Remote monitoring for heart failure: Assessing the risks of readmission and mortality

Autor: Amber E. Johnson, Andrew L. Bilderback, Michael Boninger, Kathryn Y. Beatty, Johanna Bellon, Meagan C. Leopold, Andrew R. Watson, Ravi N. Ramani
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: American Heart Journal Plus, Vol 10, Iss , Pp 100045- (2021)
Druh dokumentu: article
ISSN: 2666-6022
DOI: 10.1016/j.ahjo.2021.100045
Popis: Study objective: Remote monitoring (RM) can help patients with heart failure (HF) remain free of hospitalization. Our objective was to implement a patient-centered RM program that ensured timely clinical response, which would be associated with reduced mortality. Design: This was a retrospective, observational, propensity-matched study. Setting: A large regional health system between 9/1/2016–1/31/2018. Participants: Patients admitted with acute HF exacerbation were matched on key variables. Up to two comparison patients were selected for each RM user. Interventions: We used an algorithmic approach to assess daily physiologic data, assess symptoms, provide patient education, encourage patient self-management, and triage medical problems. Main outcome measures: We assessed all-cause mortality using Kaplan-Meier and log rank analysis. We used Cox proportional hazards to compare risk of death. Results: Our cohort of 680 RM users and 1198 comparisons were similar across baseline characteristics except age (74.7 years versus 76.6 years, p
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