Am Fam Physician. 2016 Jul 15;94(2):168a-169.
Does a care transition intervention using telephone coaching and telemonitoring reduce readmissions for patients with heart failure?
A care transition intervention that incorporates remote monitoring of weight, blood pressure, and heart rate with scheduled telephone coaching did not reduce readmission rates at 30 days or 180 days for patients with heart failure. However, patients in the study were only modestly adherent to the intervention strategies. (Level of Evidence = 1b)
Hospitalized patients 50 years and older who were being actively treated for heart failure with expected discharge to home were randomized, using concealed allocation, to receive the care transition intervention
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