Evidence map›Paper›PMID 30488380›Full record

ArticleNetherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation2019

First real-world experience with mobile health telemonitoring in adult patients with congenital heart disease.

M A C Koole, D Kauw, M M Winter, D A J Dohmen, I I Tulevski, R de Haan, G A Somsen, M P Schijven, D Robbers-Visser, B J M Mulder and 2 more

Abstract read
In one paragraph

Article in Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  7. Review
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  11. Mobile Diagnostic Clinics.ACS sensors · 2024
    Review
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  15. Exercise, prescription and training in ACHD.International journal of cardiology. Congenital heart disease · 2023
    Review
  16. Article
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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

12 authors.

M A C KooleDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. mkoole@rkz.nl.
D KauwDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
M M WinterDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
D A J DohmenFocusCura, Driebergen-Rijsenburg, The Netherlands.
I I TulevskiCardiology Centers of the Netherlands, Amsterdam, The Netherlands.
R de HaanCardiology Centers of the Netherlands, Amsterdam, The Netherlands.
G A SomsenCardiology Centers of the Netherlands, Amsterdam, The Netherlands.
M P SchijvenDepartment of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
D Robbers-VisserDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
B J M MulderDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
B J BoumaDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
M J SchuuringDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Funding

Hartstichting 2017 T 2
6 · The paper itself

Abstract

backgroundArrhythmias and heart failure are common and invalidating sequelae in adult patients with congenital heart disease (CHD). Mobile health (m-Health) enables daily monitoring and a timely response that might prevent deterioration. We present an observational prospective registry to evaluate feasibility of an m‑Health telemonitoring program for managing arrhythmia, heart failure and blood pressure in symptomatic adults with CHD.

methodsSymptomatic adult patients with CHD are enrolled in an m‑Health telemonitoring program, which evaluates single-lead ECG, blood pressure and weight measurements. In case of symptoms extra measurements could be performed. Data are collected by mobile apps, matched with individualised thresholds. Patients are contacted if thresholds were exceeded or if arrhythmias were found, for treatment adjustments or reassurance. Data on emergency care utilisation, hospitalisation and patient-reported outcome measures are used to assess quality of life and self-management.

results129 symptomatic CHD patients were invited to participate, 55 participated. Reasons for refusing consent included too time consuming to participate in research (30) and to monitor vital signs (14). At baseline 22 patients were in New York Heart Association class ≥ II heart failure, 43 patients had palpitations or documented arrhythmias, and 8 had hypertension. Mean follow-up was 3.0 months, one patient dropped out, and adherence was 97%.

conclusionThe first results indicate that this program is feasible with high adherence.

Indexed as

adult congenital heart diseasearrhythmiae-Healthheart failurem-Health

Identifiers

PMID30488380
PMCPMC6311159

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.