Evidence map›Paper›PMID 31439659›Full record

ArticleHeart (British Cardiac Society)2020

Impact of a community-based cardiovascular disease service intervention in a highly deprived area.

Jennifer Downing, Tanith C Rose, Pooja Saini, Bashir Matata, Zoe McIntosh, Terence Comerford, Keith Wilson, Allan Pemberton, Lesley M Harper, Matthew Shaw and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Heart (British Cardiac Society), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

12 authors at 2 institutions in 1 country.

Jennifer DowningDepartment of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK j.downing@liverpool.ac.uk.ORCID 0000-0001-7691-1167
Tanith C RoseDepartment of Public Health and Policy, University of Liverpool, Liverpool, UK.ORCID 0000-0001-5338-0359
Pooja SainiSchool of Natural Sciences and Psychology, Liverpool John Moores University, Liverpool, UK.
Bashir MatataResearch Department, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK.
Zoe McIntoshKnowsley Community Services, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, United Kingdom.
Terence ComerfordNIHR CLAHRC NWC, University of Liverpool, Liverpool, UK.
Keith WilsonResearch Department, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK.
Allan PembertonNIHR CLAHRC NWC, University of Liverpool, Liverpool, UK.
Lesley M HarperDepartment of Health Service Research, University of Liverpool, Liverpool, UK.
Matthew ShawResearch Department, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK.
Konstantinos DarasDepartment of Geography and Planning, University of Liverpool, Liverpool, UK.
Ben BarrDepartment of Public Health and Policy, University of Liverpool, Liverpool, UK.ORCID 0000-0002-4208-9475
University of Liverpool · GBLiverpool John Moores University · GB

Funding

Department of Health NIHR130258
6 · The paper itself

Abstract

objectiveTo examine the effects on emergency hospital admissions, length of stay and emergency re-admissions of providing a consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service, based in a highly deprived area in the North West of England.

methodsA longitudinal matched controlled study using difference-in-differences analysis compared the change in outcomes in the intervention population, to the change in outcomes in a matched comparison population that had not received the intervention, 5 years before and after implementation. The outcomes were emergency hospitalisations, length of inpatient stay and re-admission rates for cardiovascular disease (CVD).

resultsFindings show that the intervention was associated with 66 fewer emergency CVD admissions per 100 000 population per year (95% CI 22.13 to 108.98) in the post-intervention period, relative to the control group. No significant measurable effects on length of stay or emergency re-admission rates were observed.

conclusionThis consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service was associated with a lower rate of emergency hospital admissions in a highly disadvantaged population. Similar approaches could be an effective component of strategies to reduce unplanned hospital admissions.

Indexed as

Community Health ServicesMedically Underserved AreaCardiovascular DiseasesEmergency Service, HospitalEnglandFemaleHospitalizationHumansLongitudinal StudiesMaleMiddle Agedcardiac rehabilitationchronic coronary diseasehealthcare deliveryheart failurequality and outcomes of care

Identifiers

PMID31439659
PMCPMC7035686
OpenAlexW2969845211

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.