Remote management of worsening heart failure

6 November 2023
The article Remote management of worsening heart failure to avoid hospitalization in a real-world setting, published in ESC Heart Failure, presents the results of the real-life retrospective clinical study on 161 heart failure patients managed remotely by the Bordeaux University Hospital over a period of 291±66 days.

Whereas remote monitoring of Heart Failure is a general concept focused mainly on the early detection of Worsening Heart Failure events, remote management is a more comprehensive approach that encompasses prevention, detection, and remote care. This is a critical difference, because remote care has the potential to decrease hospitalization.

Thanks to multiparametric remote monitoring using connected devices and performed by a specialized hospital care team, a strategy for remote management of episodes of worsening heart failure can be implemented:
With this approach, nearly 2/3 of episodes of worsening heart failure could be managed remotely, avoiding hospitalization:

In the present study, most Worsening Heart Failure events (62.9%) could be successfully managed remotely.

Authors conclude:

Our study suggests that remote management of Worsening Heart Failure events based on a multiparametric approach led by a telemedical centre is feasible and safe. Adopting such a strategy for patients with chronic Heart Failure could reduce Heart Failure-related hospitalizations with expected benefits for patients, care providers, and health care systems.

The full article is available here (open access).

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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.
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CE-Mark

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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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