Key result
RN telehealth outreach within 72 hours of discharge is linked to ~11% fewer 30-day readmissions.
Why the study?
The transition from hospital to home is a vulnerable period, and the authors sought to evaluate the impact of post-discharge telehealth outreach by a registered nurse on 30-day hospital readmission rates.
Does a telehealth-based transitional care management programme reduce 30-day hospital readmission in patients discharged home following inpatient hospitalisation?
Population
24 808 patients discharged home following inpatient hospitalisation
Comparison
RN telephonic outreach within 72 hours vs a 40-month prestudy cohort
Design
Single-center prospective observational study
Follow-up
30 days
Authors
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May support early nurse telehealth outreach to curb readmissions; hypothesis-generating and requires randomized confirmation before practice change.
Observational (n=24,808)
No
Does a telehealth-based transitional care management programme reduce 30-day hospital readmission in patients discharged home following inpatient hospitalisation?
Absolute Event Rate: 9.8% vs 11%
A telehealth outreach by a registered nurse within 72 hours of hospital discharge significantly reduced 30-day readmission rates across overall and disease-specific populations, including heart failure.
Elsener et al. (2023) conducted an observational in Inpatient hospitalisation (n=24,808). Telehealth outreach by a registered nurse vs. Prestudy cohort was evaluated on 30-day hospital readmission. Telehealth outreach by a registered nurse within 72 hours of discharge reduced 30-day hospital readmissions to 9.8% compared to 11.0% in a historical prestudy cohort.
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