Home Monitoring Heart Failure Care Does Not Improve Patient Outcomes: Looking Beyond Telephone-Based Disease Management
@article{Desai2012HomeMH, title={Home Monitoring Heart Failure Care Does Not Improve Patient Outcomes: Looking Beyond Telephone-Based Disease Management}, author={Akshay S. Desai}, journal={Circulation}, year={2012}, volume={125}, pages={828–836} }
Despite considerable advances in evidence-based medical therapy, heart failure continues to contribute a substantial burden of morbidity, mortality, and economic cost to the American healthcare system. After an admission for heart failure management, nearly 25% of patients are readmitted within 30 days, and by 6 months, this proportion reaches nearly 50%.1,2 Medicare payments for unplanned hospital readmissions totaling more than $17 billion account for nearly 15% to 20% of total Medicare…
86 Citations
Rehospitalization for heart failure: predict or prevent?
- MedicineCirculation
- 2012
Concern regarding the need to reduce readmissions has focused national research and hospital-driven efforts on the prediction of which patients with heart failure are likely to be readmitted and the design of interventions to prevent readmissions.
Can telemonitoring reduce hospitalization and cost of care? A health plan's experience in managing patients with heart failure.
- MedicinePopulation health management
- 2014
The results indicate significant reductions in probability of all-cause admission, 30-day and 90-day readmission, and cost of care, implying that telemonitoring can be an effective add-on tool for managing elderly patients with heart failure.
Effective Strategies in Reducing Rehospitalizations in Patients With Heart Failure
- MedicineAmerican journal of therapeutics
- 2016
Different strategies that could improve the readmission rates in patients with HF and ultimately decrease the health care payments are demonstrated, including evidence-based management programs, surgical therapy, risk factors adjustment, and disease monitoring.
Remote monitoring in heart failure.
- MedicineEuropean heart journal. Quality of care & clinical outcomes
- 2015
An easy-to-use, android-based monitoring system to empower patients and reduce readmission rates in a cohort from the Seamless User-centred Proactive Provision of Risk-stratified Treatment for Heart Failure (SUPPORT-HF) study is presented.
The vulnerable phase after hospitalization for heart failure
- MedicineNature Reviews Cardiology
- 2015
The early postdischarge problem among patients hospitalized for HF, the associated patient profile and pathophysiology, and the limitations of current postdis discharge treatment strategies are described and therapeutic targets are identified.
Cost-effectiveness of home versus clinic-based management of chronic heart failure: Extended follow-up of a pragmatic, multicentre randomized trial cohort - The WHICH? study (Which Heart Failure Intervention Is Most Cost-Effective & Consumer Friendly in Reducing Hospital Care).
- Medicine, Political ScienceInternational journal of cardiology
- 2015
HerzMobil Tirol network: rationale for and design of a collaborative heart failure disease management program in Austria
- MedicineWiener klinische Wochenschrift
- 2014
This work introduces a collaborative post-discharge HF disease management program (HerzMobil Tirol network) that incorporates physician-controlled telemonitoring and nurse-led care in a multidisciplinary network approach.
Home diuretic protocol for heart failure: partnering with home health to improve outcomes and reduce readmissions.
- MedicineThe Permanente journal
- 2014
It is demonstrated that augmented diuretic therapy, both oral and intravenous, an evidence-based treatment for care of patients with HF experiencing fluid retention, can be delivered safely in the home setting using the HDP and can improve outcomes for recently hospitalized patients withHF.
HerzMobil, an Integrated and Collaborative Telemonitoring-Based Disease Management Program for Patients With Heart Failure: A Feasibility Study Paving the Way to Routine Care
- MedicineJMIR cardio
- 2018
The feasibility of HerzMobil Tirol was evaluated by analyzing changes in health status as well as patients’ self-care behavior and satisfaction and to derive recommendations for implementing a telemonitoring-based interdisciplinary disease management program for heart failure in everyday clinical practice.
Cardiology Consultation in the Emergency Department Reduces Re-hospitalizations for Low-Socioeconomic Patients with Acute Decompensated Heart Failure.
- Medicine, Political ScienceThe American journal of medicine
- 2017
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