Evidence map›Paper›PMID 23871475›Full record

Trial reportJournal of the American Medical Directors Association2013

A randomized trial of heart failure disease management in skilled nursing facilities: design and rationale.

Rebecca S Boxer, Mary A Dolansky, Christine A Bodnar, Mendel E Singer, Jeffery M Albert, Stefan Gravenstein

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Medical Directors Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Identifying Patient Readmissions: Are Our Data Sources Misleading?Journal of the American Medical Directors Association · 2019
    Article
  5. Advancing Innovation in Skilled Nursing Facilities through Academic Collaborations.Physical therapy journal of policy, administration, and leadership · 2018
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Rebecca S BoxerHarrington Heart and Vascular Institute, Case Western Reserve University, Cleveland, OH. Electronic address: rebecca.boxer@case.edu.
Mary A Dolansky
Christine A Bodnar
Mendel E Singer
Jeffery M Albert
Stefan Gravenstein
Case Western Reserve University · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
A Trial of Heart Failure Disease Management in Skilled Nursing FacilitiesR01HL113387 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BOXER, REBECCA SUE · 2012 to 2017
$2.2M
NCATS NIH HHS UL1 TR000439NHLBI NIH HHS R01 HL113387
6 · The paper itself

Abstract

backgroundHeart failure (HF) disease management can improve health outcomes for older community dwelling patients with heart failure. HF disease management has not been studied in skilled nursing facilities, a major site of transitional care for older adults. METHODS AND ANTICIPATED

resultsThe objective of this trial is to investigate if a HF- disease management program (HF-DMP) in skilled nursing facilities (SNF)s will decrease all-cause rehospitalizations for the first 60 days post-SNF admission. The trial is a randomized cluster trial to be conducted in 12 for-profit SNF in the greater Cleveland area. The study population is inclusive of patients with HF regardless of ejection fraction but excludes those patients on dialysis and with a life expectancy of 6 months or less. The HF-DMP includes 7 elements considered standard of care for patients with HF documentation of left ventricular function, tracking of weight and symptoms, medication titration, discharge instructions, 7-day follow-up appointment post-SNF discharge, and patient education. The HF-DMP is conducted by a research nurse tasked with adhering to each element of the program and regularly audited to maintain fidelity of the program. Additional outcomes include health status, self-care management, and discharge destination.

conclusionsThe SNF-Connect Trial is the first trial of its kind to assess if a HF-DMP will improve outcomes for patients in SNFs. This trial will provide evidence on the effectiveness of HF-DMP to improve outcomes for older frail HF patients undergoing postacute rehabilitation.

Indexed as

Disease ManagementSkilled Nursing FacilitiesAgedFemaleHealth Status IndicatorsHeart FailureHumansMaleOhioPatient DischargePatient ReadmissionSelf CareSurveys and QuestionnairesTreatment Outcomedisease managementHeart failureSNF

Identifiers

PMID23871475
PMCPMC3904547
OpenAlexW2089984994

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.