Heart failure & cardiomyopathies
Results of the Precision Event Monitoring for Patients With Heart Failure Using HeartLogic Study (PREEMPT-HF)
Authors' conclusion
HeartLogic index trends were significantly different for patients who were readmitted for HF. These trends suggest that individuals at risk for readmission have had a more sustained worsening and/or insufficient intervention during the initial hospitalization for HF.
Study context
- Population
- Adult heart failure (HF) patients remotely monitored with HeartLogic-capable ICD and CRT devices
- Participants
- 2,155 participants · 103 sites
- Outcome
- Association between monitoring data (HeartLogic index) and readmissions after HF hospitalization
- Follow-up
- 12 months
Methodological detailsglobal, single-arm, patients and clinicians blinded to index and alerts, 103 sites
- Global
- Single-arm
- Patients and clinicians blinded to index and alerts
- 103 sites
Main finding
As reported in the abstract
Readmissions after index HF hospitalization
HF hospitalizations
243
Index HF hospitalizations
156
64%
Unplanned all-cause readmissions within 30 days of discharge
25
28%
All-cause readmissions within 90 days
45
46%
Observational data: associations, not effects.
Further findings
Alert performance for HF outpatient visits and hospitalizations
- Alert sensitivity
- 78.3%
- False-positive rate
- 1.18/year
Original publication
Results of the Precision Event Monitoring for Patients With Heart Failure Using HeartLogic Study (PREEMPT-HF). JACC Heart Fail. Published 23 April 2025. doi:10. 1016/ j. jchf. 2025. 01. 028
Summarised from the published abstract; every number is checked against it