Better Effectiveness After Transition–Heart Failure - BEAT-HF
The goal of the trial was to evaluate the effectiveness of remote patient management among patients recently hospitalized for heart failure.
Contribution to the Literature: The BEAT-HF trial failed to show that telephone coaching and telemonitoring reduced hospitalizations.
Patients hospitalized for heart failure were randomized to an intervention group (n = 715) versus control (n = 722). The intervention group consisted of pre-discharge hospital education, regularly scheduled telephone coaching, and telemonitoring of heart rate, blood pressure, weight, and symptoms.
- Patients ≥50 years of age hospitalized for decompensated heart failure
- Total number of enrollees: 1,437
- Duration of follow-up: 180 days
- Median patient age: 73 years
- Percentage female: 46%
Readmission for any cause at 180 days occurred in 51% of the group intervention vs. 49% of the control group (p = 0.74).
- Readmission at 30 days: 23% vs. 22% (p = 0.63), respectively for intervention vs. control
- Mortality at 30 days: 3.4% vs. 5.4% (p = 0.06), respectively for intervention vs. control
- Mortality at 180 days: 14% vs. 16% (p = 0.34), respectively for intervention vs. control
Among individuals hospitalized with decompensated heart failure, an intervention with telephone coaching and telemonitoring did not reduce rehospitalization at 180 days. Early mortality was nonsignificantly reduced in the intervention group; however, this benefit was no longer apparent at 180 days. Multiple large randomized trials have failed to demonstrate a convincing benefit with telemonitoring among heart failure patients.
Ong MK, Romano PS, Edgington S, et al. Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure: The Better Effectiveness After Transition–Heart Failure (BEAT-HF) Randomized Clinical Trial. JAMA Intern Med 2016;Feb 8:[Epub ahead of print].
Presented by Dr. Michael K. Ong at the American Heart Association Scientific Sessions, Orlando, FL, November 8, 2015.
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