Home Health Care With Telemonitoring Improves Health Status for Older Adults With Heart Failure

Elizabeth Madigan, Brian J. Schmotzer, Cynthia J. Struk, Christina M. DiCarlo, George Kikano, Ileana L. Piña, Rebecca S. Boxer

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

Home telemonitoring can augment home health care services during a patient's transition from hospital to home. Home health care agencies commonly use telemonitors for patients with heart failure although studies have shown mixed results in the use of telemonitors to reduce rehospitalizations. This randomized trial investigated if older patients with heart failure admitted to home health care following a hospitalization would have a reduction in rehospitalizations and improved health status if they received telemonitoring. Patients were followed up to 180 days post-discharge from home health care services. Results showed no difference in the time to rehospitalization or emergency visit between those who received telemonitoring versus usual care. Older heart failure patients who received telemonitoring had better health status by home health care discharge than those who received usual care. Therefore, for older adults with heart failure, telemonitoring may be an important adjunct to home health care services to improve health status.

Original languageEnglish (US)
Pages (from-to)57-74
Number of pages18
JournalHome health care services quarterly
Volume32
Issue number1
DOIs
StatePublished - Jan 2013

Keywords

  • aging
  • health status
  • heart failure
  • home care
  • telemonitoring

ASJC Scopus subject areas

  • Health Policy
  • Community and Home Care
  • Public Health, Environmental and Occupational Health

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