Kulshreshtha Ambar, Kvedar Joseph C, Goyal Abhinav, Halpern Elkan F, Watson Alice J
Graduate School, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Room 467, Atlanta, GA 30322, USA.
Int J Telemed Appl. 2010;2010:870959. doi: 10.1155/2010/870959. Epub 2010 May 19.
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.
先前的研究表明，对居家心力衰竭（HF）患者进行远程监测（RM）可减少住院次数。我们对近期因心力衰竭住院的非居家流动患者进行了一项试点试验，以确定是否可以在流动患者中成功实施远程监测。来自麻省总医院的符合条件的患者（n = 150）被随机分为对照组（n = 68）或接受远程监测的组（n = 82）。在为期6个月的研究过程中，参与者将生命体征数据传输给一名护士，该护士与医生协调护理工作。与常规护理组相比，远程监测项目的参与者全因再入院率较低（平均值 = 0.64，标准差±0.87），常规护理组的平均值为0.73，标准差±1.51；P值 = 0.75），尽管差异无统计学意义。参与者的心力衰竭相关再入院率也有类似程度的降低。这项试点研究表明，远程监测可以在非居家心力衰竭患者中成功实施，并可能降低再入院率。
