Risk of rehospitalization within 30 days of discharge is higher than 20% in patients with chronic obstructive pulmonary disease (COPD) and up to 20% for patients with community acquired pneumonia (CAP). This pre-post intervention study aims to quantify the impact of continuous remote patient monitoring (RPM) on rates of hospital readmission for patients presenting with CAP or exacerbation of COPD and compare the intervention group to historical controls that did not have access to the intervention. We hypothesize that an intervention combining remote patient monitoring with the remote clinical services and escalation pathways available at SSH (including the Mobile Integrated Health (MIH) program) will reduce hospital readmission within the 30 days following hospital discharge compared to standard of care in this population.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
A remote patient monitoring system which includes a small footprint device and tablet, combined with an AI-powered, cloud-based system driving advanced real-time and predictive analytics related to a patient's clinical condition. The wearable records heart rate, respiratory rate, oxygen saturation, skin temperature and step count.
Number of participants with a hospital readmission
Time frame: up to 30 days
Time to service use
Time frame: up to 30 days
Rate of clinical visits
telehealth and/or ambulatory visits
Time frame: up to 30 days
Length of Stay
original and subsequent readmissions or emergency department attendance
Time frame: up to 30 days
Rate of Mortality
Time frame: up to 30 days
Rate of medication adherence
Time frame: up to 30 days
Progression of Disease
medication requirements, oxygen dependence, spirometric changes
Time frame: up to 30 days
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