The study aims to evaluate the impact of patient engagement in home-based telemonitoring for heart failure (SCAD programme) on rehospitalization and mortality rates.


 A retrospective observational study was performed in 659 SCAD participants.  SCAD is a patient-oriented service of home-based interactive telemonitoring offered to heart failure patients during hospitalization who agree to participate in a therapeutic education programme.  Data were linked on a patient-by-patient basis between the SCAD database and the French national health insurance database (Système National des Données de Santé).  Significant associations were observed between level of use of the SCAD programme and all-cause rehospitalization (P = 0.0085), rehospitalization for cardiovascular disease (P = 0.0010), rehospitalization for heart failure (27.8% in low users, 12.9% in intermediate users, and 13.5% in high users; P < 0.0001), and mortality (26.8%, 15.2%, and 15.9% respectively; P = 0.0157) in the 12 months following enrolment. 
SCAD
Data were linked on a patient-by-patient basis between the SCAD database and the French national health insurance database (Système National des Données de Santé). 
the SCAD database
Data were linked on a patient-by-patient basis between the SCAD database and the French national health insurance database (Système National des Données de Santé). 
the French national health insurance database (Système National des Données de Santé)