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November 22, 2009Telemedicine Journal and e-Health

Managing Heart Failure Patients After Formal Homecare

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Why the study?

Does continued use of a telehealth system reduce hospitalizations and improve self-management in heart failure patients after discharge from formal homecare?

Population

Heart failure patients discharged from formal home health services who used the Health Buddy telehealth…

Comparison

Continued use of the Health Buddy telehealth… vs No further telehealth or home health services.

Design

RCT, Randomly assigned to either the telehealth group or the control group…

Follow-up

180 days

Key result

Continued use of a telehealth system for 180 days after formal home health discharge resulted in 0% hospitalizations compared to 28.3% in the control group.

Authors

KDKathryn H. DanskyJVJoseph Vasey

Discussion

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Member takes

Overview

Supports continued telehealth after home health discharge in HF; extends RCT evidence on remote monitoring duration.

Study Design

Type

RCT

Multicenter

Yes

Structured PICO

Does continued use of a telehealth system reduce hospitalizations and improve self-management in heart failure patients after discharge from formal homecare?

P
Population
Heart failure patients discharged from formal home health services, followed for an additional 180 days.
I
Intervention
Continued use of the Health Buddy telehealth system for an additional 180 days following discharge from formal home health services.
C
Comparator
No further telehealth or home health services (control group).
O
Outcome
Clinical outcomes (hospitalizations, Emergency Department events, respiratory status, activities of daily living) and self-management behaviors.

Main Result

Absolute Event Rate: 0% vs 28.3%

Continued telehealth monitoring for 180 days after formal home health discharge completely prevented hospitalizations and ED visits while improving self-management behaviors in heart failure patients.

Cite This Study

Dansky et al. (2009) conducted an RCT in Heart failure. Health Buddy telehealth system vs. No further telehealth or home health services was evaluated on Hospitalization. Continued use of a telehealth system for 180 days after formal home health discharge resulted in 0% hospitalizations compared to 28.3% in the control group.

synapsesocial.com/papers/6a732d462ac1135ea9c8f2b7https://doi.org/10.1089/tmj.2009.0064
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