Impact of a Novel Adaptive Optimization Algorithm on 30-Day Readmissions
Why the study?
Does the AdaptivCRT algorithm reduce 30-day readmissions after HF and all-cause hospitalizations in patients undergoing CRT defibrillation compared to echocardiographic optimization?
Population
478 patients undergoing cardiac resynchronization therapy (CRT) defibrillation
Comparison
AdaptivCRT algorithm allowing automated… vs CRT with echocardiographic optimization (Echo)
Design
RCT, 2:1 basis
Follow-up
mean 20.2 months (range: 0.2 to 31.3 months)
Authors
Discussion
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Member takes
Implication
May lower 30-day HF readmissions in CRT recipients; leaves open need for prospective confirmation before practice change.
Structured PICO
Does the AdaptivCRT algorithm reduce 30-day readmissions after HF and all-cause hospitalizations in patients undergoing CRT defibrillation compared to echocardiographic optimization?
P
Population
478 patients undergoing cardiac resynchronization therapy (CRT) defibrillation
I
Intervention
AdaptivCRT (aCRT) algorithm allowing automated ambulatory device programming
C
Comparator
CRT with echocardiographic optimization (Echo)
O
Outcome
30-day readmission after heart failure (HF) and all-cause index hospitalizationshard clinical
The use of the aCRT algorithm significantly reduces the probability of 30-day readmissions after HF and all-cause hospitalizations compared to standard echocardiographic optimization.
Cite This Study
Starling et al. (2015) studied this question.