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Table 1 Biometric parameters, symptom questions, and alert triggers

From: A remote monitoring and telephone nurse coaching intervention to reduce readmissions among patients with heart failure: study protocol for the Better Effectiveness After Transition - Heart Failure (BEAT-HF) randomized controlled trial

Biometric parameter

Urgent alert

Systolic blood pressure with symptoms

SBP < 90 mm Hg or > 160 mm Hg

Systolic blood pressure without symptoms

SBP < 80 mm Hg or > 170 mm Hg

Heart rate with symptoms

HR < 50 or > 100

Heart rate without symptoms

HR < 40 or > 110

Weight with symptoms

Daily gain > 3 lbs or weekly gain > 6 lbs

Symptom questions – Group 1

 

Have you felt more short of breath in the last day?

Yes

Have you noticed more swelling in the last day?

Yes

Have you had any light-headedness or dizziness in the last day?

Yes

Symptom questions – Group 2

 

Did you wake up short of breath last night?

Yes

Did you sleep in a chair or propped up with pillows, more than usual last night?

Yes

Compared to yesterday, would you say you are feeling about the same, better, worse, or much worse?

Much worse

  1. ‘With symptoms’ is determined based on responses to symptom questions, or ascertained in telephone conversation with the patient.