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Influential Factors in Remote Monitoring of Heart Failure Patients: A Review of the Literature and Direction for Future Research

With new advances in technology, remote monitoring of heart failure (HF) patients has become increasingly prevalent and has the potential to greatly enhance the outcome of care. Many studies have focused on implementing systems for the management of HF by analyzing physiological signals for the earl...

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Detalles Bibliográficos
Autores principales: Senarath, Sashini, Fernie, Geoff, Roshan Fekr, Atena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8196679/
https://www.ncbi.nlm.nih.gov/pubmed/34063825
http://dx.doi.org/10.3390/s21113575
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author Senarath, Sashini
Fernie, Geoff
Roshan Fekr, Atena
author_facet Senarath, Sashini
Fernie, Geoff
Roshan Fekr, Atena
author_sort Senarath, Sashini
collection PubMed
description With new advances in technology, remote monitoring of heart failure (HF) patients has become increasingly prevalent and has the potential to greatly enhance the outcome of care. Many studies have focused on implementing systems for the management of HF by analyzing physiological signals for the early detection of HF decompensation. This paper reviews recent literature exploring significant physiological variables, compares their reliability in predicting HF-related events, and examines the findings according to the monitored variables used such as body weight, bio-impedance, blood pressure, heart rate, and respiration rate. The reviewed studies identified correlations between the monitored variables and the number of alarms, HF-related events, and/or readmission rates. It was observed that the most promising results came from studies that used a combination of multiple parameters, compared to using an individual variable. The main challenges discussed include inaccurate data collection leading to contradictory outcomes from different studies, compliance with daily monitoring, and consideration of additional factors such as physical activity and diet. The findings demonstrate the need for a shared remote monitoring platform which can lead to a significant reduction of false alarms and help in collecting reliable data from the patients for clinical use especially for the prevention of cardiac events.
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spelling pubmed-81966792021-06-13 Influential Factors in Remote Monitoring of Heart Failure Patients: A Review of the Literature and Direction for Future Research Senarath, Sashini Fernie, Geoff Roshan Fekr, Atena Sensors (Basel) Review With new advances in technology, remote monitoring of heart failure (HF) patients has become increasingly prevalent and has the potential to greatly enhance the outcome of care. Many studies have focused on implementing systems for the management of HF by analyzing physiological signals for the early detection of HF decompensation. This paper reviews recent literature exploring significant physiological variables, compares their reliability in predicting HF-related events, and examines the findings according to the monitored variables used such as body weight, bio-impedance, blood pressure, heart rate, and respiration rate. The reviewed studies identified correlations between the monitored variables and the number of alarms, HF-related events, and/or readmission rates. It was observed that the most promising results came from studies that used a combination of multiple parameters, compared to using an individual variable. The main challenges discussed include inaccurate data collection leading to contradictory outcomes from different studies, compliance with daily monitoring, and consideration of additional factors such as physical activity and diet. The findings demonstrate the need for a shared remote monitoring platform which can lead to a significant reduction of false alarms and help in collecting reliable data from the patients for clinical use especially for the prevention of cardiac events. MDPI 2021-05-21 /pmc/articles/PMC8196679/ /pubmed/34063825 http://dx.doi.org/10.3390/s21113575 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Senarath, Sashini
Fernie, Geoff
Roshan Fekr, Atena
Influential Factors in Remote Monitoring of Heart Failure Patients: A Review of the Literature and Direction for Future Research
title Influential Factors in Remote Monitoring of Heart Failure Patients: A Review of the Literature and Direction for Future Research
title_full Influential Factors in Remote Monitoring of Heart Failure Patients: A Review of the Literature and Direction for Future Research
title_fullStr Influential Factors in Remote Monitoring of Heart Failure Patients: A Review of the Literature and Direction for Future Research
title_full_unstemmed Influential Factors in Remote Monitoring of Heart Failure Patients: A Review of the Literature and Direction for Future Research
title_short Influential Factors in Remote Monitoring of Heart Failure Patients: A Review of the Literature and Direction for Future Research
title_sort influential factors in remote monitoring of heart failure patients: a review of the literature and direction for future research
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8196679/
https://www.ncbi.nlm.nih.gov/pubmed/34063825
http://dx.doi.org/10.3390/s21113575
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