]],"date-time":"2015-03-11T00:00:00Z","timestamp":1426032000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:p>To investigate, in a \u2018real-world\u2019 setting, the impact of home telemonitoring (HTM) compared to usual care on achieved dose of guideline-recommended medication, hospitalisation rate and mortality in patients with heart failure (HF). Methods: We retrospectively analyzed data on 333 patients with HF referred to a HTM service supported by a nurse-specialist (mean age 71\u00b112 years, mean left ventricular ejection fraction (LVEF) 36\u2009\u00b1\u200911% and median N-Terminal pro B-type Natriuretic Peptide (NT-proBNP) 2,972 ng\/L (interquartile range (IQR): 1,447\u20137,801 ng\/L)). Most patients (n = 278) accepted HTM (HTM-group) but 55 refused and received usual care (UC-group). In the HTM-group, weight, heart rate, blood pressure and symptom severity were measured daily. Results: At referral, respectively 90%, 90%, 67% and 94% of patients with LVEF \u226440% (n\u2009=\u2009229) were treated with \u03b2-blockers (BB), angiotensin converting enzyme-inhibitors (ACE-I) or angiotensin receptor blockers (ARB), mineralocorticoid receptor antagonists (MRA) and diuretics, with rates similar between groups. After 6 months, prescription of BB (92% vs 83%), ACE-I\/ARB (92% vs 90%) and MRA (68% vs 67%) did not differ significantly between groups. The proportions of patients who achieved \u226550% and \u2265100% of target doses of BB, ACE-I\/ARB and MRA were also similar in each group. However, during a median follow-up of 1094 days (IQR 767\u20131419) fewer patients who chose HTM died (33% vs 49%; P\u2009=\u20090.002). Conclusion: Patients who choose HTM have a better prognosis than those who do not but this does not appear to be mediated through greater prescription of key HF medications.<\/jats:p>","DOI":"10.1177\/1357633x15574947","type":"journal-article","created":{"date-parts":[[2015,3,12]],"date-time":"2015-03-12T20:03:08Z","timestamp":1426190588000},"page":"331-339","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["If home telemonitoring reduces mortality in heart failure, is this just due to better guideline-based treatment?"],"prefix":"10.1177","volume":"21","author":[{"given":"Riet","family":"Dierckx","sequence":"first","affiliation":[{"name":"Academic Department of Cardiology, Hull York Medical School, Castle Hill Hospital, Kingston-upon-Hull"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John GF","family":"Cleland","sequence":"additional","affiliation":[{"name":"National Heart & Lung Institute and National Institute of Health Research, Cardiovascular Biomedical Research Unit, Royal Brompton & Harefield Hospitals, Imperial College, London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierpaolo","family":"Pellicori","sequence":"additional","affiliation":[{"name":"Academic Department of Cardiology, Hull York Medical School, Castle Hill Hospital, Kingston-upon-Hull"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jufen","family":"Zhang","sequence":"additional","affiliation":[{"name":"Academic Department of Cardiology, Hull York Medical School, Castle Hill Hospital, Kingston-upon-Hull"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Goode","sequence":"additional","affiliation":[{"name":"Faculty of Health and Social Care, University of Hull, Kingston-upon-Hull"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Putzu","sequence":"additional","affiliation":[{"name":"Academic Department of Cardiology, Hull York Medical School, Castle Hill Hospital, Kingston-upon-Hull"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vennela","family":"Boyalla","sequence":"additional","affiliation":[{"name":"Academic Department of Cardiology, Hull York Medical School, Castle Hill Hospital, Kingston-upon-Hull"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew L","family":"Clark","sequence":"additional","affiliation":[{"name":"Academic Department of Cardiology, Hull York Medical School, Castle Hill Hospital, 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