Original Investigation

Remote Monitoring Approaches to Reduce Readmissions After Infection and Sepsis

JAMA Network Open 10.1001/jamanetworkopen.2026.16641

June 11, 2026 at 10:30 AM EDT

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Does remote monitoring help individuals remain at home following hospitalization for serious infections?In this randomized clinical trial of 1286 adults recovering at home after hospitalization for sepsis or lower respiratory tract infection, remote monitoring programs with high- or low-intensity question sets combined with a nurse response team or a nurse practitioner–led response team did not increase time spent at home. Conversely, the remote monitoring programs led to a reduction in time spent at home among Medicare-eligible patients 65 years or older.Remote monitoring, as implemented in this study, did not support Medicare’s goals of reducing readmissions, particularly among older adults.

Corresponding Author: Sachin Yende, MD, MS, H. John Heinz III Veterans Affairs Medical Center, 1A-117, Bldg 70, 1010 Delafield Rd, Pittsburgh, PA 15215 (yendes@upmc.edu).

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