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May 23, 2023Journal of Telemedicine and Telecare

Effectiveness of a home-based telesurveillance program in reducing hospital readmissions in older patients with chronic disease: The eCOBAHLT randomized controlled trial

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Why the study?

Chronic conditions are increasingly common in older patients, but the impact of telesurveillance programs on clinical outcomes remains uncertain.

Does a 12-month home telemonitoring program reduce unplanned hospitalizations for decompensation in elderly patients with multiple chronic diseases discharged home after acute hospital care?

Population

534 patients aged 65 years or older with at least two chronic diseases discharged after hospitalization

Comparison

Home telemonitoring program (e-COBAHLT) vs conventional care

Design

Multicenter randomized controlled trial in two parallel groups

Follow-up

12 months

Authors

ATAchille TchallaDMDelphine MarchesseauNCNoëlle Cardinaud

Discussion

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Member takes

Overview

Supports home telemonitoring post-discharge in elderly multimorbidity; extends RCT evidence for telehealth in chronic disease management.

Structured PICO

Does a 12-month home telemonitoring program reduce unplanned hospitalizations for decompensation in elderly patients with multiple chronic diseases discharged home after acute hospital care?

P
Population
534 elderly patients (aged ≥65 years) with at least two chronic comorbidities, discharged home after acute hospital care for a chronic disease. Mean age 80.3, 52.4% women.
I
Intervention
12-month home telemonitoring program (e-COBAHLT) using online biometric home life analysis technology with tele-homecare/automation and biometric sensors, providing remote monitoring and geriatric expertise to general practitioners.
C
Comparator
Conventional care (usual care without the e-COBAHLT program).
O
Outcome
Incidence of unplanned hospitalizations for decompensation during the 12-month period.hard clinical

A 12-month home telemonitoring program significantly reduces unplanned hospitalizations for chronic disease decompensation in high-risk elderly patients.

Cite This Study

Tchalla et al. (2023) studied this question.

synapsesocial.com/papers/6a81760e176d2ce03166270fhttps://doi.org/10.1177/1357633x231174488
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