Key result
Telemonitoring did not reduce hospitalizations and ED visits compared to usual care (63.7% vs 57.3%, P=0.35), but was associated with higher mortality (14.7% vs 3.9%, P=0.008).
Why the study?
Does telemonitoring reduce hospitalizations and ED visits in older adults at high risk for rehospitalization?
Population
205 adults older than 60 years at high risk for rehospitalization, mean age 80.3 years.
Comparison
Telemonitoring vs Patient-driven usual care
Design
RCT, randomized
Follow-up
12 months
Authors
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Telemonitoring should not be used to reduce hospitalizations in high-risk older adults; challenges assumptions of benefit and signals potential harm.
RCT (n=205)
Does telemonitoring reduce hospitalizations and ED visits in older adults at high risk for rehospitalization?
Absolute Event Rate: 63.7% vs 57.3%
p-value: p=0.35
Telemonitoring did not reduce hospitalizations or ED visits in high-risk older adults and was associated with an unexplained higher mortality rate.
Takahashi et al. (2012) conducted an RCT in Older adults at high risk for rehospitalization (n=205). Telemonitoring vs. Patient-driven usual care was evaluated on Composite end point of hospitalizations and ED visits (p=0.35). Telemonitoring did not reduce hospitalizations and ED visits compared to usual care (63.7% vs 57.3%, P=0.35), but was associated with higher mortality (14.7% vs 3.9%, P=0.008).
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