Telemedicine in the Management of Chronic Heart Failure: Patient Outcomes and Satisfaction
DOI:
https://doi.org/10.70749/ijbr.v3i5.1243Keywords:
Telemedicine, Chronic Heart Failure, Patient Satisfaction, Remote Monitoring, Healthcare OutcomesAbstract
Introduction: Chronic heart failure (CHF) is one of the major global healthcare burdens manifested by recurrent hospitalizations. Telemedicine has now become considered a viable solution for the effective management of CHF since constant monitoring can be done, and timely intervention can also be taken. Objective: To assess the effectiveness of telemedicine and perceive the level of patient satisfaction in the case of chronic heart failure. Materials and Method: This study aims to identify various demographics and clinical characteristics of the study patients at Hayatabad Medical Complex Peshawar, Pakistan from April, 2024 to September 2024. One hundred and ten patients with NYHA Class II to IV heart failure were in the study using a structured telemedicine setup. Concerning the outcomes of the study, both the clinical and the patient satisfaction scores were evaluated. Results: Hospital readmissions reduced statistically from 36.4% to 16.4%, and emergency visits went down from 25.5 % to 9.1%. The NYHA class improved in more than 60% of the patients. Patient self-perceived satisfaction was high, and 87% of patients were highly satisfied using telemedicine, citing convenience and timely health care. Conclusion: Telemedicine is an effective tool that aids overall improvement in clinical outcomes and patients’ satisfaction in cases of CHF. It gives hope for an effective model of chronic disease management in low-resource countries.
Downloads
References
Alvarez, P., Sianis, A., Brown, J., Ali, A., & Briasoulis, A. (2021). Chronic disease management in heart failure: Focus on telemedicine and remote monitoring. Reviews in Cardiovascular Medicine, 22(2), 403-413.
https://doi.org/10.31083/j.rcm2202046
Cho, D., Khalil, S., Kamath, M., Wilhalme, H., Lewis, A., Moore, M., & Nsair, A. (2021). Evaluating factors of greater patient satisfaction with outpatient cardiology Telehealth visits during the COVID-19 pandemic. Cardiovascular Digital Health Journal, 2(6), 312-322.
https://doi.org/10.1016/j.cvdhj.2021.10.005
Raman, K. S., & Vyselaar, J. R. (2021). Patient-reported experiences in outpatient Telehealth heart failure management. Cardiology Research, 12(3), 186-192.
https://doi.org/10.14740/cr1253
Kuan, P. X., Chan, W. K., Fern Ying, D. K., Rahman, M. A., Peariasamy, K. M., Lai, N. M., Mills, N. L., & Anand, A. (2022). Efficacy of telemedicine for the management of cardiovascular disease: A systematic review and meta-analysis. The Lancet Digital Health, 4(9), e676-e691.
https://doi.org/10.1016/s2589-7500(22)00124-8
Prescher, S., Winkler, S., Riehle, L., Hiddemann, M., Moeller, V., Collins, C., Deckwart, O., & Spethmann, S. (2022). Patient reported experience and adherence to remote patient management in chronic heart failure patients: A posthoc analysis of the TIM-HF2 trial. European Journal of Cardiovascular Nursing, 22(3), 245-253.
https://doi.org/10.1093/eurjcn/zvac080
Somsiri, V., Asdornwised, U., O’Connor, M., Suwanugsorn, S., & Chansatitporn, N. (2020). Effects of a transitional Telehealth program on functional status, Rehospitalization, and satisfaction with care in Thai patients with heart failure. Home Health Care Management & Practice, 33(2), 72-80.
https://doi.org/10.1177/1084822320969400
Tran, P. M., Tran, H. B., Nguyen, D. V., Pham, H. M., Do, L. D., Nguyen, H. Q., Kirkpatrick, J. N., Janardhanan, R., Reid, C. M., & Nguyen, H. T. (2025). Quality of life among patients with heart failure with reduced ejection fraction receiving telemedicine care in Vietnam. Telemedicine and e-Health, 31(4), 431-440.
https://doi.org/10.1089/tmj.2024.0440
Eldaly, A. S., Maniaci, M. J., Paulson, M. R., Avila, F. R., Torres-Guzman, R. A., Maita, K., ... & Forte, A. J. (2022). Patient satisfaction with telemedicine in acute care setting: a systematic review. Journal of Clinical and Translational Research, 8(6), 540.
https://pmc.ncbi.nlm.nih.gov/articles/PMC9741928/
Wang, C. (2024). Role of telemedicine intervention in the treatment of patients with chronic heart failure: A systematic review and meta-analysis. The Anatolian Journal of Cardiology, 28(4), 177-186.
https://doi.org/10.14744/anatoljcardiol.2023.3873
Vinadé Chagas, M. E., Jacovas, V. C., Campos Moreira, T. D., Rodrigues Moleda Constant, H. M., Rohden, S. F., Alves, S. S., Santini, F., Dall'Agnol, S., Klever, E. K., Cabral, F. C., & Silva Terres, M. D. (2024). Are we adequately measuring patient satisfaction with telemedicine? A systematic review with a meta-analysis. Telemedicine and e-Health, 30(6), 1522-1538.
https://doi.org/10.1089/tmj.2023.0530
Gingele, A. J., Amin, H., Vaassen, A., Schnur, I., Pearl, C., Brunner-La Rocca, H., & Boyne, J. (2023). Integrating avatar technology into a telemedicine application in heart failure patients. Wiener klinische Wochenschrift, 135(23-24), 680-684.
https://doi.org/10.1007/s00508-022-02150-8
El Jamal, N., Abi-Saleh, B., & Isma’eel, H. (2021). Advances in telemedicine for the management of the elderly cardiac patient. Journal of Geriatric Cardiology: JGC, 18(9), 759.
https://doi.org/10.11909/j.issn.1671-5411.2021.09.004
Supriyanti, S., Wianti, S., Riesmiyatiningdyah, R., Agil, N. M., & Syafrullah, H. (2024). Impact of Nurse-Led Telemedicine on Patient Outcomes in Chronic Disease Management. The Journal of Academic Science, 1(6), 805-812.
https://doi.org/10.59613/dp4gm334
Bernocchi, P., Giudici, V., Borghi, G., Bertolaia, P., D’Isa, S., Trevisan, R., & Scalvini, S. (2024). Telemedicine home-based management in patients with chronic heart failure and diabetes type II: Study protocol for a randomized controlled trial. Trials, 25(1).
https://doi.org/10.1186/s13063-024-08171-0
Tedeschi, A., Palazzini, M., Trimarchi, G., Conti, N., Di Spigno, F., Gentile, P., D’Angelo, L., Garascia, A., Ammirati, E., Morici, N., & Aschieri, D. (2024). Heart failure management through Telehealth: Expanding care and connecting hearts. Journal of Clinical Medicine, 13(9), 2592.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Indus Journal of Bioscience Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
