Mortality risk for diabetes patients in a care coordination, home-telehealth programme

Neale R. Chumbler, Ho Chih Chuang, Samuel S. Wu, Xinping Wang, Rita Kobb, David Haggstrom, Huanguang Jia

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

We assessed a home monitoring/care coordination programme for veterans with diabetes. Patients enrolled in the programme (n=387) were followed for four years and compared with a retrospective control group (n=387). Each patient in the intervention group used a messaging device in the home that was connected by a conventional telephone line. Care coordinators monitored the answers from the devices daily so that early interventions could be made. There were significantly more deaths in the control group (n=102, 26%) compared with the intervention group (n=75, 19%). There was longer survival for the intervention group versus the control group (mean survival time 1348 vs 1278 days; P = 0.015). A multivariate analyses indicated that the telemonitoring programme was associated with reduced 4-year all-cause mortality (hazard ratio = 0.7, 95% CI 0.5-0.9, P = 0.013). The results suggest that daily management of patients with diabetes through home monitoring by a registered nurse reduces mortality.

Original languageEnglish (US)
Pages (from-to)98-101
Number of pages4
JournalJournal of Telemedicine and Telecare
Volume15
Issue number2
DOIs
StatePublished - Mar 1 2009

    Fingerprint

ASJC Scopus subject areas

  • Health Informatics

Cite this