Table 2.
Outcome | Virtual care and RAM (n=451) | Standard care (n=454) | Relative risk* (95% CI) | Absolute difference, % (95% CI)† | P value |
---|---|---|---|---|---|
Primary outcome | |||||
Mean (SD) No of days alive at home | 29.7 (3.9) | 29.5 (3.8) | 1.01 (0.99 to 1.02) | 0.2 (−0.5 to 0.9) ^ | 0.53 |
Secondary outcomes | |||||
Acute hospital care | 99 (22.0) | 124 (27.3) | 0.80 (0.64 to 1.01) | 5.3 (−0.3 to 10.9) | 0.06 |
Brief acute hospital care | 62 (13.7) | 82 (18.1) | 0.75 (0.56 to 1.02) | 4.4 (−0.4 to 9.2) | 0.07 |
Hospital readmission | 43 (9.5) | 58 (12.8) | 0.77 (0.53 to 1.11) | 3.3 (−0.8 to 7.4) | 0.16 |
Emergency department visit | 89 (19.7) | 111 (24.4) | 0.81 (0.64 to 1.04) | 4.7 (−0.7 to 10.1) | 0.10 |
Urgent care centre visit | 4 (0.9) | 9 (2.0) | NR‡ | 1.1 (−0.5 to 2.7) | 0.26 |
Median (IQR) all cause hospital days | 0 (0-0) | 0 (0-0) | 0.89 (0.59 to 1.35) | 0.1 (0.0 to 0.2)§ | 0.59 |
Death | 3 (0.7) | 3 (0.7) | NR‡ | 0 | 1.00 |
Detection of drug error | 134 (29.7) | 25 (5.5) | 5.29 (3.52 to 7.93) | 24.2 (19.5 to 28.9) | <0.001 |
Correction of drug error | 128 (28.4) | 18 (4.0) | 7.01 (4.36 to 11.52) | 24.4 (19.9 to 28.9) | <0.001 |
Pain after randomisation (days)¶: | |||||
7 | 227/386 (58.8) | 309/425 (72.7) | 0.81 (0.73 to 0.90) | 13.9 (7.4 to 20.4) | <0.001 |
15 | 193/402 (48.0) | 248/414 (59.9) | 0.80 (0.71 to 0.91) | 11.9 (5.1 to 18.7) | <0.001 |
30 | 144/411 (35.0) | 184/413 (44.6) | 0.80 (0.67 to 0.94) | 9.6 (2.9 to 16.3) | <0.008 |
RAM=remote automated monitoring; IQR=interquartile range; NR=not reported; SD=standard deviation.
Using modified Poisson model.
Calculated from crude proportions.
A stable relative risk estimate based on a modified Poisson regression was not possible because of too few events.
Based on normal approximation to Poisson.
In the virtual care group 85.6%, 89.1%, 91.1% of patients provided data at 7, 15, and 30 days after randomisation, respectively. In the standard care group 93.6%, 91.2%, 90.9% of patients provided pain data at 7, 15, and 30 days after randomisation, respectively.