Mobile Integrated Health vs a Transitions of Care Coordinator for Patients Discharged After Heart Failure

What is the added benefit of mobile integrated health compared with a transitions of care coordinator alone for patients discharged after heart failure?This randomized clinical trial analyzing 2003 patients found that health status and 30-day readmissions were similar between groups whether a transitions of care coordinator was supplemented by mobile integrated health or not. However, exploratory analyses suggested that mobile integrated health was associated with better health status in patients younger than 70 years and a possible effect modification by sex on readmissions.These results indicate that adding mobile integrated health to transitions of care coordinator did not reduce readmissions at 30 days or improve health status; however, specific groups of patients did experience greater improved health status at 30 days and fewer readmissions—findings that warrant further research.

Corresponding Author: Ruth Masterson Creber, PhD, MSc, RN, Columbia University School of Nursing, 560 W 168th St, New York, NY 10032 (rm3284@cumc.columbia.edu).

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