Journal article
Evaluation of Home Telehealth Following Hospitalization for Heart Failure: A Randomized Trial
Telemedicine journal and e-health, Vol.14(8), pp.753-761
10/2008
DOI: 10.1089/tmj.2007.0131
PMID: 18954244
Abstract
Previous studies have found that home-based intervention programs reduce readmission rates for patients with heart failure. Only one previous trial has compared telephone and videophone to traditional care to deliver a home-based heart failure intervention program. The objective of this study was to evaluate the efficacy of a telehealth-facilitated postdischarge support program in reducing resource use in patients with heart failure. Patients at a Midwestern Department of Veterans Affairs Medical Center were randomized to telephone, videophone, or usual care for follow-up care after hospitalization for heart failure exacerbation. Outcome measures included readmission rates; time to first readmission; urgent care clinic visits; survival; and quality of life. The intervention resulted in a significantly longer time to readmission but had no effect on readmission rates or mortality. There were no differences in hospital days or urgent care clinic use. All subjects reported higher disease-specific quality of life scores at 1 year. There was evidence of the value of telephone follow-up, but there was no evidence to support the benefit of videophone care over telephone care. Rigorous evaluation is needed to determine which patients may benefit most from specific telehealth applications and which technologies are most cost-effective. © Copyright 2008, Mary Ann Liebert, Inc.
Details
- Title: Subtitle
- Evaluation of Home Telehealth Following Hospitalization for Heart Failure: A Randomized Trial
- Creators
- Bonnie J Wakefield - Harry S. Truman Memorial Veterans Hospital, Columbia, Missouri, and Sinclair School of Nursing, University of Missouri, Columbia, MissouriMarcia M Ward - College of Public Health, The University of Iowa, Iowa City, IowaJohn E Holman - Center for Research in the Implementation of Innovative Strategies in Practice, Iowa City Veterans Affairs Medical Center, Iowa City, IowaAnnette Ray - Center for Research in the Implementation of Innovative Strategies in Practice, Iowa City Veterans Affairs Medical Center, Iowa City, IowaMelody Scherubel - Center for Research in the Implementation of Innovative Strategies in Practice, Iowa City Veterans Affairs Medical Center, Iowa City, IowaTrudy L Burns - College of Public Health, The University of Iowa, Iowa City, IowaMichael G Kienzle - Carver College of Medicine, The University of Iowa, Iowa City, IowaGary E Rosenthal - Center for Research in the Implementation of Innovative Strategies in Practice, Iowa City Veterans Affairs Medical Center, Iowa City, Iowa. Carver College of Medicine, The University of Iowa, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- Telemedicine journal and e-health, Vol.14(8), pp.753-761
- DOI
- 10.1089/tmj.2007.0131
- PMID
- 18954244
- NLM abbreviation
- Telemed J E Health
- ISSN
- 1530-5627
- eISSN
- 1556-3669
- Language
- English
- Date published
- 10/2008
- Academic Unit
- Rural Telehealth Research Center; Health Management and Policy; Epidemiology; Cardiovascular Medicine; Fraternal Order of Eagles Diabetes Research Center; Internal Medicine
- Record Identifier
- 9984214835202771
Metrics
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