The purpose of this study is to compare the effect of implementing wireless remote monitoring combined with structured telephone monitoring, versus current care, on variation in rehospitalization among older patients hospitalized with heart failure at six medical centers.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
1,437
During their hospitalization, patients will receive education on their condition and will be taught to use a wireless remote monitoring device that they will use from home on a daily basis for six months following hospital discharge. Patients will receive structured telephone phone calls from a centralized call center nurse at least once a week for the first month post-discharge, and monthly for the remainder of the six month study period. Patients may receive additional calls depending upon the information gathered during the scheduled call center phone calls and/or their health status as ascertained by the data (weight, heart rate, blood pressure, answers to general health and heart failure-related questions) transmitted daily by the wireless remote monitoring device.
University of California, Davis
Davis, California, United States
University of California, Irvine
Irvine, California, United States
Cedars-Sinai Medical Center
Los Angeles, California, United States
University of California, Los Angeles
Los Angeles, California, United States
180 day rehospitalization rate
Patient self-report in response to telephone survey, combined with administrative claims data of rehospitalization for any cause
Time frame: at 180 days post-discharge
7 day mortality rate
Mortality during the study period. Next of kin will be contacted in the event the patient has expired to verify death and date of death.
Time frame: within 7 days post-discharge
Change in quality of Life
Quality of life scores will be measured using standardized questionnaires, and data captured during enrollment will be compared with data captured during three post-discharge phone calls
Time frame: as an inpatient, within 7 days post-discharge, and at 30 and 180 days post-discharge
30 day mortality rate
Mortality during the study period. Next of kin will be contacted in the event the patient has expired to verify death and date of death.
Time frame: at 30 days post-discharge
180 day mortality rate
Mortality during the study period. Next of kin will be contacted in the event the patient has expired to verify death and date of death.
Time frame: at 180 days post-discharge
30 day rehospitalization rate
Patient self-report in response to telephone survey, combined with administrative claims data of rehospitalization for any cause
Time frame: at 30 days post-discharge
7 day rehospitalization rate
Patient self-report in response to telephone survey, combined with administrative claims data of rehospitalization for any cause
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University of California, San Diego
San Diego, California, United States
University of California, San Francisco
San Francisco, California, United States
Time frame: within 7 days post-discharge