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Impact of Telehealth on Clinical Outcomes in Patients With Heart Failure

Author

Listed:
  • Kathryn H. Dansky

    (Pennsylvania State University, University Park)

  • Joseph Vasey

    (Pennsylvania State University, University Park)

  • Kathryn Bowles

    (University of Pennsylvania, Philadelphia)

Abstract

The purpose of this randomized field study was to determine the effects of telehomecare on hospitalization, emergency department (ED) use, mortality, and symptoms related to sodium and fluid intake, medication use, and physical activity. The sample consists of 284 patients with heart failure. The authors used logistic regression to study the effects of telehomecare on health services utilization and mortality and a general linear model to analyze changes in self-reported symptoms. On average, patients in the telehomecare groups had a lower probability of hospitalizations and ED visits than did patients in the control group. Differences were statistically significant at 60 days but not 120 days. Results show a greater reduction in symptoms for patients using telehomecare compared to control patients. The technology enables frequent monitoring of clinical indices and permits the home health care nurse to detect changes in cardiac status and intervene when necessary.

Suggested Citation

  • Kathryn H. Dansky & Joseph Vasey & Kathryn Bowles, 2008. "Impact of Telehealth on Clinical Outcomes in Patients With Heart Failure," Clinical Nursing Research, , vol. 17(3), pages 182-199, August.
  • Handle: RePEc:sae:clnure:v:17:y:2008:i:3:p:182-199
    DOI: 10.1177/1054773808320837
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    References listed on IDEAS

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    1. Martin, K.S. & Scheet, N.J. & Stegman, M.R., 1993. "Home health clients: Characteristics, outcomes of care, and nursing interventions," American Journal of Public Health, American Public Health Association, vol. 83(12), pages 1730-1734.
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