Heart Failure (On Remote Patient Monitoring)
Oluwatoyi Babalola
Co-Presenters: Individual Presentation
College: The College of Health Professions and Human Services
Major: Nursing (MSN)
Faculty Research Mentor: Elsie Rivera
Abstract:
AbstractIntroduction:Heart failure (HF) is a leading global health challenge associated with high morbidity, mortality, and healthcare costs. Frequent hospitalizations due to fluid overload significantly worsen patient outcomes. Remote patient monitoring (RPM) has emerged as a promising solution to enhance early detection of fluid retention and improve clinical management. This review evaluates the effectiveness of RPM, particularly daily weight monitoring with remote alerts, in facilitating early intervention and reducing hospitalization in adults.Methods:This literature review examined remote patient monitoring (RPM) in heart failure management through an extensive search of PubMed, MEDLINE, CINAHL, Scopus, and the Cochrane Library. Guidelines from the American Heart Association (AHA) and the World Health Organization (WHO) were also reviewed. Only peer-reviewed studies in English from 2007 to 2023 were included, focusing on mortality, rehospitalization, patient satisfaction, and cost-effectiveness. Randomized controlled trials, cohort studies, and systematic reviews were prioritized. After screening 65 studies, 15 met all criteria. These studies highlight RPM’s clinical effectiveness, patient-centered outcomes, and healthcare resource utilization in heart failure management.Results:Findings indicate that RPM with automated alerts enables earlier detection of fluid retention, reducing hospitalizations by up to 30%. Patients receiving remote monitoring were able to adjust their treatment plans more promptly, preventing fluid overload complications. Studies consistently reported improved clinical outcomes and reduced healthcare burden due to timely interventions facilitated by real-time data transmission.Discussion:RPM technologies demonstrate transformative potential in HF management by addressing barriers such as poor adherence to conventional monitoring and delayed symptom recognition. The integration of Bluetooth-enabled devices allows for continuous data transmission, enabling healthcare providers to implement proactive treatment strategies. Given the substantial benefits, widespread adoption of RPM could significantly enhance patient care and reduce hospital admissions. RPM with automated alerts is an effective strategy for early fluid overload detection, leading to improved patient outcomes and reduced hospitalizations. These findings underscore the need for broader implementation of RPM in HF management.Keywords: Remote Patient Monitoring, Heart Failure, Fluid Overload, Weight Monitoring, Healthcare Technology.