Abstract 26: The Corrie Myocardial infarction, COmbined-device, Recovery Enhancement (MiCORE) Study: 30-Day Readmission Rates and Cost-Effectiveness of a Novel Digital Health Intervention for Acute Myocardial Infarction Patients
Abstract
Purpose: Determine if acute myocardial infarction (AMI) patients using a novel digital health intervention, the Corrie Health Digital Platform (Corrie), have reduced 30-day hospital readmissions and related healthcare costs compared to a historical comparison group. Methods: Corrie is deployed to patients admitted to Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Massachusetts General Hospital, and Reading Hospital for an AMI (STEMI or type 1 NSTEMI), as early as possible during their hospitalization in the inpatient cardiac units. AMI patients are enrolled if they are: over 18 years old; English-speaking; without auditory, visual, cognitive, or physical impairment; and own a smartphone. Corrie is deployed to patients using a standard operating procedure and consists of the following: (1) a smartphone medication, education, vitals, and follow-up appointments self-management app, (2) smartwatch for reminders and heart rate and physical activity tracking, and (3) a Bluetooth-enabled blood pressure cuff. Patients are either enrolled with their personal iPhone or a loaner iPhone, if they own any other type of smartphone, and a loaner smartwatch for usage during the 30 day study period. The historical comparison group consists of AMI patients, admitted at the same hospitals from October 1 st 2015-2016, who did not receive Corrie. All-cause readmission rates will be evaluated at 30 days after discharge in both groups and Cox proportional hazard models will be used to test differences in time to all-cause first readmission within 30 days between groups, controlling for covariates. To assess cost-effectiveness of Corrie, a Markov Model of cost-effectiveness will be built, based on 30-day readmission rates, to assess the Incremental Cost-Effectiveness Ratio of adopting Corrie. Results/Conclusions: The MiCORE study is being completed and results will be available for AHA QCOR by April 2019.
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In patients with type I myocardial infarction, the MICORE study showed that a mobile app platform (including a smartwatch) improved secondary prevention management by reducing hospital readmissions and cost.
“In patients with type I myocardial infarction, the MICORE study76 showed that a mobile app platform (including a smartwatch) improved secondary prevention management by reducing hospital readmissions and cost”
From Smart wearable devices in cardiovascular care: Where we are and how to move forward (2021) · cites this paper as [76]
In the MiCORE study, preliminary results from 164 patients showed a 43% lower likelihood of hospital readmission at 30 days among participants receiving a guideline-driven, self-management programme than among participants in a propensity-matched, historical comparison group.
“Preliminary results from 164 patients showed a 43% lower likelihood of hospital readmission at 30 days among participants receiving a guideline-driven, self-management programme than among participants in a propensity-matched, historical comparison group (n = 695)76.”
From Smart wearable devices in cardiovascular care: Where we are and how to move forward (2021) · cites this paper as [76]
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Smart wearable devices in cardiovascular care: Where we are and how to move forward
Bayoumy, K., Gaber, M., Elshafeey, A., Mhaimeed, O., Dineen, E. H., Marvel, F. A., Martin, S. S., Muse, E. D., Turakhia, M. P., Tarakji, K. G., et al. (2021) · Nature Reviews Cardiology · doi:10.1038/s41569-021-00522-7 · Cited by 829 · see citing works
Self-citationShah, L. M., Ding, J., Spaulding, E. M., Yang, W. E., Lee, M. A., Demo, R. C., Marvel, F. A., & Martin, S. S. (2021) · Journal of Cardiovascular Translational Research · doi:10.1007/s12265-021-10098-9 · Cited by 20 · see citing works
Self-citation
- Authors
- Marvel, F. A., Spaulding, E. M., Lee, M., Yang, W., & Martin, S. S.
- Affiliations
- École Polytechnique (FR)
- Johns Hopkins University (US)
- Ciccarone Preventive Cardiology Cntr, Baltimore, MD
- Venue
- Circulation: Cardiovascular Quality and Outcomes
- Published
- 2019-04
- Volume
- 12
- Issue
- Suppl_1
- ISSN
- 1941-7705 (ISSN-L)
- 1941-7713
- OpenAlex
- W2926272665
- Cited by
- 2
- References
- 0
- Citations by year
- 2021: 2
- Type
- conference abstract
- Language
- en
- Open access
- closed
- Locations
- Circulation Cardiovascular Quality and Outcomes (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
- Keywords
- acute myocardial infarction, digital health interventions, mobile application, smartwatches, 30-day readmission, cost-effectiveness, medication self-management, patient education, Markov model
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