title: Home health care with telemonitoring improves health status for older adults with heart failure.
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.
authors: Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
authors: Elizabeth
authors: E
authors: Madigan
authors: Brian J
authors: BJ
authors: Schmotzer
authors: Cynthia J
authors: CJ
authors: Struk
authors: Christina M
authors: CM
authors: DiCarlo
authors: George
authors: G
authors: Kikano
authors: Ileana L
authors: IL
authors: Piña
authors: Rebecca S
authors: RS
authors: Boxer
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006304:Health Status; D006333:Heart Failure / Q000534:rehabilitation; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D009820:Ohio; D017063:Outcome Assessment, Health Care; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D013686:Telemetry