Jul 3, 2013

A retrospective study on patient characteristics and telehealth alerts indicative of key medical events for heart failure patients at a home health agency

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Kavita RadhakrishnanJesse Chittams


To explore association of patient characteristics and telehealth alert data with all-cause key medical events (KMEs) of emergency department (ED) visits and hospitalizations as well as cardiac-related KMEs of ED visits, hospitalizations, and medication changes. A 6-month retrospective study was conducted of electronic patient records of heart failure (HF) patients using telehealth services at a Massachusetts home health agency. Data collected included patient demographic, psychosocial, disease severity factors and telehealth vital signs alerts. Association between patient characteristics and KMEs was analyzed by Generalized Estimating Equations. The sample comprised 168 patients with a mean age of 83 years, 56% females, and 96% white. Ninety-nine cardiac-related KMEs and 87 all-cause KMEs were recorded for the subjects. Odds of a cardiac-related KME increased by 161% with the presence of valvular co-morbidity (p=0.001) and 106% with increased number of telehealth alerts (adjusted p<0.0001). Odds of an all-cause KME increased by 124% (p=0.02), 127% (p=0.01), and 70% (adjusted p<0.0001) with the presence of cancer co-morbidity, anxiety, and increased number of telehealth alerts, respectively. Overall, only 3% of all telehealth al...Continue Reading

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Mentioned in this Paper

Care of Intensive Care Unit Patient
Electronic Health Records
Morbidity Aspects
Home Health Care Agencies
Abuse Dwarfism Syndrome
Myocardial Failure
Retrospective Studies
Medical Audit

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