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Updated: Jun 2, 2026
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Telemonitoring with case management for seniors with heart failure.
Marcia J Wade1, Akshay S Desai, Claire M Spettell
1Aetna, Inc, Princeton, NJ 08540, USA. wadem1@aetna.com
The American Journal of Managed Care
|April 21, 2011
Summary
Supplementing nurse case management with telehealth did not improve clinical outcomes for elderly heart failure patients. However, case management alone significantly reduced hospital days for all participants.
Area of Science:
- Cardiology
- Geriatrics
- Health Services Research
Background:
- Heart failure (HF) management in the elderly is complex, often requiring intensive support.
- Telemonitoring integrated with case management aims to improve clinical outcomes and reduce healthcare utilization.
Purpose of the Study:
- To evaluate the impact of adding Internet-connected telemonitoring to nurse case management for elderly patients with heart failure.
Main Methods:
- A randomized clinical trial compared telehealth with case management (THCM) against case management (CM) alone in high-risk HF patients.
- The primary outcome was a composite of hospitalization, emergency department visits, or death, analyzed as-treated due to post-randomization exclusions.
Main Results:
- No significant difference was observed in the primary composite outcome between THCM and CM groups (45% vs. 40%).
- Telehealth alerts increased case manager workload, but the overall participant group experienced a 42% reduction in inpatient days compared to the previous year.
Conclusions:
- Internet-based telehealth intervention did not demonstrate a discernible impact on overall morbidity or mortality in elderly HF patients.
- Limited participation reduced statistical power; however, the overall reduction in hospital days highlights the benefit of case management for HF patients.
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