Home telehealth in high-risk dialysis patients: a 3-year study

Telemed J E Health. 2013 Jul;19(7):520-2. doi: 10.1089/tmj.2012.0196. Epub 2013 May 14.


Objective: This study is a continuation of a previous pilot project that demonstrated improved health outcomes and significant cost savings using home telehealth with nurse oversight in patients with end-stage renal disease undergoing chronic dialysis. We are reporting the results of a larger sample size over a 3-year study period to test the validity of our original observations.

Subjects and methods: Ninety-nine patients were included in this study; 43 (18 females, 25 males) with a mean age of 58.6 years were enrolled in the remote technology (RT) group, and 56 (26 females, 30 males) with a mean age of 63.1 years were enrolled in the usual-care (UC) group. Health resource outcome measures included hospitalizations, emergency room (ER) visits, and number of days hospitalized. Economic analysis was conducted on hospital and ER charges.

Results: Hospitalizations (RT, 1.8; UC, 3.0), hospital days (RT, 11.6; UC, 25.0), and hospital and ER charges (RT, $66,000; UC, $157,000) were significantly lower in the RT group, as were hospital and ER charges per study day (RT, $159; UC, $317).

Conclusions: The results support our previous findings, that is, home telehealth can contribute to improved health outcomes and cost of care in high-risk dialysis patients.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Validation Study

MeSH terms

  • Aged
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Health Expenditures
  • Home Care Services*
  • Hospitalization / trends
  • Humans
  • Kidney Failure, Chronic / nursing
  • Kidney Failure, Chronic / therapy*
  • Kidneys, Artificial*
  • Male
  • Middle Aged
  • Nurses, Community Health
  • Outcome Assessment, Health Care
  • Pilot Projects
  • Reproducibility of Results
  • Telemedicine*