Michael Ong|Patrick S. Romano|Sarah Edgington|Harriet Udin Aronow|Andrew D. Auerbach|Jeanne T. Black|Teresa De Marco|José J. Escarce|Lorraine S. Evangelista|Barbara Hanna|Théodore G. Ganiats|Barry Greenberg|Sheldon Greenfield|Sherrie H. Kaplan|Asher Kimchi|Honghu Liu|Dawn Lombardo|Carol M. Mangione|Bahman Sadeghi|Banafsheh Sadeghi|Majid Sarrafzadeh|Kathleen Tong|Gregg C. Fonarow
Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure
University of California, Los Angeles|VA Greater Los Angeles Healthcare System|University of California, Davis|University of California, Los Angeles|Cedars-Sinai Medical Center|University of California, San Francisco|Cedars-Sinai Medical Center|University of California, San Francisco|University of California, Los Angeles|RAND Corporation|University of California, Irvine|University of California, Davis|University of California, San Diego|University of Miami|University of California, San Diego|University of California, Irvine|University of California, Irvine|Cedars-Sinai Medical Center|University of California, Los Angeles|University of California, Irvine|University of California, Los Angeles|University of California, Los Angeles|University of California, Davis|University of California, Los Angeles|University of California, Davis|University of California, Los Angeles
remains unclear whether telemonitoring approaches provide benefits patients heart failure hf hospitalizationto evaluate effectiveness care transition intervention using remote patient monitoring reducing 180day allcause readmissions among broad population older adults hospitalized hfwe randomized 1437 patients hospitalized hf october 12 2011 september 30 2013 intervention arm 715 patients usual care arm 722 patients better effectiveness transitionheart failure beathf study observed 180 days dates study analysis march 30 2014 october 1 2015 setting 6 academic medical centers california participants hospitalized individuals 50 years older received active treatment decompensated hfthe intervention combined health coaching telephone calls telemonitoring telemonitoring used electronic equipment collected daily information blood pressure heart rate symptoms weight centralized registered nurses conducted telemonitoring reviews protocolized actions telephone callsthe primary outcome readmission cause within 180 days discharge secondary outcomes allcause readmission within 30 days allcause mortality 30 180 days quality life 30 180 daysamong 1437 participants median age 73 years overall 462 664 1437 female 220 316 1437 african american intervention usual care groups differ significantly readmissions cause 180 days discharge occurred 508 363 715 492 355 722 patients respectively adjusted hazard ratio 103 95 ci 088120 p 74 secondary analyses significant differences 30day readmission 180day mortality significant difference 180day quality life intervention usual care groups adverse events reportedamong patients hospitalized hf combined health coaching telephone calls telemonitoring reduce 180day readmissionsclinicaltrialsgov identifier nct01360203