TELE-HF

这个子项目是许多研究子项目中的一个 由NIH/NCRR资助的中心赠款提供的资源。子项目和 研究者（PI）可能从另一个NIH来源获得了主要资金， 因此可以在其他CRISP条目中表示。所列机构为 研究中心，而研究中心不一定是研究者所在的机构。 充血性心力衰竭是65岁以上患者住院的主要原因。然而，使用通信技术来监测临床状态，作为一种新的疾病管理策略，以改善慢性病患者的护理，正在受到关注。为此，远程监护对心力衰竭患者具有特别的希望，这些患者可能会在就诊并需要住院治疗之前的数天和数周内经历健康状况恶化，体重和症状增加。Tele-HF是一种频繁监测系统，可以提醒临床医生失代偿的早期体征和症状，在患者病情严重并需要住院治疗之前提供干预机会。由国家心脏，肺和血液研究所赞助。 假设： 本研究的主要目的是确定自动症状和自我报告的体重监测与常规原因相比对近期因心力衰竭住院的患者的全因住院和死亡率的联合终点的影响。此外，患者每天参与沟通有关其体重和健康状况的信息可能会对他们的健康行为产生有利影响，包括遵守医疗建议。 次要替代品： 检验该干预将对临床医生从远程监护系统接收信息的门诊访视次数产生影响的假设。 为了验证这一假设，即这种干预措施将显着降低住院和门诊医疗费用。 检验自我报告的体重监测将提高患者对护理的满意度的假设。 检验远程监护将显著降低心力衰竭再入院率的假设。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Congestive heart failure is the leading cause of hospital admissions in persons over the age of 65. However, the use of communication technology to monitor clinical status, is gaining attention as a novel disease management strategy to improve the care of patients with chronic illness. To this end, telemonitoring holds particular promise for patients with heart failure, who may experience deterioration in their health status with an increase in weight and symptoms over a period of days and weeks before presenting to a physician and requiring hospitalization. Tele-HF is a system of frequent monitoring which can alert clinicians to the early signs and symptoms of decompensation, providing the opportunity for intervention before patients become severely ill and require hospitalization. Sponsored by the National Heart, Lung, and Blood Institute. HYPOTHESIS: The primary objective of the study is to determine the effect of automated symptom and self-reported weight monitoring compared with usual cause on the combined endpoint of all cause hospitalization and mortality in patients recently hospitalized for heart failure. Moreover, patients participation in communicating information about their weight and health status on a daily basis could have a favorable effect on their health behaviors, including adherence to medical recommendations. SECONDARY OBJECTIVES: To test the hypothesis that this intervention will have impact on the number of office visits with the clinician receiving information from the telemonitoring system. To test the hypothesis that this intervention will significantly reduce the cost of inpatient and outpatient medical care. To test the hypothesis that self-reported weight monitoring will enhance patients satisfaction with care. To test the hypothesis that telemonitoring will significantly reduce the rate of hospital readmission for heart failure.