A randomized trial of telenursing to reduce hospitalization for heart failure: patient-centered outcomes and nursing indicators

Home Health Care Serv Q. 2003;22(1):1-20. doi: 10.1300/J027v22n01_01.


This trial compared 3 post-hospitalization nursing care models for reducing congestive heart failure (CHF) readmission charges during 180-days of follow-up. Subjects received in-person visits at baseline and 60 days plus 1 of 3 care modalities in the interim: (a) video-based home telecare; (b) telephone calls; and (c) usual care. CHF-related readmission charges were > 80% lower in the telenursing groups compared to usual care, and these groups also had significantly fewer CHF-related emergency visits. In-person visits were more than 3 times longer than telenursing visits (p < 0.0001), only partially due to added travel time. Patient self-care adherence, medications, health status, and satisfaction did not significantly differ between groups. Telenursing can reduce CHF hospitalizations and allow increased frequency of communication with patients.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • California
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Health Services Research
  • Heart Failure / complications
  • Heart Failure / nursing*
  • Home Care Services / organization & administration*
  • Humans
  • Male
  • Models, Nursing*
  • Nurse-Patient Relations*
  • Outcome Assessment, Health Care
  • Patient Readmission
  • Patient-Centered Care
  • Self Care
  • Telemedicine*