Remote Patient Monitoring Program for Hospital Discharged COVID-19 Patients
Open accessAbstract
Objective We deployed a Remote Patient Monitoring (RPM) program to monitor patients with coronavirus disease 2019 (COVID-19) upon hospital discharge. We describe the patient characteristics, program characteristics, and clinical outcomes of patients in our RPM program. Methods We enrolled COVID-19 patients being discharged home from the hospital. Enrolled patients had an app, and were provided with a pulse oximeter and thermometer. Patients self-reported symptoms, O2 saturation, and temperature daily. Abnormal symptoms or vital signs were flagged and assessed by a pool of nurses. Descriptive statistics were used to describe patient and program characteristics. A mixed-effects logistic regression model was used to determine the odds of a combined endpoint of emergency department (ED) or hospital readmission. Results A total of 295 patients were referred for RPM from five participating hospitals, and 225 patients were enrolled. A majority of enrolled patients (66%) completed the monitoring period without triggering an abnormal alert. Enrollment was associated with a decreased odds of ED or hospital readmission (adjusted odds ratio: 0.54; 95% confidence interval: 0.3–0.97; p = 0.039). Referral without enrollment was not associated with a reduced odds of ED or hospital readmission. Conclusion RPM for COVID-19 provides a mechanism to monitor patients in their home environment and reduce hospital utilization. Our work suggests that RPM reduces readmissions for patients with COVID-19 and provides scalable remote monitoring capabilities upon hospital discharge. RPM for postdischarge patients with COVID-19 was associated with a decreased risk of readmission to the ED or hospital, and provided a scalable mechanism to monitor patients in their home environment.
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Studies have shown that RPM reduces hospital readmissions among patients hospitalized for COVID-19.
“and reduces hospital readmissions among patients hospitalized for COVID-19.5”
From Challenges and Facilitators in Implementing Remote Patient Monitoring Programs in Primary Care (2024) · cites this paper as [5]
The Abstract reports that RPM enrollment was associated with lower odds of a combined endpoint of emergency-department or hospital readmission (adjusted odds ratio 0.54). The claim states that RPM reduces hospital readmissions specifically, but the paper reports an association for a combined endpoint, not a separate hospital-readmission effect or a demonstrated causal reduction. (LLM, conf=0.86)
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- Authors
- Gordon, W. J., Henderson, D., DeSharone, A., Fisher, H. N., Judge, J., Levine, D. M., MacLean, L., Sousa, D., Su, M. Y., & Boxer, R.
- Affiliations
- Brigham and Women's Hospital (US)
- Harvard University (US)
- Massachusetts General Hospital (US)
- Corresponding author
- Gordon, William J.
- Venue
- Applied Clinical Informatics
- Publisher
- Georg Thieme Verlag KG
- Published
- 2020-10
- Volume
- 11
- Issue
- 05
- Pages
- 792-801
- ISSN
- 1869-0327 (ISSN-L)
- PMC
- PMC7688410
- OpenAlex
- W3108004137
- Cited by
- 127
- References
- 42
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 17 · 2023: 27 · 2022: 40 · 2021: 25
- FWCI
- 17.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Applied Clinical Informatics (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- remote patient monitoring, COVID-19 pandemic, hospital discharge, hospital readmission, emergency department readmission, pulse oximetry, self-reported symptoms, mobile health apps, nurse triage, post-discharge monitoring, hospital utilization
- MeSH terms
- COVID-19, Adult, Aftercare, Aged, Emergency Service, Hospital, Female, Humans, Male, Middle Aged, Patient Discharge, Patient Readmission, Pandemics
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