Table 3.
Outcomes comparing remote patient management (RPM) vs. usual care (UC) in patients with eGFR < 60 ml/min/1.73 m2 and ≥ 60 ml/min/1.73 m2, respectively.
eGFR < 60 ml/min/1.73 m 2 | IRR RPM vs. UC | p -value | eGFR ≥60 ml/min/1.73 m 2 | IRR RPM vs. UC | p -value | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
RPM (N = 433) | UC (N = 445) | RPM (N = 332) | UC (N = 328) | |||||||||
Number of patients with events | Weighted average (95% CI) | Number of patients with events | Weighted average (95% CI) | Number of patients with events | Weighted average (95% CI) | Number of patients with events | Weighted average (95% CI) | |||||
Percentage of days lost due to unplanned cardiovascular hospitalizations or death from any cause | 177 (40.9%) |
6.7 (5.04–8.37) |
194 (43.6%) |
9.34 (7.44–11.23) |
0.78 (0.58–1.07) |
0.1 | 88 (26.5%) |
2.56 (1.55–3.58) |
96 (29.3%) |
2.99 (1.89–4.09) |
0.86 (0.65–1.12) |
0.3 |
Days lost per year | 24.5 days (18.4–30.5) |
34.1 days (27.2–41.0) |
9.3 days (5.6–13.1) |
10.9 days (6.9–14.9) |
||||||||
All-cause mortality | 48 (11.1%) |
11.24 (8.47–14.92) |
74 (16.6%) |
16.8 (13.37–21.09) |
0.67 (0.47–0.96) |
0.03 | 13 (3.9%) |
3.75 (2.18–6.46) |
15 (4.6%) |
4.35 (2.62–7.22) |
0.86 (0.41–1.81) |
0.7 |
Cardiovascular mortality | 30 (6.9%) |
7.03 (4.91–10.05) |
48 (10.8%) |
10.89 (8.21–14.46) |
0.64 (0.41–1.02) |
0.07 | 9 (2.7%) |
2.6 (1.35–4.99) |
11 (3.4%) |
3.19 (1.77–5.76) |
0.81 (0.34–1.96) |
0.6 |
Percentage of days lost due to unplanned cardiovascular hospitalizations | 171 (39.5%) |
2.26 (1.75–2.77) |
175 (39.3%) |
2.90 (2.27–3.53) |
0.939 (0.71–1.23) |
0.2 | 81 (24.4%) |
1.02 (0.68–1.37) |
94 (28.7%) |
1.50 (1.06–1.93) |
0.89 (0.74–1.07) |
0.2 |
Days lost per year | 8.3 days (6.4–10.1) |
10.6 days (8.3–12.9) |
3.7 days (2.5–5.0) |
5.5 days (3.9–7.0) |
||||||||
Percentage of days lost due to unplanned hospital admissions due to heart failure | 103 (23.8%) |
1.48 (1.04–1.91) |
131 (29.4%) |
2.06 (1.53–2.60) |
0.80 % (0.63–1.02) |
0.07 | 37 (11.4%) |
0.49 (0.27–0.72) |
62 (18.9%) |
0.86 (0.55–1.16) |
0.80 (0.69–0.95) |
0.017 |
Days lost | 5.4 days (3.8–7.0) |
7.5 days (5.6–9.5) |
1.8 days (1.0–2.6) |
3.1 days (2.0–4.2) |
IRR, incident rate ratio. p-value was calculated with a permutation test using individual observation time as weights.