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Feasibility and Effectiveness of Home Care Telemedicine in Patients with Heart Failure in Thuringia

Analysis of the Disease Management Program Zertiva®

  • Conference paper
World Congress on Medical Physics and Biomedical Engineering, September 7 - 12, 2009, Munich, Germany

Part of the book series: IFMBE Proceedings ((IFMBE,volume 25/5))

  • 957 Accesses

Abstract

Home Care Telemedicine is a rapidly developing application in clinical medicine where medical information is transferred via telephone or Internet for the purpose of disease management.

We provide a 24 month follow up on Home Care Telemedicine in 90 elder patients with chronic heart failure compared with an age matched control group. The telemedicine group got a mobile 12-channel ECG (Viapac TM, SHL, Tel Aviv, Israel), NYHA III patients transmitted vital parameters on a daily base. Additionally the telemedicine group got disease specific training material. An acute ambulatory ECG could always be transferred to the telemedicine centre and was exploited immediately with a 24 hour a day helpline on duty.

During follow up the telemedicine group achieved a significant reduction in hospitalization costs of 71%: 52 (58%) patients in the telemedicine group were admitted to the hospital a total of 126 times. They stayed in the hospital altogether 858 days. Within the control group, 76 patients (84%) were hospitalized a total of 242 times. These patients spent altogether 2.493 days in the hospital.

Telemedicine in elder chronic heart failure patients is effective and coast-saving if used additionally to standard care.

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Author information

Authors and Affiliations

  1. Clinic for Internal Medicine I, University Hospital of Jena, Jena, Germany

    M. Goernig, B. Brehm, H. R. Figulla & U. Leder

  2. Clinic for Geriatrics, University Hospital of Jena, Jena, Germany

    M. Goernig & A. Kwetkat

  3. Personal HealthCare Telemedicine GmbH, Duesseldorf, Germany

    K. Fidorra

  4. Department of Cardiology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel

    A. Roth

Authors
  1. M. Goernig
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  2. A. Kwetkat
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  3. B. Brehm
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  4. K. Fidorra
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  5. A. Roth
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  6. H. R. Figulla
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  7. U. Leder
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Editor information

Editors and Affiliations

  1. Inst. Biomedizinische Technik, Univ. Karlsruhe, Kaiserstr. 12, 76128, Karlsruhe, Germany

    Olaf Dössel

  2. Abt. Medizinische Physik in der Strahlentherapie, Deutsche Krebsforschungszentrum (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany

    Wolfgang C. Schlegel

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© 2009 Springer-Verlag Berlin Heidelberg

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Goernig, M. et al. (2009). Feasibility and Effectiveness of Home Care Telemedicine in Patients with Heart Failure in Thuringia. In: Dössel, O., Schlegel, W.C. (eds) World Congress on Medical Physics and Biomedical Engineering, September 7 - 12, 2009, Munich, Germany. IFMBE Proceedings, vol 25/5. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03904-1_21

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  • DOI: https://doi.org/10.1007/978-3-642-03904-1_21

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-03903-4

  • Online ISBN: 978-3-642-03904-1

  • eBook Packages: EngineeringEngineering (R0)

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