Evidence map›Paper›PMID 26460907›Full record

Trial reportPloS one2015

Impact of an Educational Program to Reduce Healthcare Resources in Community-Acquired Pneumonia: The EDUCAP Randomized Controlled Trial.

Jordi Adamuz, Diego Viasus, Antonella Simonetti, Emilio Jiménez-Martínez, Lorena Molero, Maribel González-Samartino, Elena Castillo, María-Eulalia Juvé-Udina, María-Jesús Alcocer, Carme Hernández and 10 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 5 pooled it
0.2field-weighted citation impact, top 38% 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

9 citing papers in PubMed, 5 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Interventions for smoking cessation in hospitalised patients.The Cochrane database of systematic reviews · 2024
    Pooled it
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  6. Review
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  9. Primary care consultations after hospitalisation for pneumonia: a large population-based cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    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

20 authors at 8 institutions in 2 countries.

Jordi AdamuzDepartment of Infectious Diseases, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain; Department of Nursing, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain; School of Health Science, Blanquerna-Ramon Llull University, Barcelona, Spain.
Diego ViasusDepartment of Infectious Diseases, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain; Clinical Research and Biotechnology Groups, Faculty of Medicine, Universidad del Norte, Barranquilla, Colombia.
Antonella SimonettiDepartment of Infectious Diseases, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain.
Emilio Jiménez-MartínezDepartment of Infectious Diseases, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain; Department of Nursing, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain.
Lorena MoleroDepartment of Infectious Diseases, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain; Department of Nursing, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain.
Maribel González-SamartinoDepartment of Nursing, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain; School of Nursing, University of Barcelona, IDIBELL, Barcelona, Spain.
Elena CastilloDepartment of Infectious Diseases, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain; Department of Nursing, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain.
María-Eulalia Juvé-UdinaSchool of Nursing, University of Barcelona, IDIBELL, Barcelona, Spain; Institut Català de la Salut, Barcelona, Catalunya, Spain.
María-Jesús AlcocerDepartment of Nursing, Hospital Clínic de Barcelona, IDIBAPS, Barcelona, Spain.
Carme HernándezDepartment of Nursing, Hospital Clínic de Barcelona, IDIBAPS, Barcelona, Spain.
María-Pilar BueraDepartment of Nursing, Hospital Clínic de Barcelona, IDIBAPS, Barcelona, Spain.
Asunción RoelDepartment of Nursing, Hospital Clínic de Barcelona, IDIBAPS, Barcelona, Spain.
Emilia AbadDepartment of Nursing, Hospital Clínic de Barcelona, IDIBAPS, Barcelona, Spain.
Adelaida ZabaleguiDepartment of Nursing, Hospital Clínic de Barcelona, IDIBAPS, Barcelona, Spain.
Pilar RicartDepartment of Nursing, Hospital Universitari Arnau de Vilanova, IRBLleida, Lleida, Spain.
Anna GonzalezDepartment of Nursing, Hospital Universitari Arnau de Vilanova, IRBLleida, Lleida, Spain.
Pilar IslaSchool of Nursing, University of Barcelona, IDIBELL, Barcelona, Spain.
Jordi DorcaDepartment of Respiratory Medicine, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain.
Carolina Garcia-VidalDepartment of Infectious Diseases, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain.
Jordi CarratalàDepartment of Infectious Diseases, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain; Faculty of Medicine, Department of Clinical Sciences, University of Barcelona Barcelona, Spain.
Bellvitge University Hospital · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESHospital Clínic de Barcelona · ESInstitut d'Investigació Biomédica de Bellvitge · ESBiomedical Research Institute of Lleida · ESHospital Universitari Arnau de Vilanova · ESInstitut Català de la Salut · ESUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdditional healthcare visits and rehospitalizations after discharge are frequent among patients with community-acquired pneumonia (CAP) and have a major impact on healthcare costs. We aimed to determine whether the implementation of an individualized educational program for hospitalized patients with CAP would decrease subsequent healthcare visits and readmissions within 30 days of hospital discharge.

methodsA multicenter, randomized trial was conducted from January 1, 2011 to October 31, 2014 at three hospitals in Spain. We randomly allocated immunocompetent adults patients hospitalized for CAP to receive either an individualized educational program or conventional information before discharge. The educational program included recommendations regarding fluid intake, adherence to drug therapy and preventive vaccines, knowledge and management of the disease, progressive adaptive physical activity, and counseling for alcohol and smoking cessation. The primary trial endpoint was a composite of the frequency of additional healthcare visits and rehospitalizations within 30 days of hospital discharge. Intention-to-treat analysis was performed.

resultsWe assigned 102 patients to receive the individualized educational program and 105 to receive conventional information. The frequency of the composite primary end point was 23.5% following the individualized program and 42.9% following the conventional information (difference, -19.4%; 95% confidence interval, -6.5% to -31.2%; P = 0.003).

conclusionsThe implementation of an individualized educational program for hospitalized patients with CAP was effective in reducing subsequent healthcare visits and rehospitalizations within 30 days of discharge. Such a strategy may help optimize available healthcare resources and identify post-acute care needs in patients with CAP.

trial registrationControlled-Trials.com ISRCTN39531840.

Indexed as

Health EducationHealth ResourcesCommunity-Acquired InfectionsHumansOutcome Assessment, Health CarePneumonia

Identifiers

PMID26460907
PMCPMC4603897
OpenAlexW2186994777

What OpenQuestion holds

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Registered trials

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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.