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Related Experiment Video

Updated: Jun 12, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

Remote Monitoring Approaches to Reduce Readmissions After Infection and Sepsis: A Randomized Clinical Trial.

Sachin Yende1,2, Victor B Talisa1, Kristin Mayes3

  • 1The Clinical Research, Investigation, and Systems Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.

JAMA Network Open
|June 11, 2026
PubMed
Summary

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Remote patient monitoring (RPM) did not reduce hospital readmissions for serious infections. However, RPM decreased time at home for patients aged 65 and older, suggesting a need for tailored monitoring strategies.

Area of Science:

  • Health Services Research
  • Clinical Trials
  • Digital Health

Background:

  • The Centers for Medicare & Medicaid Services reimburses remote patient monitoring (RPM) to reduce hospital readmissions.
  • The effectiveness of RPM in reducing readmissions after serious infections remains uncertain.

Purpose of the Study:

  • To evaluate the effectiveness of RPM in reducing readmissions following hospitalizations for serious infections.
  • To assess RPM effectiveness across different patient subgroups.

Main Methods:

  • A randomized clinical trial involving 1286 postdischarge patients with sepsis or lower respiratory tract infection.
  • Four RPM strategies (varying questionnaire intensity and response team enhancement) were compared to usual care.
  • The primary endpoint was days at home at 90 days post-discharge; secondary endpoints included mortality and readmission rates.

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Main Results:

  • Remote patient monitoring did not significantly increase days at home compared to usual care across all patients.
  • Readmission rates were similar across RPM and usual care groups.
  • In patients aged 65 years and older, RPM was associated with fewer days at home (inferiority probability >97%).

Conclusions:

  • Remote patient monitoring did not improve time spent at home for patients discharged after hospitalization for serious infections.
  • RPM was associated with a reduction in time at home for older adults (≥65 years).
  • Findings suggest a need to reevaluate and personalize RPM strategies for specific patient populations and conditions.