Scherrenberg Martijn, Leenen Jobbe Pl, van der Velde Astrid E, Boyne Josiane, Bruins Wendy, Vranken Julie, Brunner-La Rocca Hans-Peter, De Kluiver Ed P, Dendale Paul
Heart Centre Hasselt, Jessa Hospital, Hasselt, Belgium.
Faculty of Medicine and Life Sciences, UHasselt, Diepenbeek, Belgium.
Digit Health. 2023 Jan 25;9:20552076231152178. doi: 10.1177/20552076231152178. eCollection 2023 Jan-Dec.
Hospitalisations for heart failure are frequent and costly, linked with a lower quality of life, and lead to higher morbidity and mortality. Home hospitalisation interventions could be a substitute for in-hospital stays to reduce the burden on patients. The current study aims to investigate patient-reported satisfaction and usability in combination with the safety of a digital health-supported home hospitalisation intervention for heart failure patients.
We conducted an international, multicentre, single-arm, interventional study to investigate the feasibility and safety of a digital health-supported home hospitalisation platform. Patients with acute decompensation of known and well-assessed chronic heart failure with an indication for hospital admission were included. The primary outcome was patient satisfaction. Secondary outcomes were usability, adherence, and safety.
A total number of 66 patients were included, of which the data of 65 patients (98.5%) was analysed. A total of 86.1% of patients reported being very satisfied or totally satisfied. No patients reported to be not satisfied with the home hospitalisation intervention. The patients reported a sufficient usability score (mean score: 75.8% of 100%) for the digital health-supported home hospitalisation platform. The adherence to the daily measurements of blood pressure and weight was very high, whereas the adherence to the daily interaction with the eCoach was lower (69.3%). In 7 patients (10.8%), a conversion from home hospitalisation to regular hospitalisation was needed. Furthermore, 6 patients (9.2%) had rehospitalisation within 30 days after the end of the home hospitalisation intervention.
A digitally supported home hospitalisation intervention is feasible. This study demonstrates high patient satisfaction and sufficiently high usability scores. The safety outcomes are comparable with traditional heart failure hospitalisations. This indicates that digitally supported home hospitalisation could be an alternative to in-hospital care for all age groups, yet further research is needed to prove the (cost-) effectiveness.
心力衰竭住院频繁且费用高昂，与生活质量降低相关，并导致更高的发病率和死亡率。居家住院干预可能是住院治疗的替代方案，以减轻患者负担。本研究旨在调查心力衰竭患者对数字健康支持的居家住院干预的满意度、可用性及其安全性。
我们开展了一项国际多中心单臂干预性研究，以调查数字健康支持的居家住院平台的可行性和安全性。纳入已知且评估良好的慢性心力衰竭急性失代偿且有住院指征的患者。主要结局为患者满意度。次要结局为可用性、依从性和安全性。
共纳入66例患者，其中65例患者（98.5%）的数据进行了分析。共有86.1%的患者报告非常满意或完全满意。没有患者报告对居家住院干预不满意。患者对数字健康支持的居家住院平台的可用性评分充足（平均得分：满分的75.8%）。血压和体重每日测量的依从性非常高，而与电子教练每日互动的依从性较低（69.3%）。7例患者（10.8%）需要从居家住院转为常规住院。此外，6例患者（9.2%）在居家住院干预结束后30天内再次住院。
数字支持的居家住院干预是可行的。本研究显示患者满意度高且可用性评分足够高。安全性结果与传统心力衰竭住院相当。这表明数字支持的居家住院可能是所有年龄组住院治疗的替代方案，但仍需进一步研究以证明其（成本）效益。
