Evidence map›Paper›PMID 25025239›Full record

ArticleTelemedicine journal and e-health : the official journal of the American Telemedicine Association2015

Program evaluation of remote heart failure monitoring: healthcare utilization analysis in a rural regional medical center.

William T Riley, Pamela Keberlein, Gigi Sorenson, Sailor Mohler, Blake Tye, A Susana Ramirez, Mark Carroll

Abstract readComparative Study
In one paragraph

Article in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 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.

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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
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  8. Review
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  12. Telecardiology in Rural Practice: Global Trends.International journal of environmental research and public health · 2022
    Review
  13. Article
  14. Supportive home health care technology for older adults: Attitudes and implementation.Gerontechnology : international journal on the fundamental aspects of technology to serve the ageing society · 2016
    Article
  15. Population health and technology: placing people first.American journal of public health · 2014
    Article
  16. Article
  17. 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

7 authors.

William T Riley1 National Cancer Institute , National Institutes of Health, Rockville, Maryland.
Pamela Keberlein
Gigi Sorenson
Sailor Mohler
Blake Tye
A Susana Ramirez
Mark Carroll

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRemote monitoring for heart failure (HF) has had mixed and heterogeneous effects across studies, necessitating further evaluation of remote monitoring systems within specific healthcare systems and their patient populations. "Care Beyond Walls and Wires," a wireless remote monitoring program to facilitate patient and care team co-management of HF patients, served by a rural regional medical center, provided the opportunity to evaluate the effects of this program on healthcare utilization. MATERIALS AND

methodsFifty HF patients admitted to Flagstaff Medical Center (Flagstaff, AZ) participated in the project. Many of these patients lived in underserved and rural communities, including Native American reservations. Enrolled patients received mobile, broadband-enabled remote monitoring devices. A matched cohort was identified for comparison.

resultsHF patients enrolled in this program showed substantial and statistically significant reductions in healthcare utilization during the 6 months following enrollment, and these reductions were significantly greater compared with those who declined to participate but not when compared with a matched cohort.

conclusionsThe findings from this project indicate that a remote HF monitoring program can be successfully implemented in a rural, underserved area. Reductions in healthcare utilization were observed among program participants, but reductions were also observed among a matched cohort, illustrating the need for rigorous assessment of the effects of HF remote monitoring programs in healthcare systems.

Indexed as

Health Care CostsAgedAged, 80 and overArizonaCase-Control StudiesChi-Square DistributionCost SavingsFemaleHeart FailureHospitalizationHumansLength of StayMaleMedically Underserved AreaMiddle AgedMonitoring, Physiologiccardiology/cardiovascularhome health monitoringmobile healthtelecardiologytelemedicine

Identifiers

PMID25025239
PMCPMC4365431

What OpenQuestion holds

Textmetadata
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.