https://scholars.lib.ntu.edu.tw/handle/123456789/621707
標題: | Mortality benefit of a fourth-generation synchronous telehealth program for the management of chronic cardiovascular disease: A longitudinal study | 作者: | CHI-SHENG HUNG JIUN-YU YU YEN-HUNG LIN YING-HSIEN CHEN CHING-CHANG HUANG JEN-KUANG LEE Chuang P.-Y. YI-LWUN HO MING-FONG CHEN |
關鍵字: | All-cause mortality; Cardiovascular diseases; Elemedicine; Outcome assessment (health care) | 公開日期: | 五月-2016 | 出版社: | JMIR Publications Inc. | 卷: | 18 | 期: | 5 | 起(迄)頁: | e102 | 來源出版物: | Journal of Medical Internet Research | 摘要: | Background: We have shown that a fourth-generation telehealth program that analyzes and responds synchronously to data transferred from patients is associated with fewer hospitalizations and lower medical costs. Whether a fourth-generation telehealth program can reduce all-cause mortality has not yet been reported for patients with chronic cardiovascular disease. Objective: We conducted a clinical epidemiology study retrospectively to determine whether a fourth-generation telehealth program can reduce all-cause mortality for patients with chronic cardiovascular disease. Methods: We enrolled 576 patients who had joined a telehealth program and compared them with 1178 control patients. A Cox proportional hazards model was fitted to analyze the impact of risk predictors on all-cause mortality. The model adjusted for age, sex, and chronic comorbidities. Results: There were 53 (9.3%) deaths in the telehealth group and 136 (11.54%) deaths in the control group. We found that the telehealth program violated the proportional hazards assumption by the Schoenfeld residual test. Thus, we fitted a Cox regression model with time-varying covariates. The results showed an estimated hazard ratio (HR) of 0.866 (95% CI 0.837-0.896, P[removed] |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84973508208&doi=10.2196%2fjmir.5718&partnerID=40&md5=f768c9c048714a50be90cea07abd4e8d https://scholars.lib.ntu.edu.tw/handle/123456789/621707 |
ISSN: | 1438-8871 | DOI: | 10.2196/jmir.5718 |
顯示於: | 醫學系 |
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