Journal of Cardiovascular Translational Research ( IF 2.4 ) Pub Date : 2021-05-17 , DOI: 10.1007/s12265-021-10098-9 Lochan M Shah 1, 2 , Jie Ding 1, 2 , Erin M Spaulding 2, 3, 4 , William E Yang 1, 2 , Matthias A Lee 5 , Ryan Demo 5 , Francoise A Marvel 1, 3 , Seth S Martin 1, 2, 4, 5
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Increasing evidence suggests that digital health interventions (DHIs) are an effective tool to reduce hospital readmissions by improving adherence to guideline-directed therapy. We investigated whether sociodemographic characteristics influence use of a DHI targeting 30-day readmission reduction after acute myocardial infarction (AMI). Covariates included age, sex, race, native versus loaner iPhone, access to a Bluetooth-enabled blood pressure monitor, and disease severity as marked by treatment with CABG. Age, sex, and race were not significantly associated with DHI use before or after covariate adjustment (fully adjusted OR 0.98 (95%CI: 0.95–1.01), 0.6 (95%CI: 0.29–1.25), and 1.22 (95% CI: 0.60–2.48), respectively). Being married was associated with high DHI use (OR 2.12; 95% CI 1.02–4.39). Our findings suggest that DHIs may have a role in achieving equity in cardiovascular health given similar use by age, sex, and race. The presence of a spouse, perhaps a proxy for enhanced caregiver support, may encourage DHI use.
Graphical abstract
中文翻译：
预测急性心肌梗死后数字健康干预使用的社会人口学特征
越来越多的证据表明，数字健康干预 (DHI) 是通过提高对指南指导治疗的依从性来减少再入院的有效工具。我们调查了社会人口学特征是否影响使用针对急性心肌梗死 (AMI) 后 30 天再入院减少的 DHI。协变量包括年龄、性别、种族、原生 iPhone 与借用 iPhone、蓝牙血压监测器的使用情况以及 CABG 治疗所标记的疾病严重程度。年龄、性别和种族与协变量调整前后的 DHI 使用无显着相关性（完全调整的 OR 0.98（95%CI：0.95-1.01）、0.6（95%CI：0.29-1.25）和 1.22（95%CI） : 0.60–2.48), 分别)。已婚与高 DHI 使用相关（OR 2.12；95% CI 1.02–4.39）。我们的研究结果表明，考虑到年龄、性别和种族的相似用途，DHI 可能在实现心血管健康公平方面发挥作用。配偶的存在，也许是增强照顾者支持的代表，可能会鼓励 DHI 的使用。
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