Author + information
- Anshul Srivastava,
- Jacquelyn-My Do,
- Samantha Ly and
- Jacob Joseph
Background: Heart failure (HF) is one of the leading causes of hospitalizations in the U.S. Whether remote monitoring utilizing home telehealth (HT) reduces outcomes in HF is not clear.
Methods: We examined the effects of HT on outcomes in a cohort (n=197) of patients enrolled in HT in the Veterans Affairs Boston Healthcare System from 2005-2015. Outcomes were compared 1 year before and 1 year during HT monitoring. In addition, we compared outcomes while on HT to a control cohort (n=870) matched for age and period of follow-up. The following endpoints were analyzed; total hospital days per patient, admissions, length of stay (LOS), urgent care and emergency room visits, and primary care visits. Statistical analysis was conducted using t tests.
Results: The mean age and sex of HT group (99% male, 74±11 years) was similar to controls (98% male, 75±11 years). As shown in Table 1, total hospital days per patient was significantly reduced in HT group while monitored compared to the previous year without monitoring and when compared to a contemporary cohort. A significantly lower admission rate and LOS was seen during HT monitoring within the HT group. The number of urgent or primary care visits was not significantly increased during HT monitoring.
Conclusions: In this single center study in a predominantly male HF population, HT was successful in reducing total hospital days, total admissions, and LOS without an increase in outpatient and urgent care visits.
Poster Hall, Hall C
Friday, March 17, 2017, 10:00 a.m.-10:45 a.m.
Session Title: Making Progress in Understanding Heart Failure
Abstract Category: 13. Heart Failure and Cardiomyopathies: Clinical
Presentation Number: 1123-282
- 2017 American College of Cardiology Foundation