Remote monitoring in ambulatory heart failure patients yielded a non-significant reduction in all-cause per person readmission rate compared to usual care (0.64 vs 0.73; P=0.75).
RCT (n=150)
randomized
No
Does remote monitoring reduce readmission rates in ambulatory, non-homebound patients recently hospitalized for heart failure?
A 6-month remote monitoring pilot program in non-homebound heart failure patients showed a non-significant trend toward reduced all-cause readmissions.
Absolute Event Rate: 0.64% vs 0.73%
p-value: p=0.75
Remote monitoring (RM) of homebound heart failure (HF) patients has previously been shown to reduce hospital admissions. We conducted a pilot trial of ambulatory, non-homebound patients recently hospitalized for HF to determine whether RM could be successfully implemented in the ambulatory setting. Eligible patients from Massachusetts General Hospital (n = 150) were randomized to a control group (n = 68) or to a group that was offered RM (n = 82). The participants transmitted vital signs data to a nurse who coordinated care with the physician over the course of the 6-month study. Participants in the RM program had a lower all-cause per person readmission rate (mean = 0.64, SD +/- 0.87) compared to the usual care group (mean = 0.73, SD +/- 1.51; P-value = .75) although the difference was not statistically significant. HF-related readmission rate was similarly reduced in participants. This pilot study demonstrates that RM can be successfully implemented in non-homebound HF patients and may reduce readmission rates.
Kulshreshtha et al. (Fri,) conducted a rct in Heart Failure (n=150). Remote monitoring vs. Usual care was evaluated on All-cause per person readmission rate (p=0.75). Remote monitoring in ambulatory heart failure patients yielded a non-significant reduction in all-cause per person readmission rate compared to usual care (0.64 vs 0.73; P=0.75).