Evidence map›Paper›PMID 24617755›Full record

Trial reportJournal of advanced nursing2014

A randomized controlled trial of a nurse-led case management programme for hospital-discharged older adults with co-morbidities.

Susan Ka Yee Chow, Frances Kam Yuet Wong

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of advanced nursing, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02803489 (Evaluation of the Performance of an e-Health System Comprising Tele-monitoring / Tele-notification and Tele-coaching in Ambulatory Multi-morbid Adult Patients), which is not on this map. Cited by 34 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 11 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.

NCT02803489 naterminatednot on this mapstarted 2016, after this paper: background citation

Evaluation of the Performance of an e-Health System Comprising Tele-monitoring / Tele-notification and Tele-coaching in Ambulatory Multi-morbid Adult Patients

TypeinterventionalSponsorAir Liquide Santé InternationalRan2016 to 2017Enrolled23ConditionsChronic DiseasesArmsmedical device intervention
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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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

2 authors.

Susan Ka Yee ChowSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong.
Frances Kam Yuet Wong

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo examine the effects of a nurse-led case management programme for hospital-discharged older adults with co-morbidities.

backgroundThe most significant chronic conditions today involve diseases of the cardiovascular, respiratory, endocrine and renal systems. Previous studies have suggested that a nurse-led case management approach using either telephone follow-ups or home visits was able to improve clinical and patient outcomes for patients having a single, chronic disease, while the effects for older patients having at least two long-term conditions are unknown. A self-help programme using motivation and empowerment approaches is the framework of care in the study.

designRandomized controlled trial.

methodThe study was conducted from 2010-2012. Older patients having at least two chronic diseases were included for analysis. The participants were randomized into three arms: two study groups and one control group. Data were collected at baseline and at 4 and 12 weeks later.

resultsTwo hundred and eighty-one patients completed the study. The interventions demonstrated significant differences in hospital readmission rates within 84 days post discharge. The two intervention groups had lower readmission rates than the control group. Patients in the two study arms had significantly better self-rated health and self-efficacy. There was significant difference between the groups in the physical composite score, but no significant difference in mental component score in SF-36 scale.

conclusionThe postdischarge interventions led by the nurse case managers on self-management of disease using the empowerment approach were able to provide effective clinical and patient outcomes for older patients having co-morbidities.

Indexed as

ComorbidityHospitalizationPatient DischargeAgedCase-Control StudiesChronic DiseaseFemaleHumansMalePatient ReadmissionSelf EfficacySurveys and Questionnairesco-morbiditieshospital readmissionnurse-led case managementolder adultsrandomised control trialself-efficacy

Identifiers

PMID24617755
PMCPMC4263097

What OpenQuestion holds

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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.