Patient Self Monitoring to Evaluate 30 Day Post Discharge Heart Failure Outcomes

Patient Self Monitoring to Evaluate 30 Day Post Discharge Heart Failure Outcomes

The purpose of this study is to examine the relative predictive ability of the derived monitoring instrument to determine post discharge instability and 30-day outcomes in patients discharged with HF. The primary hypothesis is that variables in the monitoring instrument, individually and combined, identify risk for 30-day outcomes. Clinical indicators of dyspnea, fatigue, orthopnea, dyspnea with exertion, daily weight, edema, heart rate, blood pressure, mental condition, medication adherence, and overall well-being will be reported by participants on a daily basis and considered indicators for 30-day outcomes of stability, re-hospitalization, or mortality.

Inclusion Criteria:

1. > 65 years of age
2. male and female patients admitted to the hospital with the primary diagnosis of HF with hospitalization > 24 hours
3. able to read and write in English
4. discharged to home environment

Exclusion Criteria:

1. a cardiac transplant candidate
2. experienced an acute coronary event within the previous 30 days of index hospitalization
3. experienced percutaneous coronary intervention or coronary artery bypass grafting within the previous 30 days of index hospitalization
4. end stage renal disease/hemodialysis
5. have a left ventricular assist device
6. > 400 lbs
7. unable to stand for 90 seconds independently