Adherence to home-monitoring and its impact on survival in post-lung transplantation patients

AMIA Annu Symp Proc. 2008 Nov 6:2008:835-8.

Abstract

A home-monitoring program can be an important part of the follow-up care after lung transplantation surgery. We report mortality data from the home-monitoring program at University of Minnesota. The data from 246 lung recipients who participated in the home-monitoring program from 1992 to 2002 were analyzed. Subjects first year adherence rates were correlated with survival using a Cox proportional hazards model. The analysis showed a hazard ratio of 0.744, (95% CI 0.338-1.635). Kaplan-Meier survival analysis comparing the high adherence group( adherence rate > 75%) and the lower adherence group (adherence rate <= 75%) showed a tendency toward better survival, but again, it did not reach statistical significance (p=0.24). Competing risks analysis for causes of death showed a decreased risk ratio of 0.416 (95% CI 0.123-1.407) among pulmonary related mortality.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Humans
  • Incidence
  • Lung Transplantation / mortality*
  • Minnesota
  • Outcome Assessment, Health Care
  • Patient Compliance / statistics & numerical data*
  • Proportional Hazards Models*
  • Risk Assessment / methods
  • Risk Factors
  • Self Care / mortality*
  • Self Care / statistics & numerical data*
  • Survival Analysis
  • Survival Rate
  • Telemedicine / statistics & numerical data*