POEMs

No Reduction in Readmissions with Telemonitoring, Coaching for Patients with Heart Failure

 


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Am Fam Physician. 2016 Jul 15;94(2):168a-169.

Clinical Question

Does a care transition intervention using telephone coaching and telemonitoring reduce readmissions for patients with heart failure?

Bottom Line

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)

Synopsis

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

POEMs (patient-oriented evidence that matters) are provided by EssentialEvidence Plus, a point-of-care clinical decision support system published by Wiley-Blackwell. For more information, please see http://www.essentialevidenceplus.com. Copyright Wiley-Blackwell. Used with permission.

For definitions of levels of evidence used in POEMs, see http://www.essentialevidenceplus.com/product/ebm_loe.cfm?show=oxford.

To subscribe to a free podcast of these and other POEMs that appear in AFP, search in iTunes for “POEM of the Week” or go to http://goo.gl/3niWXb.

This series is coordinated by Sumi Sexton, MD, Associate Deputy Editor.

A collection of POEMs published in AFP is available at http://www.aafp.org/afp/poems.



 

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