Invasive telemonitoring has shown promising results in reducing readmissions and health service utilization, and improving patient outcomes; however, such evidence is lacking for non-invasive telemonitoring. Our proposal is to deploy a wearable solution that predicts physiological perturbation comparable to invasive devices and to perform continuous remote patient monitoring; this will be connected to a structured, cascading, escalation pathway involving home health nurses, advanced practitioner providers, specialists, and surgeons, and has the potential to transform care management in the post-discharge period, where patients are the most vulnerable for readmission.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
20
Continuous remote patient monitoring will consist of continuous collection of physiological data and patient status through a non-invasive wearable solution, connected to a structured cascading escalation management pathway
Survey and qualitative interviewing of participants
NorthShore University HealthSystem Evanston Hospital
Evanston, Illinois, United States
Attrition Rate
Drop out from study
Time frame: 30 days from patient discharge date
Enrollment Rate
Enrollment rate for entire patient cohort
Time frame: Through study completion, an average of 30 days for each patient
Number of Participants With Diuretic Escalation
Frequency of augmenting diuretic dosage as prescribed by the cardiologist to the patient.
Time frame: 30 days from patient discharge date
30-day Readmission
30-day readmission to hospital
Time frame: 30 days from patient discharge date
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