Evaluating the Impact of a Patient-centered Remote Monitoring Program on Adherence to Negative Pressure Wound Therapy

Wounds. 2018 Mar;30(3):E29-E31.

Abstract

A remote therapy monitoring (RTM) system has been developed for use with a negative pressure wound therapy (NPWT) unit for patients in the home care setting. In conjunction with RTM, a network of trained professionals call patients when their NPWT usage is low and provide education to assist with therapy adherence.

Objective: The objective of this evaluation is to examine the relationship between the RTM system and patient adherence.

Materials and methods: One hundred ninety-eight home care patients receiving NPWT with RTM between December 2016 and April 2017 were included.

Results: A total of 979 calls were made, with an average of 4.9 calls per patient. Among 198 patients, 195 received a welcome call, 157 received a call due to low adherence, and 35 had an escalation call made to their treating nurse. Of the 157 patients who required at least 1 call due to low adherence, 153 were successfully contacted at least once. The day following the patient call, adherence increased 73% of the time by an average of 8.5 hours.

Conclusions: This evaluation suggests there is an ability to influence patient adherence through active engagement, potentially improving outcomes and reducing wound costs.

MeSH terms

  • Humans
  • Negative-Pressure Wound Therapy*
  • Patient Compliance*
  • Patient Education as Topic
  • Patient-Centered Care / methods*
  • Remote Sensing Technology
  • Self Care
  • Telephone
  • Wound Healing*