- Preliminary results of the CARME study prove it. This research has been conducted with Philips’ MOTIVA, a home monitoring solution for patients with severe heart failure.
- Among major results of the study, patients monitored with MOTIVA experienced a 67, 8% reduction in hospitalizations due to heart failure and an improvement in perception of their quality of life, during the one year period of inclusion within the study.
- The preliminar results of this study, conducted by the Heart Failure Unit of the German Trias i Pujol Hospital of Barcelona (managed by the Catalonian Health Service-ICS (public healthcare services), are presented at the the II Spanish Congress of Chronically Ill Patients Care.
Santiago de Compostela, Spain – CARME (Catalan Remote Management Evaluation) study’s preliminar results, conducted by Philips Healthcare and the Catalonian Health Service (ICS) show significant benefits in the management of certain chronic diseases, thanks to telemedicine, an innovative technique that allows the continuous monitoring and a higher patient’s implication in the disease treatment. These results are presented during the II, Spanish Congress of Chronically Ill Patients Care which is being held in Santiago de Compostela on February 25 and 26.
The study evaluated the Philips’ Motiva telemedicine system in patients with severe heart failure, who were monitored at home from the hospital. Furthermore, this tracking was supported with educational interventions via video and alerts that they received at their home’s televisions. This pilot project, which opens the door to the use of this technology in patients with chronic diseases), has demonstrated an improvement in the reduction of hospitalizations as well as in the quality of life of the patients and their families.
According to Dr Mar Domingo, collaborator of the Heart Failure Unit of the German Trias i Pujol Hospital of Badalona –center managed by the Catalonian Health Service (ICS)- and one of the main researchers of the study, “the study’s preliminary results shows up the advantages of this telemedicine systems and the benefits that they provide to the patient as well as to the clinical staff, as a tighter control of the disease from both sides, which enables acting faster in case that any anomaly would happen. Furthermore, patients themselves have perceived an improvement on their quality of life and have shown a very high satisfaction and confidence on the system and the information it provided to them.” Having the results of this study, the ICS is considering to develop a similar model based on primary care settings and primary-specialized continuity care with the aim of analyzing its efficiency compared to other alternatives.
Improve the quality of life and reduction of hospitalizations
Specifically, the preliminary data shows that patients who participated on the study with MOTIVA showed an improvement in their perception of their quality of life, according to the questionnaire EuroQoL. At the beginning of the study, more than half of the patients (55, 88%) stated that their quality of life was medium or low. Six months later, this number had decreased to 29%, while at the end of the study it was reduced to 22%.
At the same time, the patients who set their quality of life index as middle-high grew from a 43, 6% at the beginning of the study to a 78% at the end of it, among whom, a 28% stated that their quality of life was almost excellent.
Moreover, the hospitalizations due to HF were reduced 68% during the one-year period of the study. Also, the patients positively improved their attitudes, except for the ones related to physical exercise and diet. This way, the patients experienced an improvement in their changes of attitude towards the illness, which at the same time was associated to an improvement in their perception of quality of life vs. baseline. The satisfaction towards MOTIVA was also very high.
The study’s favorable results open the door to the use of MOTIVA and telemedicine solutions for chronically ill patients in primary care settings, where its usefulness can be higher. This way, MOTIVA offers to patients the benefits of better disease self-management and a higher knowledge and empowerment about it.
Also , for healthcare professionals MOTIVA and telemedicine solutions provide the chance for a tighter patient monitoring, enabling the early detection of any type of descompensation that may be detected, which makes easier its correction and prevent HF related events.
The primary objective of the CARME study was to evaluate the impact of MOTIVA, a Remote Patient Management solution within a Heart Failure (HF) Hospital Unit on patients’ hospitalizations, quality of life (QoL) and attitudes, as well as the satisfaction towards this system. 97 patients with severe heart failure were enrolled and 68 of them completed the 12 months period of the study.