Journal of General Internal Medicine

, Volume 34, Issue 12, pp 2726–2727 | Cite as

Smartphone-Based Remote Health Monitoring—Implications for Healthcare Delivery in Patients with Cirrhosis

  • Jordan Sack
  • Nikroo HashemiEmail author
Concise Research Reports


Cirrhosis is a leading cause of morbidity, hospitalization, and readmissions in the United States, which drive healthcare costs and increase mortality.1, 2 Healthcare delivery for these patients is often fragmented and inadequate.3 As patients with cirrhosis may be hospitalized with complications that have premonitory warning signs, smartphone-based remote health monitoring may allow for earlier detection of physiological abnormalities to reduce hospitalizations and to improve long-term outcomes.4, 5, 6 Our prospective study aims to investigate the prevalence of smartphone use among patients with decompensated cirrhosis and how they relate to clinical, demographic, and social characteristics.


We conducted a prospective multicenter study of English-speaking patients with decompensated cirrhosis aged ≥ 18 years who received inpatient or ambulatory liver care at one of three urban academic centers (two are tertiary care and one has a liver transplant program)....



An interim analysis was accepted for poster presentation at the annual Digestive Disease Week conference, May 2019.

Author Contributions

JS: study concept and design, acquisition of data, interpretation of data, manuscript writing.

NH: study concept and design, interpretation of data, manuscript writing.


This study was financially supported by the American Association for the Study of Liver Disease Innovation Fund.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.


  1. 1.
    Bajaj JS, Reddy KR, Tandon P, et al. The 3-month readmission rate remains unacceptably high in a large North American cohort of patients with cirrhosis Hepatology. 2016; 64(1):200–208.Google Scholar
  2. 2.
    Tapper EB, Halbert B, Mellinger J Rates of and reasons for hospital readmissions in patients with cirrhosis: a multistate population-based cohort study Clin Gastroenterol Hepatol. 2016; 14(8):1181–1888.CrossRefGoogle Scholar
  3. 3.
    Seraj SM, Campbell EJ, Argyropoulos SK, et al. Hospital readmissions in decompensated cirrhotics: factors pointing toward a prevention strategy. World J Gastroenterol. 2017;23(37):6868–6876.CrossRefGoogle Scholar
  4. 4.
    Singal A, Rahimi R, Clark C, et al. An automated model using electronic medical record data identified patients with cirrhosis at high risk for readmission Clin Gastroenterol Hepatol. 2013; 11(10): 1335–1341.CrossRefGoogle Scholar
  5. 5.
    Serper M, Volk ML. Current and future applications of telemedicine to optimize the delivery of care in chronic liver disease Clin Gastroenterol Hepatol. 2018;16(2):157–161.CrossRefGoogle Scholar
  6. 6.
    Ganapathy D, Acharya C, Lachar J, et al. The patient buddy app can potentially prevent hepatic encephalopathy-related admissions Liver Int. 2017; 37(12):1843–1851.CrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  1. 1.Division of Gastroenterology, Hepatology, and EndoscopyBrigham and Women’s HospitalBostonUSA
  2. 2.Harvard Medical SchoolBostonUSA

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