Erin T. Welsh, MA , 2025-04-22 18:15:00
April 22, 2025
1 min read
Key takeaways:
- Better health status for younger patients using mobile integrated health vs. transitional care coordinator models.
- Women in the mobile integrated health model had a lower likelihood of hospital readmission.
CHICAGO — Mobile integrated health models had greater benefit for younger patients and women with HF despite similar health status and hospital readmissions as transitional care coordinator models, according to MIGHTy-Heart trial findings.
“Despite having medical advancements, there are still significant gaps in the post-acute transitions of care for patients with heart failure,” Ruth Masterson Creber, PhD, RN, the Mary Crawford Professor of Nursing at Columbia University School of Nursing, said during a presentation at the American College of Cardiology Scientific Session. “As such, hospitals have implemented transitions of care programs to try and reduce these readmissions.”
Better health status for younger patients using mobile integrated health vs. transitional care coordinator models. Image: Adobe Stock.
Creber and colleagues conducted the MIGHTy-Heart trial, a pragmatic, multicenter, randomized controlled clinical trial with data from 2,003 Medicare or Medicaid recipients (median age, 67 years; 52% women) with HF who were hospitalized at one of 11 hospitals across NewYork-Presbyterian or Mount Sinai health systems in New York City. All participants were randomly assigned the mobile integrated health group (n = 1,005), where nurses called patients 42 to 70 hours after discharge and offered community paramedic home visits for medicine reconciliation, safety screens and telehealth visits with an emergency medicine physician, or the transitions of care coordinator group (n = 998), where patients received the nurses’ call only. Patients were followed for 30 days.
Primary outcomes were health status measured by the 23-item Kansas City Cardiomyopathy Questionnaire overall summary score and all-cause 30-day hospital readmissions.
Researchers observed no significant differences in health status between the mobile integrated health and transitions of care coordinator groups. Conversely, younger patients in the mobile integrated health group had 4.5 higher health status vs. younger patients in the transitions of care coordinator group.
In addition, researchers also observed no significant differences in all-cause 30-day hospital readmissions between the two groups. However, compared with women in the transitions of care coordinator group, those in the mobile integrated health group were 30% less likely to experience all-cause hospital readmission.
“We really want to fully understand why there was differential benefits by age and sex to be able to improve the mobile integrated health intervention and then tailor future implementation to our patients who are most likely to benefit from it,” Creber said.
Sources/Disclosures
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Creber RM, et al. Comparative effectiveness of mobile integrated health versus a transitions of care coordinator in patients with heart failure: Results from the MIGHTy-Heart Trial. Presented at: American College of Cardiology Scientific Session; March 29-31, 2025; Chicago (hybrid meeting).
Disclosures:
Creber reports no relevant financial disclosures.
