ArticleJACC. Case reports2025
Digital Health Outreach to Increase Patient Activation and Reduce 30-Day Readmissions After Heart Failure Hospitalizations.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
5 authors.
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Abstract
backgroundReadmissions after heart failure hospitalizations can be reduced with early outpatient visits, nurse-led management, and implantable sensors, but these require heavy staff involvement. PROJECT RATIONALE: We tested whether an asynchronous digital outreach program with regular texts/emails plus a sweepstakes rewards system could activate patients, improve adherence, and reduce 30-day all-cause readmissions. PROJECT SUMMARY: Enrollment included 375 patients (mean age: 76 years; 62% male; reduced ejection fraction: 61% or preserved ejection fraction: 39%). Overall, 58 patients were readmitted, indicating a rate of 15.5%, which is 35% lower than the national historical average of 24%. Among "highly engaged" patients, the readmission rate was only 7.7%, representing a dramatic 68% decrease. In contrast, "low to moderately engaged" patients had a readmission rate of 21.6%, suggesting that level of engagement was a driver of readmission. TAKE-HOME MESSAGE: We conclude that digital outreach and a rewards program can reduce 30-day all-cause readmissions after a heart failure hospitalization.
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