Evidence map›Paper›PMID 29555457›Full record

Trial reportThe American journal of medicine2018

Pilot Randomized Controlled Trial to Reduce Readmission for Heart Failure Using Novel Tablet and Nurse Practitioner Education.

Khadijah Breathett, Scott Maffett, Randi E Foraker, Rod Sturdivant, Kristina Moon, Ayesha Hasan, Veronica Franco, Sakima Smith, Brent C Lampert, Sitaramesh Emani and 9 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 5 pooled it
1.4field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 5 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. mHealth education interventions in heart failure.The Cochrane database of systematic reviews · 2020
    Pooled it
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. 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

19 authors at 7 institutions in 1 country.

Khadijah BreathettDivision of Cardiovascular Medicine, Sarver Heart Center, University of Arizona, Tucson. Electronic address: kbreathett@shc.arizona.edu.
Scott MaffettDivision of Cardiovascular Medicine, Ohio State University Wexner Medical Center, Columbus.
Randi E ForakerInstitute for Informatics, Washington University in St. Louis School of Medicine, Mo.
Rod SturdivantDepartment of Mathematics and Physics, Azusa Pacific University, Calif.
Kristina MoonDivision of Cardiology, University of Wisconsin, Madison.
Ayesha HasanDivision of Cardiovascular Medicine, Ohio State University Wexner Medical Center, Columbus.
Veronica FrancoDivision of Cardiovascular Medicine, Ohio State University Wexner Medical Center, Columbus.
Sakima SmithDivision of Cardiovascular Medicine, Ohio State University Wexner Medical Center, Columbus.
Brent C LampertDivision of Cardiovascular Medicine, Ohio State University Wexner Medical Center, Columbus.
Sitaramesh EmaniDivision of Cardiovascular Medicine, Ohio State University Wexner Medical Center, Columbus.
Garrie HaasDivision of Cardiovascular Medicine, Ohio State University Wexner Medical Center, Columbus.
Rami KahwashDivision of Cardiovascular Medicine, Ohio State University Wexner Medical Center, Columbus.
Ray E HershbergerDivision of Cardiovascular Medicine, Ohio State University Wexner Medical Center, Columbus.
Philip F BinkleyDivision of Cardiovascular Medicine, Ohio State University Wexner Medical Center, Columbus.
Laura HelmkampUniversity of Colorado Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora.
Kathryn ColbornUniversity of Colorado Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora.
Pamela N PetersonDivision of Cardiology, University of Colorado and Denver Health Medical Center, Denver.
Nancy SweitzerDivision of Cardiovascular Medicine, Sarver Heart Center, University of Arizona, Tucson.
William T AbrahamDivision of Cardiovascular Medicine, Ohio State University Wexner Medical Center, Columbus.
The Ohio State University Wexner Medical Center · USOutcomes Research Consortium · USUniversity of Arizona · USAzusa Pacific University · USDenver Health Medical Center · USUniversity of Wisconsin–Madison · USWashington University in St. Louis · US

Funding

Defining New Pathways in Heart Failure and ArrhythmiaK08HL135437 · NHLBI · OHIO STATE UNIVERSITY · PI SMITH, SAKIMA AHMAD · 2017 to 2021
$749k
NHLBI NIH HHS K08 HL135437NIMHD NIH HHS L60 MD010857
6 · The paper itself

Abstract

backgroundHeart failure education programs are not standardized. The best form of education is unclear. We evaluated whether addition of a novel tablet application to nurse practitioner (NP) education was superior to NP education alone in reducing 30-day readmission after heart failure hospitalization.

methodsFrom February 2015-March 2016, patients admitted to a quaternary academic center with primary diagnosis of heart failure were randomized to 1) treatment - NP education plus tablet application (interactive conditional logic program that flags patient questions to medical staff), or 2) control - NP education. The primary outcome was reduction in 30-day readmission rate. Secondary outcomes included satisfaction and education assessed via survey.

resultsRandomization included 60 patients to treatment and 66 to control. A total of 13 patients withdrew prior to intervention (treatment n = 4, control n = 1) or were lost to follow-up (treatment n = 3, control n = 5). The 30-day readmission rate trended lower for treatment compared with control, but results were not statistically significant (13.2% [7/53], 26.7% [16/60], respectively, P = .08). Similarly, satisfaction trended higher with treatment than control (P = .08). Treatment patients rated explanations from their physicians higher than control (Always: 83.7%, 55.8%, respectively, P = .01).

conclusionsNP education plus tablet use was not associated with significantly lower 30-day readmission rates in comparison with NP alone, but a positive trend was seen. Patient satisfaction trended higher and heart failure explanations were better with NP education plus tablet. A larger study is needed to determine if NP education plus tablet reduces readmission rates following heart failure admission.

Indexed as

Computers, HandheldSoftwareAgedCardiovascular NursingFemaleHeart FailureHumansMaleMiddle AgedNurse PractitionersPatient ReadmissionPatient SatisfactionPilot ProjectsQuality of LifeSelf CareEducational technologyHeart failureNurse practitionerPatient educationReadmission

Identifiers

PMID29555457
PMCPMC6098971
OpenAlexW2789922119

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.