Key result
Telemonitoring with virtual appointments cuts 30-day HF readmissions ~86% vs standard care.
RCT (n=28)
Open-label
1:1
No
The Health Connect system integrates telemonitoring with virtual provider appointments to potentially improve heart failure management and reduce readmissions, though further research is needed to confirm its benefits.
Hypothesis-generating for telemonitoring in heart failure; larger randomized trials needed before adoption.
Congestive heart failure is a significant cause of hospitalization, rehospitalization, and death. Reducing hospital readmission rates is a national priority. Various telemonitoring devices and programs have been developed to help meet this goal. The Health Connect system incorporates monitoring of physiologic data with regular virtual provider appointments. The Health Connect system integrates traditional telemedicine with virtual provider appointments. Virtual appointments empower patients to advocate for their own health by providing numerous opportunities for education and feedback. In addition to early identification of impending decompensation, virtual appointments allow providers to address noncompliance, which is a major factor driving poor outcomes. Further research is required to confirm the benefit of the Health Connect system.
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Idris et al. (2015) conducted an RCT in Congestive heart failure (n=28). Health Connect telemonitoring system and virtual provider appointments vs. Standard care was evaluated on 30-day hospital readmission (p=0.03). The Health Connect telemonitoring system with virtual provider appointments significantly reduced 30-day hospital readmissions compared to standard care (1 vs 7 readmissions) in patients with heart failure.
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