Key result
Primary care home telemonitoring is linked to ~58% fewer hospital admissions.
Why the study?
Further studies exploring the impact of home telemonitoring on healthcare resource use in primary care chronic patients are needed.
Does a primary care-based home telemonitoring intervention reduce hospital admissions in housebound patients with heart failure or chronic lung disease?
Population
42 housebound patients with heart failure or chronic lung disease with recurrent hospital admissions
Comparison
Healthcare resource use 12 months before vs after telemonitoring intervention
Design
One-year before-and-after exploratory study without control group
Follow-up
1 year
Authors
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May support telemonitoring for unstable housebound HF or chronic lung disease patients; hypothesis-generating and requires RCTs before practice change.
Observational (n=42)
Does a primary care-based home telemonitoring intervention reduce hospital admissions in housebound patients with heart failure or chronic lung disease?
Absolute Event Rate: 1.1% vs 2.6%
p-value: p=<0.001
A primary care-based home telemonitoring intervention significantly reduced hospital admissions and emergency department visits in highly unstable housebound patients with heart failure or chronic lung disease.
Lesende et al. (2017) conducted an observational in Heart failure or chronic lung disease (n=42). Primary care-based home telemonitoring vs. Previous year (before intervention) was evaluated on Number of hospital admissions (p=<0.001). Primary care-based home telemonitoring significantly reduced hospital admissions from 2.6 to 1.1 per patient over one year (P<0.001).
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