Digital Health Intervention in Acute Myocardial Infarction
Digital Health Intervention in Acute Myocardial Infarction
复制标题
数字化健康干预在急性心肌梗死中的应用
DOI：
10.1161/circoutcomes.121.007741
复制
发表时间：
2021-07-01
影响因子：
6.9
通讯作者：
Martin, Seth S.
中科院分区：
文献类型：
--
作者：
Marvel, Francoise A.;Spaulding, Erin M.;Martin, Seth S.
Background: Thirty-day readmissions among patients with acute myocardial infarction (AMI) contribute to the US health care burden of preventable complications and costs. Digital health interventions (DHIs) may improve patient health care self-management and outcomes. We aimed to determine if patients with AMI using a DHI have lower 30-day unplanned all-cause readmissions than a historical control.Methods: This nonrandomized controlled trial with a historical control, conducted at 4 US hospitals from 2015 to 2019, included 1064 patients with AMI (DHI n=200, control n=864). The DHI integrated a smartphone application, smartwatch, and blood pressure monitor to support guideline-directed care during hospitalization and through 30-days post-discharge via (1) medication reminders, (2) vital sign and activity tracking, (3) education, and (4) outpatient care coordination. The Patient Activation Measure assessed patient knowledge, skills, and confidence for health care self-management. All-cause 30-day readmissions were measured through administrative databases. Propensity score-adjusted Cox proportional hazard models estimated hazard ratios of readmission for the DHI group relative to the control group.Results: Following propensity score adjustment, baseline characteristics were well-balanced between the DHI versus control patients (standardized differences
