Evidence map›Paper›PMID 22507696›Full record

Trial reportArchives of internal medicine2012

A randomized controlled trial of telemonitoring in older adults with multiple health issues to prevent hospitalizations and emergency department visits.

Paul Y Takahashi, Jennifer L Pecina, Benjavan Upatising, Rajeev Chaudhry, Nilay D Shah, Holly Van Houten, Steve Cha, Ivana Croghan, James M Naessens, Gregory J Hanson

Registry-linked trialAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Archives of internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01056640 (A Randomized Controlled Trial of Telemonitoring Versus Usual Care in a High Risk Elderly Population.), which is not on this map. Cited by 93 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 14 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01056640 phase2 / phase3completednot on this map

A Randomized Controlled Trial of Telemonitoring Versus Usual Care in a High Risk Elderly Population.

TypeinterventionalSponsorMayo ClinicRan2009 to 2011Enrolled205ConditionsHealth Care Quality, Health Care AccessArmsIntel Health Guide, Usual Care
3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 14 syntheses or guidelines pooled it.

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33 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Paul Y TakahashiDepartment of Internal Medicine, Mayo Clinic, 200 First St NW, Rochester, MN 55905, USA. takahashi.paul@mayo.edu
Jennifer L Pecina
Benjavan Upatising
Rajeev Chaudhry
Nilay D Shah
Holly Van Houten
Steve Cha
Ivana Croghan
James M Naessens
Gregory J Hanson

Funding

MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
NCRR NIH HHS 1 UL1 RR024150NCRR NIH HHS UL1 RR024150
6 · The paper itself

Abstract

backgroundEfficiently caring for frail older adults will become an increasingly important part of health care reform;telemonitoring within homes may be an answer to improve outcomes. This study sought to assess differences in hospitalizations and emergency department (ED) visits among older adults using telemonitoring vs usual care.

methodsA randomized controlled trial was performed among adults older than 60 years at high risk for rehospitalization. Participants were randomized to telemonitoring (with daily input) or to patient-driven usual care. Telemonitoring was accomplished by daily biometrics,symptom reporting, and videoconference. The primary outcome was a composite end point of hospitalizations and ED visits in the 12 months following enrollment. Secondary end points included hospitalizations,ED visits, and total hospital days. Intent-to-treat analysis was performed.

resultsTwo hundred five participants were enrolled,with a mean age of 80.3 years. The primary outcome of hospitalizations and ED visits did not differ between the telemonitoring group (63.7%) and the usual care group(57.3%) (P=.35). No differences were observed in secondary end points, including hospitalizations, ED visits,and total hospital days. No significant group differences in hospitalizations and ED visits were found between the pre-enrollment period vs the post-enrollment period. Mortality was higher in the telemonitoring group (14.7%)than in the usual care group (3.9%) (P=.008).

conclusionsAmong older patients, telemonitoring did not result in fewer hospitalizations or ED visits. Secondary outcomes demonstrated no significant differences between the telemonitoring group and the usual care group.The cause of greater mortality in the telemonitoring group is unknown.

Indexed as

AgedAged, 80 and overChronic DiseaseCost SavingsEmergency Service, HospitalFemaleFrail ElderlyGeriatric AssessmentHospitalizationHospital MortalityHumansKaplan-Meier EstimateLength of StayMaleMonitoring, PhysiologicPatient Readmission

Identifiers

PMID22507696
PMCPMC3914200

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.