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| Name | Class |
|---|---|
| Cedars-Sinai Medical Center | OTHER |
| University of California, Davis | OTHER |
| University of California, Irvine | OTHER |
| University of California, San Diego |
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The purpose of this study is to compare the effect of implementing wireless remote monitoring combined with structured telephone monitoring, versus current care, on variation in rehospitalization among older patients hospitalized with heart failure at six medical centers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Current Care | No Intervention | Patients will receive the current care provided to heart failure patients at each of the study sites | |
| Care Transition Intervention | Experimental | Care transition intervention beginning prior to discharge and through six months post-discharge. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Structured Telephone / Remote Outpatient Monitoring | Other | During their hospitalization, patients will receive education on their condition and will be taught to use a wireless remote monitoring device that they will use from home on a daily basis for six months following hospital discharge. Patients will receive structured telephone phone calls from a centralized call center nurse at least once a week for the first month post-discharge, and monthly for the remainder of the six month study period. Patients may receive additional calls depending upon the information gathered during the scheduled call center phone calls and/or their health status as ascertained by the data (weight, heart rate, blood pressure, answers to general health and heart failure-related questions) transmitted daily by the wireless remote monitoring device. |
| Measure | Description | Time Frame |
|---|---|---|
| 180 day rehospitalization rate | Patient self-report in response to telephone survey, combined with administrative claims data of rehospitalization for any cause | at 180 days post-discharge |
| Measure | Description | Time Frame |
|---|---|---|
| 7 day mortality rate | Mortality during the study period. Next of kin will be contacted in the event the patient has expired to verify death and date of death. | within 7 days post-discharge |
| Change in quality of Life |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michael K Ong, MD, PhD | University of California, Los Angeles | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California, Davis | Davis | California | 95616 | United States | ||
| University of California, Irvine |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24725308 | Background | Black JT, Romano PS, Sadeghi B, Auerbach AD, Ganiats TG, Greenfield S, Kaplan SH, Ong MK; BEAT-HF Research Group. A remote monitoring and telephone nurse coaching intervention to reduce readmissions among patients with heart failure: study protocol for the Better Effectiveness After Transition - Heart Failure (BEAT-HF) randomized controlled trial. Trials. 2014 Apr 13;15:124. doi: 10.1186/1745-6215-15-124. | |
| 26857383 | Derived | Ong MK, Romano PS, Edgington S, Aronow HU, Auerbach AD, Black JT, De Marco T, Escarce JJ, Evangelista LS, Hanna B, Ganiats TG, Greenberg BH, Greenfield S, Kaplan SH, Kimchi A, Liu H, Lombardo D, Mangione CM, Sadeghi B, Sadeghi B, Sarrafzadeh M, Tong K, Fonarow GC; Better Effectiveness After Transition-Heart Failure (BEAT-HF) Research Group. Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure: The Better Effectiveness After Transition -- Heart Failure (BEAT-HF) Randomized Clinical Trial. JAMA Intern Med. 2016 Mar;176(3):310-8. doi: 10.1001/jamainternmed.2015.7712. |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D000098465 | Remote Patient Monitoring |
| ID | Term |
|---|---|
| D017216 | Telemedicine |
| D003695 | Delivery of Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |
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| OTHER |
| University of California, San Francisco | OTHER |
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Quality of life scores will be measured using standardized questionnaires, and data captured during enrollment will be compared with data captured during three post-discharge phone calls
| as an inpatient, within 7 days post-discharge, and at 30 and 180 days post-discharge |
| 30 day mortality rate | Mortality during the study period. Next of kin will be contacted in the event the patient has expired to verify death and date of death. | at 30 days post-discharge |
| 180 day mortality rate | Mortality during the study period. Next of kin will be contacted in the event the patient has expired to verify death and date of death. | at 180 days post-discharge |
| 30 day rehospitalization rate | Patient self-report in response to telephone survey, combined with administrative claims data of rehospitalization for any cause | at 30 days post-discharge |
| 7 day rehospitalization rate | Patient self-report in response to telephone survey, combined with administrative claims data of rehospitalization for any cause | within 7 days post-discharge |
| Irvine |
| California |
| 92697 |
| United States |
| Cedars-Sinai Medical Center | Los Angeles | California | 90048 | United States |
| University of California, Los Angeles | Los Angeles | California | 90095 | United States |
| University of California, San Diego | San Diego | California | 92093 | United States |
| University of California, San Francisco | San Francisco | California | 94143 | United States |