Cost-effectiveness analysis of telemonitoring versus usual care in patients with heart failure (the TEHAF-study)

Background: This study represents the cost effectiveness results of a telemonitoring system compared with care as usual Methods: In one university and two general hospitals, 382 patients with heart failure were randomised to usual care or telemonitoring and followed for 1 year (the TEHAF study). Hospital related costs and costs in the home situation were estimated, based on resource use multiplied by the appropriate unit prices. Effectiveness was expressed as QALY's gained and derived by conversion of the EQ-5D. Information was gathered, using 3 monthly costs diaries and questionnaires. Results: Mean age was 71.5 (32-93) years, 59% were male and 65% lived with a partner; 57% were in New York Heart Association class II, 40% in class III, and 3% in class IV. Mean left ventricular ejection fraction was 0.38 with 61%