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Home Health Care With Telemonitoring Improves Health Status for Older Adults With Heart Failure |
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| Authors: | Elizabeth Madigan PhD RN FAAN Brian J Schmotzer MS Cynthia J Struk PhD MSN BSN Christina M DiCarlo MD George Kikano MD Ileana L Piña MD MPH |
| Institution: | 1. Frances Payne Bolton School of Nursing , Case Western Reserve University , Cleveland , Ohio , USA;2. Center for Clinical Investigation , Case Western Reserve University , Cleveland , Ohio , USA;3. Home Health and Hospice, Summa Health System , Akron , Ohio , USA;4. School of Medicine , Case Western Reserve University , Cleveland , Ohio , USA;5. Albert Einstein College of Medicine , Montefiore Medical Center , New York , New York , USA |
| 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. |
| Keywords: | aging heart failure health status home care telemonitoring |