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Article types	Original article
Language	English
Refereed paper	Refereed
Title	The first multicenter, randomized, controlled trial of home telemonitoring for Japanese patients with heart failure: home telemonitoring study for patients with heart failure (HOMES-HF).
Journal	Formal name：Heart and vessels Abbreviation：Heart Vessels ISSN code：1615-2573(Electronic)0910-8327(Linking)
Domestic / Foregin	Foregin
Volume, Number, Page	33(8),pp.866-76
Papers・Author	Kotooka Norihiko, Kitakaze Masafumi, Nagashima Kengo, Asaka Machiko, Kinugasa Yoshiharu, Nochioka Kotaro, Mizuno Atsushi, Nagatomo Daisuke, Mine Daigo, Yamada Yoko, Kuratomi Akiko, Okada Norihiro, Fujimatsu Daisuke, Kuwahata So, Toyoda Shigeru, Hirotani Shin-Ichi, Komori Takahiro, Eguchi Kazuo, Kario Kazuomi, Inomata Takayuki, Sugi Kaoru, Yamamoto Kazuhiro, Tsutsui Hiroyuki, Masuyama Tohru, Shimokawa Hiroaki, Momomura Shin-Ichi, Seino Yoshihiko, Sato Yasunori, Inoue Teruo, Node Koichi,
Publication date	2018/08
Papers・Description	Home telemonitoring is becoming more important to home medical care for patients with heart failure. Since there are no data on home telemonitoring for Japanese patients with heart failure, we investigated its effect on cardiovascular outcomes. The HOMES-HF study was the first multicenter, open-label, randomized, controlled trial (RCT) to elucidate the effectiveness of home telemonitoring of physiological data, such as body weight, blood pressure, and pulse rate, for Japanese patients with heart failure (UMIN Clinical Trials Registry 000006839). The primary end-point was a composite of all-cause death or rehospitalization due to worsening heart failure. We analyzed 181 recently hospitalized patients with heart failure who were randomly assigned to a telemonitoring group (n = 90) or a usual care group (n = 91). The mean follow-up period was 15 (range 0-31) months. There was no statistically significant difference in the primary end-point between groups [hazard ratio (HR), 0.95; 95% confidence interval (CI), 0.548-1.648; p = 0.572]. Home telemonitoring for Japanese patients with heart failure was feasible; however, beneficial effects in addition to those of usual care were not demonstrated. Further investigation of more patients with severe heart failure, participation of home medical care providers, and use of a more integrated home telemonitoring system emphasizing communication as well as monitoring of symptoms and physiological data are required.
DOI	10.1007/s00380-018-1133-5
PMID	29450689