Evidence map›Paper›PMID 30158972›Full record

ArticleInternational journal of telemedicine and applications2018

Clinical Outcomes of Telemonitoring for Patients on Warfarin after Discharge from Hospital.

Natthaporn Sudas Na Ayutthaya, Itsarawan Sakunrak, Teerapon Dhippayom

Open access · goldAbstract read
In one paragraph

Article in International journal of telemedicine and applications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 4 pooled it
1.4field-weighted citation impact, top 17% 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Digital Health Interventions by Clinical Pharmacists: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  5. Review
  6. The Recent Progress and Applications of Digital Technologies in Healthcare: A Review.International journal of telemedicine and applications · 2020
    Review
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

3 authors at 2 institutions in 1 country.

Natthaporn Sudas Na AyutthayaDepartment of Pharmacy, Kamphaeng Phet Hospital, Mueang Kamphaeng Phet, Thailand.ORCID 0000-0001-7957-5867
Itsarawan SakunrakFaculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand.ORCID 0000-0002-6449-9520
Teerapon DhippayomFaculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand.ORCID 0000-0001-6222-6476
Naresuan University · THKamphaeng Phet Rajabhat University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of telephone follow-up service on clinical outcomes in patients on warfarin when discharged from hospital.

methodsThis randomized controlled trial was conducted at a general hospital in Thailand. Patients aged ≥20 years who were prescribed warfarin when discharged were eligible to participate in this study. They were randomly allocated, using a computer generated random number, to receive either telephone follow-up intervention or usual care. Participants in the intervention group received telephone follow-up by hospital pharmacists for three months. During each telephone call, pharmacists performed medicine use reviews and addressed any problems identified. KEY

findingsA total of 50 patients participated in this study. The proportion of international normalized ratio (INR) values in the target range for the telephone follow-up group (36/79, 45.6%) was higher than that in the usual care group (19/79, 24.1%), p=0.005. The mean time in the therapeutic range (TTR) in the telephone follow-up group was also higher than that in the usual care group (49.8±34.3 versus 28.0±27.5, p=0.017). All patients in the usual care group experienced one or more out-of-range INR values (25/25, 100%) compared to 21 out of 25 (84%) in the telephone follow-up group, p=0.037. There was no difference between the two groups in the incidence of complications or adverse events associated with warfarin.

conclusionsThe telephone follow-up service in recently discharged patients helps them achieve and maintain their INR target. This anticoagulant supportive service should be promoted to patients receiving warfarin therapy after discharge. This trial is registered with TCTR20180614006 (Thai Clinical Trials Registry).

Identifiers

PMID30158972
PMCPMC6109538
OpenAlexW2886584322

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.