دورية أكاديمية
أعرض في EDS

The effect of tablet computer-based telemonitoring added to an established telephone disease management program on heart failure hospitalizations: The Specialized Primary and Networked Care in Heart Failure (SPAN-CHF) III Randomized Controlled Trial.

التفاصيل البيبلوغرافية
العنوان: The effect of tablet computer-based telemonitoring added to an established telephone disease management program on heart failure hospitalizations: The Specialized Primary and Networked Care in Heart Failure (SPAN-CHF) III Randomized Controlled Trial.
المؤلفون: Upshaw JN; The CardioVascular Center, Tufts Medical Center, Boston, MA. Electronic address: jupshaw@tuftsmedicalcenter.org., Parker S; New England Quality Care Alliance, Braintree, MA., Gregory D; Cardiovascular Clinical Studies, Boston MA., Koethe B; Biostatics, Epidemiology, and Research Design Center, Tufts Medical Center, Boston MA., Vest AR; The CardioVascular Center, Tufts Medical Center, Boston, MA., Patel AR; The CardioVascular Center, Tufts Medical Center, Boston, MA., Kiernan MS; The CardioVascular Center, Tufts Medical Center, Boston, MA., DeNofrio D; The CardioVascular Center, Tufts Medical Center, Boston, MA., Davidson E; Heart Center of Metrowest, Framingham MA., Mohanty S; The CardioVascular Center, Tufts Medical Center, Boston, MA., Arpin P; The CardioVascular Center, Tufts Medical Center, Boston, MA., Strauss N; The CardioVascular Center, Tufts Medical Center, Boston, MA., Sommer C; The CardioVascular Center, Tufts Medical Center, Boston, MA., Brandon L; New England Quality Care Alliance, Braintree, MA., Butler R; The CardioVascular Center, Tufts Medical Center, Boston, MA., Dwaah H; Tufts University School of Medicine, Boston, MA., Nadeau H; New England Quality Care Alliance, Braintree, MA., Cantor M; New England Quality Care Alliance, Braintree, MA., Konstam MA; The CardioVascular Center, Tufts Medical Center, Boston, MA.
المصدر: American heart journal [Am Heart J] 2023 Jun; Vol. 260, pp. 90-99. Date of Electronic Publication: 2023 Feb 25.
نوع المنشور: Randomized Controlled Trial; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Mosby Country of Publication: United States NLM ID: 0370465 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6744 (Electronic) Linking ISSN: 00028703 NLM ISO Abbreviation: Am Heart J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: St. Louis, MO : Mosby
مواضيع طبية MeSH: Telemedicine* , Heart Failure*, Humans ; Hospitalization ; Telephone ; Computers, Handheld ; Disease Management
مستخلص: Background: Mobile health applications are becoming increasingly common. Prior work has demonstrated reduced heart failure (HF) hospitalizations with HF disease management programs; however, few of these programs have used tablet computer-based technology.
Methods: Participants with a diagnosis of HF and at least 1 high risk feature for hospitalization were randomized to either an established telephone-based disease management program or the same disease management program with the addition of remote monitoring of weight, blood pressure, heart rate and symptoms via a tablet computer for 90 days. The primary endpoint was the number of days hospitalized for HF assessed at 90 days.
Results: From August 2014 to April 2019, 212 participants from 3 hospitals in Massachusetts were randomized 3:1 to telemonitoring-based HF disease management (n = 159) or telephone-based HF disease management (n = 53) with 98% of individuals in both study groups completing the 90 days of follow-up. There was no significant difference in the number of days hospitalized for HF between the telemonitoring disease management group (0.88 ± 3.28 days per patient-90 days) and the telephone-based disease management group (1.00 ± 2.97 days per patient-90 days); incidence rate ratio 0.82 (95% confidence interval, 0.43-1.58; P = .442).
Conclusions: The addition of tablet-based telemonitoring to an established HF telephone-based disease management program did not reduce HF hospitalizations; however, study power was limited.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
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معلومات مُعتمدة: K08 HL146959 United States HL NHLBI NIH HHS; TL1 TR002546 United States TR NCATS NIH HHS
سلسلة جزيئية: ClinicalTrials.gov NCT02084992
تواريخ الأحداث: Date Created: 20230226 Date Completed: 20230508 Latest Revision: 20240626
رمز التحديث: 20240626
مُعرف محوري في PubMed: PMC11195537
DOI: 10.1016/j.ahj.2023.02.007
PMID: 36842486
قاعدة البيانات: MEDLINE
الوصف
تدمد:1097-6744
DOI:10.1016/j.ahj.2023.02.007