Method to Prevent Heart Failure Readmission May Be Hiding Under the Bed


One way to help patients with heart failure is identifying signs of decompensation early.

One way to help patients with heart failure is identifying signs of decompensation early.

Previous research has shown that monitoring daily vital signs has limited use in predicting heart failure readmission risk. Now, researchers from the Cleveland Clinic and the Minneapolis Heart Institute in Minnesota report that an under-the-bed piezoelectric monitor may prevent heart failure readmissions by monitoring the physiologic parameters in the patient’s home.

Piezoelectric monitoring converts mechanical movements such as breathing and sleeping patterns to electrical signals, and the device’s mathematical algorithm creates a digital record of vital signs.

The new research, which was published online in the Journal of Telemedicine and Telecare, indicates that home piezoelectric monitoring has the potential to predict 30-day heart failure readmission risk.

The researchers enrolled patients aged older than 18 years who had symptomatic heart failure (either systolic left ventricular or preserved ejection fraction), lived in Northeast Ohio, and slept alone on a mattress at home. Exclusion criteria included prearranged readmission or plans to travel out of Northeast Ohio within 30 days of discharge.

Patients found the monitoring system inconspicuous and reliable. Only one patient in the group of 30 reported that the system disrupted his sleep, and another had missing piezoelectric data.

Four patients were readmitted for heart failure, and another 5 patients were admitted for other reasons. Respiration rate, movement rate, and behavior scores were observably higher in patients who were readmitted compared with those who were not readmitted for heart failure.

The researchers concluded that the system may be able to identify decompensation unobtrusively, allowing health care providers to initiate outpatient stabilizing interventions promptly.

This study may have been the first to examine recumbent nocturnal physiological patterns in older adults discharged home after heart failure hospitalization with a passive contactless monitoring system. However, the non-randomized observation model with a small sample size and short follow-up period were some of the study’s limitations.

Related Videos
Laboratory test tubes and solution with stethoscope background | Image Credit: Shutter2U -
Image credit: Andrea Izzotti
Inflation Reduction Act is shown using the text and the US flag - Image credit: Andrii |
Pharmacy Interior | Image Credit: Tyler Olson -
Patient with diabetes testing blood sugar levels
Male pharmacist selling medications at drugstore to a senior woman customer | Image Credit: Zamrznuti tonovi -
Pharmacist assists senior woman in buying medicine in pharmacy - Image credit: Drazen |
Pharmacy, medicine and senior woman consulting pharmacist on prescription. Healthcare, shopping and elderly female in consultation with medical worker for medication box, pills or product in store - Image credit: C Daniels/ |
Image credit: fidaolga -
Pharmacists checking inventory at hospital pharmacy- Image credit: Jacob Lund |
© 2023 MJH Life Sciences

All rights reserved.