Evidence map›Paper›PMID 26857383›Full record

Trial reportJAMA internal medicine2016

Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure: The Better Effectiveness After Transition -- Heart Failure (BEAT-HF) Randomized Clinical Trial.

Michael K Ong, Patrick S Romano, Sarah Edgington, Harriet U Aronow, Andrew D Auerbach, Jeanne T Black, Teresa De Marco, Jose J Escarce, Lorraine S Evangelista, Barbara Hanna and 14 more

Erratum issued 6 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in JAMA internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 6 registered trials, which are not on this map. Cited by 340 papers, 25 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
340citing papers in PubMed, 25 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.

NCT01360203 nacompletednot on this map

Variations in Care: Comparing Heart Failure Care Transition Intervention Effects

TypeinterventionalSponsorUniversity of California, Los AngelesRan2011 to 2014Enrolled1,437ConditionsHeart FailureArmsStructured Telephone / Remote Outpatient Monitoring
NCT03497871 nacompletednot on this mapstarted 2018, after this paper: background citation

Proof-of-concept RCT: A Wearable Mobile Device to Improve Disease Management in Patients With Congestive Heart Failure

TypeinterventionalSponsorJozef Stefan InstituteRan2018 to 2019Enrolled79ConditionsHeart Failure, CongestiveArmsHeartMan system
NCT04086992 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Decreasing Parental Stress and Costs While Improving Overall Satisfaction of Caregivers of Infants With Infantile Spasms on ACTH Therapy Utilizing Innovative Telemedicine Technology: A Randomized Study

TypeinterventionalSponsorUniversity of Colorado, DenverRan2019 to 2023Enrolled40ConditionsInfantile Spasms, Non-IntractableArmsRemote monitoring
NCT04267744 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Usability and Utility Assessment of Passive Remote Monitoring of Multiple Novel Indicators of Heart Failure

TypeinterventionalSponsorWashington University School of MedicineRan2020 to 2024Enrolled165ConditionsHeart FailureArmsMyia Health® remote patient monitoring unblinded treatment arm
NCT05651698 nacompletednot on this mapstarted 2018, after this paper: background citation

Proof-of-concept RCT: A Wearable Mobile Device to Improve Disease Management in Patients With Congestive Heart Failure

TypeinterventionalSponsorUniversity GhentRan2018 to 2019Enrolled79ConditionsHeart Failure，CongestiveArmsHeartMan Intervention group
NCT07008729 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Heart Failure Patient Management and Interventions Using Continuous Patient Monitoring Outside Hospitals and Real-world Data

TypeinterventionalSponsorPuerta de Hierro University HospitalRan2024 to 2026Enrolled390ConditionsChronic Heart Failure, Heart Transplant Recipient, Left Ventricular Assist DeviceArmsHeart monitoring tools (data revision), Control (Standard treatment)
3 · Its place in the literature

Who cites it

340 citing papers in PubMed, 25 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Patient- and family-centred care transition interventions for adults: a systematic review and meta-analysis of RCTs.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023
    Pooled it
  10. Pooled it
  11. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2023
    Pooled it
  12. Pooled it
  13. Pooled it
  14. Pooled it
  15. Pooled it
  16. Pooled it
  17. Pooled it
  18. Pooled it
  19. Pooled it
  20. Pooled it

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors.

Michael K OngDepartment of Medicine, University of California, Los Angeles2Department of Medicine, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California.
Patrick S RomanoDepartment of Internal Medicine, University of California, Davis4Department of Pediatrics, University of California, Davis.
Sarah EdgingtonDepartment of Medicine, University of California, Los Angeles.
Harriet U AronowOffice of Nursing Research and Development, Cedars-Sinai Medical Center, Los Angeles, California.
Andrew D AuerbachDepartment of Medicine, University of California, San Francisco.
Jeanne T BlackDepartment of Resource and Outcomes Management, Cedars-Sinai Medical Center, Los Angeles, California.
Teresa De MarcoDepartment of Medicine, University of California, San Francisco.
Jose J EscarceDepartment of Medicine, University of California, Los Angeles8Department of Health Policy & Management, University of California, Los Angeles9RAND Health, RAND Corporation, Santa Monica, California.
Lorraine S EvangelistaProgram in Nursing Science, University of California, Irvine.
Barbara HannaSchool of Nursing, University of California, Davis.
Theodore G GaniatsDepartment of Family and Preventive Medicine, University of California, San Diego13Department of Family Medicine and Community Health, University of Miami, Miami, Florida.
Barry H GreenbergDepartment of Medicine, University of California, San Diego.
Sheldon GreenfieldDepartment of Medicine, University of California, Irvine.
Sherrie H KaplanDepartment of Medicine, University of California, Irvine.
Asher KimchiDivision of Cardiology, Cedars-Sinai Medical Center, Los Angeles, California.
Honghu LiuDivision of Public Health & Community Dentistry, University of California, Los Angeles.
Dawn LombardoDepartment of Medicine, University of California, Irvine.
Carol M MangioneDepartment of Medicine, University of California, Los Angeles8Department of Health Policy & Management, University of California, Los Angeles.
Bahman SadeghiDepartment of Medicine, University of California, Los Angeles.
Banafsheh SadeghiDepartment of Internal Medicine, University of California, Davis.
Majid SarrafzadehDepartment of Computer Science, University of California, Los Angeles19Department of Electrical Engineering, University of California, Los Angeles.
Kathleen TongDepartment of Internal Medicine, University of California, Davis.
Gregg C FonarowDepartment of Medicine, University of California, Los Angeles.
Better Effectiveness After Transition–Heart Failure (BEAT-HF) Research Group

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Variations in Care: Comparing Heart Failure Care Transition Intervention EffectsR01HS019311 · AHRQ · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ONG, MICHAEL K · 2010 to 2010
$9.9M
Comparative Effectiveness and Outcomes Improvement (CEOI) CenterRC2HL101811 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIRSCH, JAN D, MANGIONE, CAROL M · 2009 to 2010
$3.9M
AHRQ HHS R01 HS019311AHRQ HHS R01HS019311NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1TR000124NHLBI NIH HHS RC2 HL101811NHLBI NIH HHS RC2HL101811
6 · The paper itself

Abstract

importanceIt remains unclear whether telemonitoring approaches provide benefits for patients with heart failure (HF) after hospitalization.

objectiveTo evaluate the effectiveness of a care transition intervention using remote patient monitoring in reducing 180-day all-cause readmissions among a broad population of older adults hospitalized with HF. DESIGN, SETTING, AND

participantsWe randomized 1437 patients hospitalized for HF between October 12, 2011, and September 30, 2013, to the intervention arm (715 patients) or to the usual care arm (722 patients) of the Better Effectiveness After Transition-Heart Failure (BEAT-HF) study and observed them for 180 days. The dates of our study analysis were March 30, 2014, to October 1, 2015. The setting was 6 academic medical centers in California. Participants were hospitalized individuals 50 years or older who received active treatment for decompensated HF.

interventionsThe intervention combined health coaching telephone calls and telemonitoring. Telemonitoring used electronic equipment that collected daily information about blood pressure, heart rate, symptoms, and weight. Centralized registered nurses conducted telemonitoring reviews, protocolized actions, and telephone calls. MAIN OUTCOMES AND MEASURES: The primary outcome was readmission for any cause within 180 days after discharge. Secondary outcomes were all-cause readmission within 30 days, all-cause mortality at 30 and 180 days, and quality of life at 30 and 180 days.

resultsAmong 1437 participants, the median age was 73 years. Overall, 46.2% (664 of 1437) were female, and 22.0% (316 of 1437) were African American. The intervention and usual care groups did not differ significantly in readmissions for any cause 180 days after discharge, which occurred in 50.8% (363 of 715) and 49.2% (355 of 722) of patients, respectively (adjusted hazard ratio, 1.03; 95% CI, 0.88-1.20; P = .74). In secondary analyses, there were no significant differences in 30-day readmission or 180-day mortality, but there was a significant difference in 180-day quality of life between the intervention and usual care groups. No adverse events were reported. CONCLUSIONS AND RELEVANCE: Among patients hospitalized for HF, combined health coaching telephone calls and telemonitoring did not reduce 180-day readmissions.

trial registrationclinicaltrials.gov Identifier: NCT01360203.

Indexed as

Heart FailureMonitoring, PhysiologicPatient DischargeQuality of LifeTelemetryTelephoneAgedAged, 80 and overConfounding Factors, EpidemiologicFemaleHumansMaleMiddle AgedOdds RatioPatient ReadmissionProportional Hazards Models

Identifiers

PMID26857383
PMCPMC4827701

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.