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Effect of Remote Monitoring on Discharge to Home, Return to Activity, and Rehospitalization After Hip and Knee Arthroplasty
Author(s) -
Shivan J. Mehta,
Eric L. Hume,
Andrea B. Troxel,
Catherine Reitz,
Laurie Norton,
Hannah Lacko,
Caitlin McDonald,
Jason Freeman,
Noora Marcus,
Kevin G. Volpp,
David A. Asch
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.28328
Subject(s) - total knee arthroplasty , medicine , hip arthroplasty , arthroplasty , physical therapy , surgery
Key Points Question Can a remote monitoring intervention that incorporates principles of behavioral science improve outcomes and value of care among patients undergoing hip and knee arthroplasty? Findings In this randomized clinical trial of 242 patients, the remote monitoring program did not increase rate of discharge to home after hip and knee arthroplasty, and gamification and social support did not increase activity levels. However, a significant reduction in rehospitalizations among those assigned to the intervention was found. Meaning In this study, remote monitoring did not increase discharge to home, but goal setting and connection to the care team may have reduced rehospitalizations.

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