{"doi":"10.3390/jcm11102790","title":"Clinical Support through Telemedicine in Heart Failure Outpatients during the COVID-19 Pandemic Period: Results of a 12-Months Follow Up","abstract":"<jats:p>Background: Heart failure (HF) patients are predisposed to recurrences and disease destabilizations, especially during the COVID-19 outbreak period. In this scenario, telemedicine could be a proper way to ensure continuous care. The purpose of the study was to compare two modalities of HF outpatients’ follow up, the traditional in-person visits and telephone consultations, during the COVID-19 pandemic period in Italy. Methods: We conducted an observational study on consecutive HF outpatients. The follow up period was 12 months, starting from the beginning of the COVID-19 Italy lockdown. According to the follow up modality, and after the propensity matching score, patients were divided into two groups: those in G1 (n = 92) were managed with traditional in-person visits and those in G2 (n = 92) were managed with telephone consultation. Major adverse cardiovascular events (MACE) were the primary endpoints. Secondary endpoints were overall mortality, cardiovascular death, cardiovascular hospitalization, and hospitalization due to HF. Results: No significant differences between G1 and G2 have been observed regarding MACE (p = 0.65), cardiovascular death (p = 0.39), overall mortality (p = 0.85), hospitalization due to acute HF (p = 0.07), and cardiovascular hospitalization (p = 0.4). Survival analysis performed by the Kaplan–Meier method also did not show significant differences between G1 and G2. Conclusions: Telephone consultations represented a valid option to manage HF outpatients during COVID-19 pandemic, comparable to traditional in-person visits.</jats:p>","journal":"Journal of Clinical Medicine","year":2022,"id":640170,"datarank":0.44166584687496613,"base_score":2.9444389791664403,"endowment":2.9444389791664403,"self_citation_contribution":0.44166584687496613,"citation_network_contribution":0.0,"self_endowment_contribution":0.44166584687496613,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":18,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1663695,"name":"Andrea D’Amato","orcid":null,"position":1,"is_corresponding":false},{"id":1663696,"name":"Silvia Prosperi","orcid":null,"position":2,"is_corresponding":false},{"id":1663697,"name":"Michele Magnocavallo","orcid":"0000-0001-9883-0114","position":3,"is_corresponding":false},{"id":1663698,"name":"Annalisa Maraone","orcid":null,"position":4,"is_corresponding":false},{"id":1663699,"name":"Claudia Notari","orcid":null,"position":5,"is_corresponding":false},{"id":1663700,"name":"Ilaria Papisca","orcid":null,"position":6,"is_corresponding":false},{"id":1663701,"name":"Massimo Mancone","orcid":null,"position":7,"is_corresponding":false},{"id":888353,"name":"Francesco Fedele","orcid":"0000-0003-2567-7918","position":8,"is_corresponding":false},{"id":1663694,"name":"Paolo Severino","orcid":"0000-0001-6211-4482","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Clinical Support through Telemedicine in Heart Failure Outpatients during the COVID-19 Pandemic Period: Results of a 12-Months Follow Up","abstract":"<jats:p>Background: Heart failure (HF) patients are predisposed to recurrences and disease destabilizations, especially during the COVID-19 outbreak period. In this scenario, telemedicine could be a proper way to ensure continuous care. The purpose of the study was to compare two modalities of HF outpatients’ follow up, the traditional in-person visits and telephone consultations, during the COVID-19 pandemic period in Italy. Methods: We conducted an observational study on consecutive HF outpatients. The follow up period was 12 months, starting from the beginning of the COVID-19 Italy lockdown. According to the follow up modality, and after the propensity matching score, patients were divided into two groups: those in G1 (n = 92) were managed with traditional in-person visits and those in G2 (n = 92) were managed with telephone consultation. Major adverse cardiovascular events (MACE) were the primary endpoints. Secondary endpoints were overall mortality, cardiovascular death, cardiovascular hospitalization, and hospitalization due to HF. Results: No significant differences between G1 and G2 have been observed regarding MACE (p = 0.65), cardiovascular death (p = 0.39), overall mortality (p = 0.85), hospitalization due to acute HF (p = 0.07), and cardiovascular hospitalization (p = 0.4). Survival analysis performed by the Kaplan–Meier method also did not show significant differences between G1 and G2. Conclusions: Telephone consultations represented a valid option to manage HF outpatients during COVID-19 pandemic, comparable to traditional in-person visits.</jats:p>","is_dataset_classified":null,"base_score":2.9444389791664403,"endowment":2.9444389791664403,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"35628916","pmcid":"PMC9147859","openalex_id":"https://openalex.org/W4280598268","authors":[],"funders":[],"total_grants":0,"fwci":2.6133,"citation_percentile":0.91066811,"influential_citations":0,"citation_trend":[{"year":2022,"count":5},{"year":2023,"count":4},{"year":2024,"count":7},{"year":2025,"count":1},{"year":2026,"count":1}],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"https://www.mdpi.com/2077-0383/11/10/2790/pdf?version=1652686777","host_type":"journal"},{"url":"https://www.mdpi.com/2077-0383/11/10/2790/pdf?version=1652686777","host_type":"publisher"},{"url":"https://www.mdpi.com/2077-0383/11/10/2790/pdf","host_type":"publisher"},{"url":"https://doi.org/10.3390/jcm11102790","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/35628916","host_type":"repository"},{"url":"http://hdl.handle.net/11573/1634462","host_type":"repository"},{"url":"https://hdl.handle.net/11573/1663433","host_type":"repository"},{"url":"https://dx.doi.org/10.3390/jcm11102790","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9147859","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC9147859","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC9147859?pdf=render","host_type":"Europe_PMC"}],"fields_of_study":["Heart Failure Treatment and Management","Acute Myocardial Infarction Research","Telemedicine and Telehealth Implementation"],"mesh_terms":[],"keywords":["Medicine","Pandemic","Coronavirus disease 2019 (COVID-19)","Telemedicine","2019-20 coronavirus outbreak","Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)","Period (music)","Emergency medicine","Heart failure","Medical emergency","Internal medicine","Virology","Health care","Outbreak","Disease","Mortality","Hospitalization","Mace","Covid-19"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-07T07:16:57.616022Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}