Epidemiological characteristics and therapeutic management of patients with chronic heart failure who use smartphones: Potential impact of a dedicated smartphone application (report from the OFICSel study)

The effectiveness of transitional care services for patients discharged from hospital after acute heart failure is challenging, especially in terms of reducing subsequent heart failure hospitalizations. The increased adoption of smartphone applications in society offers a new opportunity to interact...

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Veröffentlicht in:Archives of cardiovascular diseases 2021-01, Vol.114 (1), p.51-58
Hauptverfasser: Pezel, Théo, Berthelot, Emmanuelle, Gauthier, Jean, Chong-Nguyen, Caroline, Iliou, Marie C., Juillière, Yves, Galinier, Michel C., De Groote, Pascal, Beauvais, Florence, Bauer, Fabrice, Vergeylen, Ugo, Gellen, Barnabas, Raphael, Pierre, Bezard, Mélanie, Ricci, Jean-Etienne, Boiteux, Marie-Claire, Bonnefous, Louis, Bodez, Diane, Audureau, Etienne, Damy, Thibaud
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container_end_page 58
container_issue 1
container_start_page 51
container_title Archives of cardiovascular diseases
container_volume 114
creator Pezel, Théo
Berthelot, Emmanuelle
Gauthier, Jean
Chong-Nguyen, Caroline
Iliou, Marie C.
Juillière, Yves
Galinier, Michel C.
De Groote, Pascal
Beauvais, Florence
Bauer, Fabrice
Vergeylen, Ugo
Gellen, Barnabas
Raphael, Pierre
Bezard, Mélanie
Ricci, Jean-Etienne
Boiteux, Marie-Claire
Bonnefous, Louis
Bodez, Diane
Audureau, Etienne
Damy, Thibaud
description The effectiveness of transitional care services for patients discharged from hospital after acute heart failure is challenging, especially in terms of reducing subsequent heart failure hospitalizations. The increased adoption of smartphone applications in society offers a new opportunity to interact with patients to avoid rehospitalization. Thus, electronic health (e-health) can enhance the impact of existing therapeutic education programmes. To determine the prevalence of smartphone use among patients with chronic heart failure, and to assess the epidemiological characteristics and therapeutic management of these patients, with a broader aim of developing smartphone-based therapeutic education programmes for patients. The French Observatoire français de l’insuffisance cardiaque et du sel (OFICSel) registry was conducted in 2017 by 300 cardiologists, and included both inpatients and outpatients who had been hospitalized for heart failure at least once in the previous 5 years. Data collection included demographic and heart failure-related variables, which were provided by the cardiologist and by the patient via a questionnaire. Among the 2822 patients included, 2517 completed the questionnaire. Of this total, 907 patients (36%) were smartphone users. Compared with non-users, smartphone users were younger, were more frequently men, more frequently lived in cities, had a higher educational level and were more frequently professionally active. Smartphone users less frequently had diabetes, hypertension, atrial fibrillation or ischaemic cardiopathy. Only 22% of patients were actively participating in a therapeutic education programme. Smartphones were used by more than one-third of patients with heart failure in France in 2017, underscoring the feasibility of developing a smartphone application to deliver therapeutic education to the population with chronic heart failure. L’efficacité des réseaux de soins chez les patients sortis de l’hôpital après un épisode de décompensation d’insuffisance cardiaque (IC) reste difficile, notamment pour réduire le nombre d’hospitalisations consécutives. L’utilisation croissante d’applications de smartphone dans la société offre une nouvelle opportunité d’interagir avec les patients pour éviter les réhospitalisation. Ainsi, les outils de santé connectée pourraient renforcer l’impact des programmes d’éducation thérapeutique existant. Déterminer la prévalence des patients utilisant un smartphone chez les patients atteints d’IC ch
doi_str_mv 10.1016/j.acvd.2020.05.006
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The increased adoption of smartphone applications in society offers a new opportunity to interact with patients to avoid rehospitalization. Thus, electronic health (e-health) can enhance the impact of existing therapeutic education programmes. To determine the prevalence of smartphone use among patients with chronic heart failure, and to assess the epidemiological characteristics and therapeutic management of these patients, with a broader aim of developing smartphone-based therapeutic education programmes for patients. The French Observatoire français de l’insuffisance cardiaque et du sel (OFICSel) registry was conducted in 2017 by 300 cardiologists, and included both inpatients and outpatients who had been hospitalized for heart failure at least once in the previous 5 years. Data collection included demographic and heart failure-related variables, which were provided by the cardiologist and by the patient via a questionnaire. Among the 2822 patients included, 2517 completed the questionnaire. Of this total, 907 patients (36%) were smartphone users. Compared with non-users, smartphone users were younger, were more frequently men, more frequently lived in cities, had a higher educational level and were more frequently professionally active. Smartphone users less frequently had diabetes, hypertension, atrial fibrillation or ischaemic cardiopathy. Only 22% of patients were actively participating in a therapeutic education programme. Smartphones were used by more than one-third of patients with heart failure in France in 2017, underscoring the feasibility of developing a smartphone application to deliver therapeutic education to the population with chronic heart failure. L’efficacité des réseaux de soins chez les patients sortis de l’hôpital après un épisode de décompensation d’insuffisance cardiaque (IC) reste difficile, notamment pour réduire le nombre d’hospitalisations consécutives. L’utilisation croissante d’applications de smartphone dans la société offre une nouvelle opportunité d’interagir avec les patients pour éviter les réhospitalisation. Ainsi, les outils de santé connectée pourraient renforcer l’impact des programmes d’éducation thérapeutique existant. Déterminer la prévalence des patients utilisant un smartphone chez les patients atteints d’IC chronique et d’évaluer les caractéristiques épidémiologiques et la prise en charge thérapeutique de ces patients, dans le but plus large de développer des programmes d’éducation thérapeutique par smartphone. Le registre Observatoire français de l’insuffisance cardiaque et du sel (OFICSel) a été mené en 2017 par 300 cardiologues et comprenait des patients hospitalisés et des patients ambulatoires qui avaient été hospitalisés pour IC au moins une fois au cours des cinq dernières années. La collecte des données comprenait différents paramètres épidémiologiques et de thérapeutique renseignés par le cardiologue et le patient à l’aide d’un auto-questionnaire. Parmi les 2822 patients inclus, 2517 ont rempli le questionnaire. Sur ce total, 907 patients (36 %) utilisaient un smartphone. Comparés aux non-utilisateurs, ils étaient plus jeunes, plus souvent des hommes, vivaient plus souvent en ville, avaient un niveau d’éducation supérieur et étaient plus souvent actifs sur le plan professionnel. Les utilisateurs de smartphone étaient moins souvent atteints de diabète, d’hypertension artérielle, de fibrillation auriculaire et de cardiopathie ischémique. Seulement 22 % des patients avaient suivi un programme d’éducation thérapeutique. Plus d’un tiers des patients atteints d’IC en France ont un smartphone en 2017, suggérant la possibilité de développer une application sur smartphone dédiée à l’éducation thérapeutique dans la population d’IC chronique.</description><identifier>ISSN: 1875-2136</identifier><identifier>EISSN: 1875-2128</identifier><identifier>DOI: 10.1016/j.acvd.2020.05.006</identifier><identifier>PMID: 32868257</identifier><language>eng</language><publisher>Netherlands: Elsevier Masson SAS</publisher><subject>Aged ; Application sur smartphone ; Chronic Disease ; Continuity of Patient Care ; Databases, Factual ; Dietary restriction regimen ; Female ; France - epidemiology ; Health Knowledge, Attitudes, Practice ; Heart failure ; Heart Failure - diagnosis ; Heart Failure - epidemiology ; Heart Failure - therapy ; Humans ; Insuffisance cardiaque ; Life Sciences ; Male ; Middle Aged ; Mobile Applications ; Mobile health (mHealth) ; Patient Discharge ; Patient Education as Topic ; Patient Readmission ; Programme d’éducation thérapeutique ; Registries ; Risk Assessment ; Risk Factors ; Risk Reduction Behavior ; Régime alimentaire ; Santé mobile (santé connectée) ; Smartphone ; Smartphone application ; Telemedicine - instrumentation ; Therapeutic education programme ; Transitional Care ; Treatment Outcome</subject><ispartof>Archives of cardiovascular diseases, 2021-01, Vol.114 (1), p.51-58</ispartof><rights>2020</rights><rights>Copyright © 2020. Published by Elsevier Masson SAS.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-f8641eadedb08340ff2110e74442950e787286641bf2095958abacaafff4e6de3</citedby><cites>FETCH-LOGICAL-c390t-f8641eadedb08340ff2110e74442950e787286641bf2095958abacaafff4e6de3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.acvd.2020.05.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32868257$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04277683$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Pezel, Théo</creatorcontrib><creatorcontrib>Berthelot, Emmanuelle</creatorcontrib><creatorcontrib>Gauthier, Jean</creatorcontrib><creatorcontrib>Chong-Nguyen, Caroline</creatorcontrib><creatorcontrib>Iliou, Marie C.</creatorcontrib><creatorcontrib>Juillière, Yves</creatorcontrib><creatorcontrib>Galinier, Michel C.</creatorcontrib><creatorcontrib>De Groote, Pascal</creatorcontrib><creatorcontrib>Beauvais, Florence</creatorcontrib><creatorcontrib>Bauer, Fabrice</creatorcontrib><creatorcontrib>Vergeylen, Ugo</creatorcontrib><creatorcontrib>Gellen, Barnabas</creatorcontrib><creatorcontrib>Raphael, Pierre</creatorcontrib><creatorcontrib>Bezard, Mélanie</creatorcontrib><creatorcontrib>Ricci, Jean-Etienne</creatorcontrib><creatorcontrib>Boiteux, Marie-Claire</creatorcontrib><creatorcontrib>Bonnefous, Louis</creatorcontrib><creatorcontrib>Bodez, Diane</creatorcontrib><creatorcontrib>Audureau, Etienne</creatorcontrib><creatorcontrib>Damy, Thibaud</creatorcontrib><title>Epidemiological characteristics and therapeutic management of patients with chronic heart failure who use smartphones: Potential impact of a dedicated smartphone application (report from the OFICSel study)</title><title>Archives of cardiovascular diseases</title><addtitle>Arch Cardiovasc Dis</addtitle><description>The effectiveness of transitional care services for patients discharged from hospital after acute heart failure is challenging, especially in terms of reducing subsequent heart failure hospitalizations. The increased adoption of smartphone applications in society offers a new opportunity to interact with patients to avoid rehospitalization. Thus, electronic health (e-health) can enhance the impact of existing therapeutic education programmes. To determine the prevalence of smartphone use among patients with chronic heart failure, and to assess the epidemiological characteristics and therapeutic management of these patients, with a broader aim of developing smartphone-based therapeutic education programmes for patients. The French Observatoire français de l’insuffisance cardiaque et du sel (OFICSel) registry was conducted in 2017 by 300 cardiologists, and included both inpatients and outpatients who had been hospitalized for heart failure at least once in the previous 5 years. Data collection included demographic and heart failure-related variables, which were provided by the cardiologist and by the patient via a questionnaire. Among the 2822 patients included, 2517 completed the questionnaire. Of this total, 907 patients (36%) were smartphone users. Compared with non-users, smartphone users were younger, were more frequently men, more frequently lived in cities, had a higher educational level and were more frequently professionally active. Smartphone users less frequently had diabetes, hypertension, atrial fibrillation or ischaemic cardiopathy. Only 22% of patients were actively participating in a therapeutic education programme. Smartphones were used by more than one-third of patients with heart failure in France in 2017, underscoring the feasibility of developing a smartphone application to deliver therapeutic education to the population with chronic heart failure. L’efficacité des réseaux de soins chez les patients sortis de l’hôpital après un épisode de décompensation d’insuffisance cardiaque (IC) reste difficile, notamment pour réduire le nombre d’hospitalisations consécutives. L’utilisation croissante d’applications de smartphone dans la société offre une nouvelle opportunité d’interagir avec les patients pour éviter les réhospitalisation. Ainsi, les outils de santé connectée pourraient renforcer l’impact des programmes d’éducation thérapeutique existant. Déterminer la prévalence des patients utilisant un smartphone chez les patients atteints d’IC chronique et d’évaluer les caractéristiques épidémiologiques et la prise en charge thérapeutique de ces patients, dans le but plus large de développer des programmes d’éducation thérapeutique par smartphone. Le registre Observatoire français de l’insuffisance cardiaque et du sel (OFICSel) a été mené en 2017 par 300 cardiologues et comprenait des patients hospitalisés et des patients ambulatoires qui avaient été hospitalisés pour IC au moins une fois au cours des cinq dernières années. La collecte des données comprenait différents paramètres épidémiologiques et de thérapeutique renseignés par le cardiologue et le patient à l’aide d’un auto-questionnaire. Parmi les 2822 patients inclus, 2517 ont rempli le questionnaire. Sur ce total, 907 patients (36 %) utilisaient un smartphone. Comparés aux non-utilisateurs, ils étaient plus jeunes, plus souvent des hommes, vivaient plus souvent en ville, avaient un niveau d’éducation supérieur et étaient plus souvent actifs sur le plan professionnel. Les utilisateurs de smartphone étaient moins souvent atteints de diabète, d’hypertension artérielle, de fibrillation auriculaire et de cardiopathie ischémique. Seulement 22 % des patients avaient suivi un programme d’éducation thérapeutique. Plus d’un tiers des patients atteints d’IC en France ont un smartphone en 2017, suggérant la possibilité de développer une application sur smartphone dédiée à l’éducation thérapeutique dans la population d’IC chronique.</description><subject>Aged</subject><subject>Application sur smartphone</subject><subject>Chronic Disease</subject><subject>Continuity of Patient Care</subject><subject>Databases, Factual</subject><subject>Dietary restriction regimen</subject><subject>Female</subject><subject>France - epidemiology</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Heart failure</subject><subject>Heart Failure - diagnosis</subject><subject>Heart Failure - epidemiology</subject><subject>Heart Failure - therapy</subject><subject>Humans</subject><subject>Insuffisance cardiaque</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mobile Applications</subject><subject>Mobile health (mHealth)</subject><subject>Patient Discharge</subject><subject>Patient Education as Topic</subject><subject>Patient Readmission</subject><subject>Programme d’éducation thérapeutique</subject><subject>Registries</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Risk Reduction Behavior</subject><subject>Régime alimentaire</subject><subject>Santé mobile (santé connectée)</subject><subject>Smartphone</subject><subject>Smartphone application</subject><subject>Telemedicine - instrumentation</subject><subject>Therapeutic education programme</subject><subject>Transitional Care</subject><subject>Treatment Outcome</subject><issn>1875-2136</issn><issn>1875-2128</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9q3DAQxk1padK0L9BD0TE5rCvJ_0svYUmawEIKbc9iVh7FWmzLleQNeci8U8dsuuSU0wzDb74Zvi9JPgueCi7Kr7sU9L5NJZc85UXKefkmORV1VaykkPXbY5-VJ8mHEHYEyKoq3ycnmazLWhbVafJ0NdkWB-t6d2819Ex34EFH9DZEqwODsWWxQw8TzjRgA4xwjwOOkTnDJoiW2sAebOxo17uRmA7BR2bA9rNH9tA5NgdkYaDp1LkRwzf200Xas3TQDhPdW8SAtdjSExHbFzCDaeqXqXUjO_c4uUXbu2F5i91d365_Yc9CnNvHi4_JOwN9wE_P9Sz5c331e32z2tz9uF1fblY6a3hcmbrMBQJd2_I6y7kxUgiOVZ7nsimoqSsyiJitkbwpmqKGLWgAY0yOZYvZWXJx0O2gV5O39OyjcmDVzeVGLTOeL07X2V4Qe35gJ-_-zhiiGmzQ2PcwopuDknnWlDIv64ZQeUC1dyF4NEdtwdUSudqpJXK1RK54oShRWvryrD9vB2yPK_8zJuD7AUByZG_Rq6ApNE1ee9RRtc6-pv8Py4_B4g</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Pezel, Théo</creator><creator>Berthelot, Emmanuelle</creator><creator>Gauthier, Jean</creator><creator>Chong-Nguyen, Caroline</creator><creator>Iliou, Marie C.</creator><creator>Juillière, Yves</creator><creator>Galinier, Michel C.</creator><creator>De Groote, Pascal</creator><creator>Beauvais, Florence</creator><creator>Bauer, Fabrice</creator><creator>Vergeylen, Ugo</creator><creator>Gellen, Barnabas</creator><creator>Raphael, Pierre</creator><creator>Bezard, Mélanie</creator><creator>Ricci, Jean-Etienne</creator><creator>Boiteux, Marie-Claire</creator><creator>Bonnefous, Louis</creator><creator>Bodez, Diane</creator><creator>Audureau, Etienne</creator><creator>Damy, Thibaud</creator><general>Elsevier Masson SAS</general><general>Elsevier/French Society of Cardiology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope></search><sort><creationdate>202101</creationdate><title>Epidemiological characteristics and therapeutic management of patients with chronic heart failure who use smartphones: Potential impact of a dedicated smartphone application (report from the OFICSel study)</title><author>Pezel, Théo ; 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The increased adoption of smartphone applications in society offers a new opportunity to interact with patients to avoid rehospitalization. Thus, electronic health (e-health) can enhance the impact of existing therapeutic education programmes. To determine the prevalence of smartphone use among patients with chronic heart failure, and to assess the epidemiological characteristics and therapeutic management of these patients, with a broader aim of developing smartphone-based therapeutic education programmes for patients. The French Observatoire français de l’insuffisance cardiaque et du sel (OFICSel) registry was conducted in 2017 by 300 cardiologists, and included both inpatients and outpatients who had been hospitalized for heart failure at least once in the previous 5 years. Data collection included demographic and heart failure-related variables, which were provided by the cardiologist and by the patient via a questionnaire. Among the 2822 patients included, 2517 completed the questionnaire. Of this total, 907 patients (36%) were smartphone users. Compared with non-users, smartphone users were younger, were more frequently men, more frequently lived in cities, had a higher educational level and were more frequently professionally active. Smartphone users less frequently had diabetes, hypertension, atrial fibrillation or ischaemic cardiopathy. Only 22% of patients were actively participating in a therapeutic education programme. Smartphones were used by more than one-third of patients with heart failure in France in 2017, underscoring the feasibility of developing a smartphone application to deliver therapeutic education to the population with chronic heart failure. L’efficacité des réseaux de soins chez les patients sortis de l’hôpital après un épisode de décompensation d’insuffisance cardiaque (IC) reste difficile, notamment pour réduire le nombre d’hospitalisations consécutives. L’utilisation croissante d’applications de smartphone dans la société offre une nouvelle opportunité d’interagir avec les patients pour éviter les réhospitalisation. Ainsi, les outils de santé connectée pourraient renforcer l’impact des programmes d’éducation thérapeutique existant. Déterminer la prévalence des patients utilisant un smartphone chez les patients atteints d’IC chronique et d’évaluer les caractéristiques épidémiologiques et la prise en charge thérapeutique de ces patients, dans le but plus large de développer des programmes d’éducation thérapeutique par smartphone. Le registre Observatoire français de l’insuffisance cardiaque et du sel (OFICSel) a été mené en 2017 par 300 cardiologues et comprenait des patients hospitalisés et des patients ambulatoires qui avaient été hospitalisés pour IC au moins une fois au cours des cinq dernières années. La collecte des données comprenait différents paramètres épidémiologiques et de thérapeutique renseignés par le cardiologue et le patient à l’aide d’un auto-questionnaire. Parmi les 2822 patients inclus, 2517 ont rempli le questionnaire. Sur ce total, 907 patients (36 %) utilisaient un smartphone. Comparés aux non-utilisateurs, ils étaient plus jeunes, plus souvent des hommes, vivaient plus souvent en ville, avaient un niveau d’éducation supérieur et étaient plus souvent actifs sur le plan professionnel. Les utilisateurs de smartphone étaient moins souvent atteints de diabète, d’hypertension artérielle, de fibrillation auriculaire et de cardiopathie ischémique. Seulement 22 % des patients avaient suivi un programme d’éducation thérapeutique. Plus d’un tiers des patients atteints d’IC en France ont un smartphone en 2017, suggérant la possibilité de développer une application sur smartphone dédiée à l’éducation thérapeutique dans la population d’IC chronique.</abstract><cop>Netherlands</cop><pub>Elsevier Masson SAS</pub><pmid>32868257</pmid><doi>10.1016/j.acvd.2020.05.006</doi><tpages>8</tpages></addata></record>
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ispartof Archives of cardiovascular diseases, 2021-01, Vol.114 (1), p.51-58
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subjects Aged
Application sur smartphone
Chronic Disease
Continuity of Patient Care
Databases, Factual
Dietary restriction regimen
Female
France - epidemiology
Health Knowledge, Attitudes, Practice
Heart failure
Heart Failure - diagnosis
Heart Failure - epidemiology
Heart Failure - therapy
Humans
Insuffisance cardiaque
Life Sciences
Male
Middle Aged
Mobile Applications
Mobile health (mHealth)
Patient Discharge
Patient Education as Topic
Patient Readmission
Programme d’éducation thérapeutique
Registries
Risk Assessment
Risk Factors
Risk Reduction Behavior
Régime alimentaire
Santé mobile (santé connectée)
Smartphone
Smartphone application
Telemedicine - instrumentation
Therapeutic education programme
Transitional Care
Treatment Outcome
title Epidemiological characteristics and therapeutic management of patients with chronic heart failure who use smartphones: Potential impact of a dedicated smartphone application (report from the OFICSel study)
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