Use of Remote Monitoring to Improve Outcomes in Patients with Heart Failure: A Pilot Trial
Use of Remote Monitoring to Improve Outcomes in Patients with Heart Failure: A Pilot Trial
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DOI：
10.1155/2010/870959
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发表时间：
2010-01-01
影响因子：
4.4
通讯作者：
Watson, Alice J.
中科院分区：
文献类型：
--
作者：
Kulshreshtha, Ambar;Kvedar, Joseph C.;Watson, Alice J.
远程监测（RM）在家心衰（HF）患者以前已被证明可以减少住院率。我们对最近因心衰住院的非居家门诊患者进行了一项试点试验，以确定RM是否可以在门诊环境中成功实施。来自马萨诸塞州总医院的符合条件的患者（n = 150）被随机分为对照组（n = 68）或给予RM的组（n = 82）。参与者将生命体征数据传递给护士，护士在6个月的研究过程中与医生协调护理。与常规护理组（平均= 0.73,SD +/- 1.51； p值- 0.75）相比，RM方案的参与者的全因再入院率（平均= 0.64,SD +/- 0.87）较低，但差异无统计学意义。参与者中与hf相关的再入院率也同样降低。这项初步研究表明，RM可以成功地应用于非居家HF患者，并可能降低再入院率。
Remote monitoring (RM) of homebound heart failure (HF) patients has previously been shown to reduce hospital admissions. We conducted a pilot trial of ambulatory, non-homebound patients recently hospitalized for HF to determine whether RM could be successfully implemented in the ambulatory setting. Eligible patients from Massachusetts General Hospital (n = 150) were randomized to a control group (n = 68) or to a group that was offered RM (n = 82). The participants transmitted vital signs data to a nurse who coordinated care with the physician over the course of the 6-month study. Participants in the RM program had a lower all-cause per person readmission rate (mean = 0.64, SD +/- 0.87) compared to the usual care group (mean = 0.73, SD +/- 1.51; P-value -.75) although the difference was not statistically significant. HF-related readmission rate was similarly reduced in participants. This pilot study demonstrates that RM can be successfully implemented in non-homebound HF patients and may reduce readmission rates.