Evidence map›Paper›PMID 30702437›Full record

ArticleJournal of medical Internet research2019

Use of the CHA2DS2-VASc Score for Risk Stratification of Hospital Admissions Among Patients With Cardiovascular Diseases Receiving a Fourth-Generation Synchronous Telehealth Program: Retrospective Cohort Study.

Jen-Kuang Lee, Chi-Sheng Hung, Ching-Chang Huang, Ying-Hsien Chen, Pao-Yu Chuang, Jiun-Yu Yu, Yi-Lwun Ho

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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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

7 authors.

Jen-Kuang LeeTelehealth Center, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0003-3790-484X
Chi-Sheng HungTelehealth Center, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0002-0158-7232
Ching-Chang HuangTelehealth Center, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0001-8733-6217
Ying-Hsien ChenTelehealth Center, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0003-2746-4967
Pao-Yu ChuangTelehealth Center, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0002-8618-6912
Jiun-Yu YuTelehealth Center, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0002-9517-1667
Yi-Lwun HoTelehealth Center, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0002-8936-9570

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelehealth programs are generally diverse in approaching patients, from traditional telephone calling and texting message and to the latest fourth-generation synchronous program. The predefined outcomes are also different, including hypertension control, lipid lowering, cardiovascular outcomes, and mortality. In previous studies, the telehealth program showed both positive and negative results, providing mixed and confusing clinical outcomes. A comprehensive and integrated approach is needed to determine which patients benefit from the program in order to improve clinical outcomes.

objectiveThe CHA

methodsThis was a retrospective cohort study. We recruited patients with cardiovascular disease who received the fourth-generation synchronous telehealth program at the National Taiwan University Hospital between October 2012 and June 2015. We enrolled 431 patients who had joined a telehealth program and compared them to 1549 control patients. Risk of cardiovascular hospitalization was estimated with Kaplan-Meier curves. The CHA

resultsThe mean follow-up duration was 886.1 (SD 531.0) days in patients receiving the fourth-generation synchronous telehealth program and 707.1 (SD 431.4) days in the control group (P<.001). The telehealth group had more comorbidities at baseline than the control group. Higher CHA

conclusionsA higher CHA

Indexed as

AgedAged, 80 and overCardiovascular DiseasesDiabetes Mellitus, Type 2FemaleHospitalizationHumansMaleRetrospective StudiesRisk AssessmentRisk FactorsTelemedicinecardiovascular diseaseCHA2DS2-VASc scorefourth-generation synchronous telehealth programhospitalization

Identifiers

PMID30702437
PMCPMC6374726

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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.