Key result
Telehealth fails to reduce readmissions or ED visits vs standard care despite better medication adherence.
Why the study?
Poor transitions of care lead to increased healthcare costs, over-utilization of emergency departments, increased re-hospitalizations, and poor patient outcomes, prompting evaluation of telehealth feasibility to improve transitions of care.
Does Telehealth reduce hospital readmission and emergency department utilization in patients after hospital discharge?
Population
102 patients
Comparison
Telehealth (remote patient monitoring and video visits) vs standard transitions of care
Design
12-month randomized controlled trial
Follow-up
12-month
Authors
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Does not support telehealth for reducing post-discharge readmissions or ED visits; extends adherence benefits in RCTs but leaves utilization impact unresolved.
RCT (n=102)
Does Telehealth reduce hospital readmission and emergency department utilization in patients after hospital discharge?
p-value: p=0.31 (readmissions), 0.691 (ED utilization)
Telehealth during transitions of care improves medication adherence and patient engagement but does not significantly reduce hospital readmissions or ED visits.
Noel et al. (2020) conducted an RCT in Transitions of care after hospital discharge (n=102). Telehealth (remote patient monitoring and video visits) vs. Standard transitions of care was evaluated on Hospital readmission and emergency department utilization (p=0.31 (readmissions), 0.691 (ED utilization)). Telehealth did not significantly reduce hospital readmissions (p=0.31) or emergency department utilization (p=0.691) compared to standard care, though it improved medication adherence.
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