@Article{信息:doi 10.2196 / / jmir。1252，作者=“Scherr, Daniel和Kastner, Peter和Kollmann, Alexander和Hallas, Andreas和Auer, Johann和Krappinger, Heinz和Schuchlenz, Herwig和Stark, Gerhard和Grander, Wilhelm和Jakl, Gabriele和Schreier, Guenter和Fruhwald, Friedrich M”，标题=“基于移动电话技术的家庭远程监护对急性失偿后心力衰竭患者结局的影响:随机对照试验”，期刊=“J Med Internet Res”，年=“2009”，月=“8”，日=“17”，卷=“11”，数=“3”，页数=“e34”，关键词=“心力衰竭;远程医疗;移动电话;背景:慢性心力衰竭(CHF)患者的远程监测是一种新兴的概念，用于检测即将发生急性失代偿的早期预警信号，以防止住院。目的:心衰患者移动远程监护研究(MOBITEL)的目的是评估使用互联网和手机技术的家庭远程监护对急性失代偿后心衰患者结局的影响。方法:将患者随机分为药物治疗组(对照组)和远程监护药物治疗组(远程组)，为期6个月。随机分组到远程组的患者配备了基于手机的患者终端，用于数据采集和数据传输到监测中心。参与研究的医生可以通过一个安全的门户网站持续访问数据。 If transmitted values went outside individually adjustable borders, study physicians were sent an email alert. Primary endpoint was hospitalization for worsening CHF or death from cardiovascular cause. Results: The study was stopped after randomization of 120 patients (85 male, 35 female); median age was 66 years (IQR 62-72). The control group comprised 54 patients (39 male, 15 female) with a median age of 67 years (IQR 61-72), and the tele group included 54 patients (40 male, 14 female) with a median age of 65 years (IQR 62-72). There was no significant difference between groups with regard to baseline characteristics. Twelve tele group patients were unable to begin data transmission due to the inability of these patients to properly operate the mobile phone (``never beginners''). Four patients did not finish the study due to personal reasons. Intention-to-treat analysis at study end indicated that 18 control group patients (33{\%}) reached the primary endpoint (1 death, 17 hospitalizations), compared with 11 tele group patients (17{\%}, 0 deaths, 11 hospitalizations; relative risk reduction 50{\%}, 95{\%} CI 3-74{\%}, P = .06). Per-protocol analysis revealed that 15{\%} of tele group patients (0 deaths, 8 hospitalizations) reached the primary endpoint (relative risk reduction 54{\%}, 95{\%} CI 7-79{\%}, P= .04). NYHA class improved by one class in tele group patients only (P< .001). Tele group patients who were hospitalized for worsening heart failure during the study had a significantly shorter length of stay (median 6.5 days, IQR 5.5-8.3) compared with control group patients (median 10.0 days, IQR 7.0-13.0; P= .04). The event rate of never beginners was not higher than the event rate of control group patients. Conclusions: Telemonitoring using mobile phones as patient terminals has the potential to reduce frequency and duration of heart failure hospitalizations. Providing elderly patients with an adequate user interface for daily data acquisition remains a challenging component of such a concept. ", issn="1438-8871", doi="10.2196/jmir.1252", url="//www.mybigtv.com/2009/3/e34/", url="https://doi.org/10.2196/jmir.1252", url="http://www.ncbi.nlm.nih.gov/pubmed/19687005" }