Remote monitoring during the first COVID-19 lockdown in France

29 April 2021
During the first French national lockdown due to COVID-19, the provision of conventional care was drastically reduced: -58% of medical contacts, -77% in cardiology.

However, the lockdown had little or no impact in the short term on the vital parameters and clinical status of patients with heart failure benefiting from multiparametric remote monitoring performed by the Bordeaux University Hospital, as shown in the article Remote monitoring of patients with heart failure during the first national lockdown for COVID-19 in France, published in the European Heart Journal – Digital Health.

The clinical status of HF patients under multiparametric remote monitoring was minimally affected by lockdown restrictions despite a marked decrease in conventional measures of healthcare use. This strategy, combined with patient education, may mitigate the health risks associated with strict lockdowns for COVID-19.

This management strategy enabled early identification and home management of most decompensated heart failure events during this lockdown.

Our findings suggest that a combination of home sensors and CIED remote interrogation capabilities represent a method of complying with public health measures while preserving the care and safety of patients with chronic HF. Our experience therefore argues for the benefits of this strategy in this patient population and supports larger studies to confirm our findings.

The full article is available here (open access).

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CareLine Solutions: for 100% customizable remote monitoring of your heart failure patients

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In the context of remote monitoring of heart failure, Decree No. 2022-1767 of December 30, 2022, relating to the coverage and reimbursement of remote medical monitoring activities, stipulates that the only mandatory parameter to be monitored daily is weight.
CareLine Solutions has chosen to go well beyond this minimum requirement by offering comprehensive, personalized medical care focused on clinical expertise and care coordination.

CE-Mark

CE-Mark

The Alert Module of the CareLine HF-Platform is a Class IIa medical device software performing automated multiparametric analyses of patients’ physiological parameters using customizable algorithms and generating related alerts to support remote management of chronic heart failure with the CareLine-HF Platform. It is intended to be used by healthcare professionals providing care to chronic heart failure patients under the supervision of a heart failure specialist.

Remote management of heart failure is not intended to ensure continuous monitoring of patients or provide them with emergency care. Patients should be informed and educated accordingly.

Read carefully the healthcare professional instructions for use.
The CareLine HF-Platform is on the French Assurance Maladie’s reimbursement list for remote medical monitoring activities mentioned by article L. 162-52 of the French Social Security Code. Coverage is conditional to the activities being operated by a declared remote monitoring operator and to the patient following a therapeutic educational program.

French Digital Health Agency certification

French Digital Health Agency certification

The CareLine Platform certification by ANS of compliance with interoperability and security common specifications and HAS common specifications for heart failure remote monitoring enable its coverage by the French Health Insurance.

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