Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Penn study will compare heart failure management technologies

25.02.2005


Researchers at the Hospital of the University of Pennsylvania (HUP) have been awarded a $1.5 million dollar grant from the Agency for Health Care Research and Quality and the National Institutes of Health to study disease management technologies in patients with heart failure, and patients with both heart failure and diabetes. The principal investigator for the two-site trial is Lee Goldberg, MD, MPH, Assistant Professor of Medicine and Medical Director of the Heart-Lung Transplant Program.



The objective of this study is to assess the impact of health information technologies on clinical and financial outcomes for patients with symptomatic (NYHA Class II – IV) heart failure. The information technologies include remote monitoring (telemonitoring) of vital signs and symptoms, an electronic health record system and clinical decision support systems. This study will test a scalable, reproducible model for technology-supported heart failure management; and its results should assist purchasers, payers, and policy makers in selecting health information technologies to improve clinical and financial outcomes.

"An estimated 4.8 million Americans have heart failure, with an estimated 400,000 new cases arising each year," explains Dr. Goldberg. "The costs of treating these patients are skyrocketing and are only expected to grow as the population ages. In order to curb healthcare costs, we hope to develop protocols by which we can provide patients with the latest proven technologies to help them manage their homecare more effectively in order to reduce emergency rooms visits and improve outcomes."


The study will evaluate two different configurations of health information technologies. One is Technology Supported Case Management, a combination of telemonitoring and telephone nurse case management. The other is Technology Supported Self Management, which combines telemonitoring with an expert clinical-decision support system that assesses vital signs and symptoms for risk of decompensation – failure of the heart to maintain adequate blood circulation – and guides patients through a step-by-step problem solving procedure.

The heart failure patients participating in the study will be randomized to:
1. Home technology including a scale, blood pressure cuff, heart rate monitor (and glucometer, if diabetic) with the information going to a nurse to evaluate and triage.
2. Home technology including a scale, blood pressure cuff, heart rate monitor (and glucometer, if diabetic) with the information going into a ’smart box’ that evaluates a patient’s objective data and then asks a series of subjective questions that are determined by the data. The box then helps the patient self manage or guides them to contact their physician or nurse.
3. Usual heart failure care.

A total of 325 subjects will be enrolled during the next 18 months at the two study sites – HUP and Saint Vincent Healthcare in Billings, Montana. The University of Louisville will be the data-coordinating center. HUP based patients will be recruited from Philadelphia, its surrounding suburbs and southern New Jersey. Saint Vincent Healthcare volunteers will be enrolled from the urban, remote and rural catchment areas of southern Montana and northern Wyoming, including the Indian Health Service.

Volunteers must be documented heart failure patients. Participants must have had two symptomatic heart failure events within the past year requiring a trip to an emergency room. A primary care physician or internist must be managing each volunteer’s heart failure. Participants must also have the physical and cognitive ability to use the telephone, a scale (ability to stand unsupported for 20 seconds), a blood pressure monitor, blood glucose monitor (if needed), or the once-daily presence of a caregiver who is willing and able to assist with the procedures required by the study, and a working telephone with touchtone line and phone jack, or access to one.

Ed Federico | EurekAlert!
Further information:
http://www.uphs.upenn.edu

More articles from Studies and Analyses:

nachricht Multi-year study finds 'hotspots' of ammonia over world's major agricultural areas
17.03.2017 | University of Maryland

nachricht Diabetes Drug May Improve Bone Fat-induced Defects of Fracture Healing
17.03.2017 | Deutsches Institut für Ernährungsforschung Potsdam-Rehbrücke

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: A Challenging European Research Project to Develop New Tiny Microscopes

The Institute of Semiconductor Technology and the Institute of Physical and Theoretical Chemistry, both members of the Laboratory for Emerging Nanometrology (LENA), at Technische Universität Braunschweig are partners in a new European research project entitled ChipScope, which aims to develop a completely new and extremely small optical microscope capable of observing the interior of living cells in real time. A consortium of 7 partners from 5 countries will tackle this issue with very ambitious objectives during a four-year research program.

To demonstrate the usefulness of this new scientific tool, at the end of the project the developed chip-sized microscope will be used to observe in real-time...

Im Focus: Giant Magnetic Fields in the Universe

Astronomers from Bonn and Tautenburg in Thuringia (Germany) used the 100-m radio telescope at Effelsberg to observe several galaxy clusters. At the edges of these large accumulations of dark matter, stellar systems (galaxies), hot gas, and charged particles, they found magnetic fields that are exceptionally ordered over distances of many million light years. This makes them the most extended magnetic fields in the universe known so far.

The results will be published on March 22 in the journal „Astronomy & Astrophysics“.

Galaxy clusters are the largest gravitationally bound structures in the universe. With a typical extent of about 10 million light years, i.e. 100 times the...

Im Focus: Tracing down linear ubiquitination

Researchers at the Goethe University Frankfurt, together with partners from the University of Tübingen in Germany and Queen Mary University as well as Francis Crick Institute from London (UK) have developed a novel technology to decipher the secret ubiquitin code.

Ubiquitin is a small protein that can be linked to other cellular proteins, thereby controlling and modulating their functions. The attachment occurs in many...

Im Focus: Perovskite edges can be tuned for optoelectronic performance

Layered 2D material improves efficiency for solar cells and LEDs

In the eternal search for next generation high-efficiency solar cells and LEDs, scientists at Los Alamos National Laboratory and their partners are creating...

Im Focus: Polymer-coated silicon nanosheets as alternative to graphene: A perfect team for nanoelectronics

Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are less stable. Now researchers at the Technical University of Munich (TUM) have, for the first time ever, produced a composite material combining silicon nanosheets and a polymer that is both UV-resistant and easy to process. This brings the scientists a significant step closer to industrial applications like flexible displays and photosensors.

Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

International Land Use Symposium ILUS 2017: Call for Abstracts and Registration open

20.03.2017 | Event News

CONNECT 2017: International congress on connective tissue

14.03.2017 | Event News

ICTM Conference: Turbine Construction between Big Data and Additive Manufacturing

07.03.2017 | Event News

 
Latest News

Transport of molecular motors into cilia

28.03.2017 | Life Sciences

A novel hybrid UAV that may change the way people operate drones

28.03.2017 | Information Technology

NASA spacecraft investigate clues in radiation belts

28.03.2017 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>