Background: Heart failure (HF) patients are predisposed to recurrences and disease destabilizations, especially during the COVID-19 outbreak period. In this scenario, telemedicine could be a proper way to ensure continuous care. The purpose of the study was to compare two modalities of HF outpatients’ follow up, the traditional in-person visits and telephone consultations, during the COVID-19 pandemic period in Italy. Methods: We conducted an observational study on consecutive HF outpatients. The follow up period was 12 months, starting from the beginning of the COVID-19 Italy lockdown. According to the follow up modality, and after the propensity matching score, patients were divided into two groups: those in G1 (n = 92) were managed with traditional in-person visits and those in G2 (n = 92) were managed with telephone consultation. Major adverse cardiovascular events (MACE) were the primary endpoints. Secondary endpoints were overall mortality, cardiovascular death, cardiovascular hospitalization, and hospitalization due to HF. Results: No significant differences between G1 and G2 have been observed regarding MACE (p = 0.65), cardiovascular death (p = 0.39), overall mortality (p = 0.85), hospitalization due to acute HF (p = 0.07), and cardiovascular hospitalization (p = 0.4). Survival analysis performed by the Kaplan–Meier method also did not show significant differences between G1 and G2. Conclusions: Telephone consultations represented a valid option to manage HF outpatients during COVID-19 pandemic, comparable to traditional in-person visits.

Clinical Support through Telemedicine in Heart Failure Outpatients during the COVID-19 Pandemic Period: Results of a 12-Months Follow Up / Severino, Paolo; D'Amato, Andrea; Prosperi, Silvia; Magnocavallo, Michele; Maraone, Annalisa; Notari, Claudia; Papisca, Ilaria; Mancone, Massimo; Fedele, Francesco. - In: JOURNAL OF CLINICAL MEDICINE. - ISSN 2077-0383. - 11:10(2022), p. 2790. [10.3390/jcm11102790]

Clinical Support through Telemedicine in Heart Failure Outpatients during the COVID-19 Pandemic Period: Results of a 12-Months Follow Up

Paolo Severino
Co-primo
;
Andrea D’Amato
Co-primo
;
Silvia Prosperi
Secondo
;
Michele Magnocavallo;Annalisa Maraone;Claudia Notari;Ilaria Papisca;Massimo Mancone
Penultimo
;
Francesco Fedele
Ultimo
2022

Abstract

Background: Heart failure (HF) patients are predisposed to recurrences and disease destabilizations, especially during the COVID-19 outbreak period. In this scenario, telemedicine could be a proper way to ensure continuous care. The purpose of the study was to compare two modalities of HF outpatients’ follow up, the traditional in-person visits and telephone consultations, during the COVID-19 pandemic period in Italy. Methods: We conducted an observational study on consecutive HF outpatients. The follow up period was 12 months, starting from the beginning of the COVID-19 Italy lockdown. According to the follow up modality, and after the propensity matching score, patients were divided into two groups: those in G1 (n = 92) were managed with traditional in-person visits and those in G2 (n = 92) were managed with telephone consultation. Major adverse cardiovascular events (MACE) were the primary endpoints. Secondary endpoints were overall mortality, cardiovascular death, cardiovascular hospitalization, and hospitalization due to HF. Results: No significant differences between G1 and G2 have been observed regarding MACE (p = 0.65), cardiovascular death (p = 0.39), overall mortality (p = 0.85), hospitalization due to acute HF (p = 0.07), and cardiovascular hospitalization (p = 0.4). Survival analysis performed by the Kaplan–Meier method also did not show significant differences between G1 and G2. Conclusions: Telephone consultations represented a valid option to manage HF outpatients during COVID-19 pandemic, comparable to traditional in-person visits.
2022
heart failure; telemedicine; mortality; hospitalization; MACE; COVID-19
01 Pubblicazione su rivista::01a Articolo in rivista
Clinical Support through Telemedicine in Heart Failure Outpatients during the COVID-19 Pandemic Period: Results of a 12-Months Follow Up / Severino, Paolo; D'Amato, Andrea; Prosperi, Silvia; Magnocavallo, Michele; Maraone, Annalisa; Notari, Claudia; Papisca, Ilaria; Mancone, Massimo; Fedele, Francesco. - In: JOURNAL OF CLINICAL MEDICINE. - ISSN 2077-0383. - 11:10(2022), p. 2790. [10.3390/jcm11102790]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1634462
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