Evidence map›Paper›PMID 32398500›Full record

Trial reportThe Journal of cardiovascular nursing

The Effect of Rehospitalization and Emergency Department Visits on Subsequent Adherence to Weight Telemonitoring.

Sarah C Haynes, Daniel J Tancredi, Kathleen Tong, Jeffrey S Hoch, Michael K Ong, Theodore G Ganiats, Lorraine S Evangelista, Jeanne T Black, Andrew Auerbach, Patrick S Romano and 1 more

Abstract readClinical Trial
In one paragraph

Trial report in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

11 authors.

Sarah C Haynes
Daniel J Tancredi
Kathleen Tong
Jeffrey S Hoch
Michael K Ong
Theodore G Ganiats
Lorraine S Evangelista
Jeanne T Black
Andrew Auerbach
Patrick S Romano
Better Effectiveness After Transition–Heart Failure (BEAT-HF) Research Group

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Variations in Care: Comparing Heart Failure Care Transition Intervention EffectsR01HS019311 · AHRQ · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ONG, MICHAEL K · 2010 to 2010
$9.9M
Comparative Effectiveness and Outcomes Improvement (CEOI) CenterRC2HL101811 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIRSCH, JAN D, MANGIONE, CAROL M · 2009 to 2010
$3.9M
Examining the Effects of High Protein Diet on Outcomes in Heart Failure PatientsR01HL093466 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI EVANGELISTA, LORRAINE S · 2009 to 2013
$1.9M
Fitness Intensive Therapy (Get FIT) to Promote Healthy Living in Older AdultsR21AG053162 · NIA · UNIVERSITY OF CALIFORNIA-IRVINE · PI EVANGELISTA, LORRAINE S · 2018 to 2019
$425k
AHRQ HHS R01 HS019311NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1 TR001881NHLBI NIH HHS R01 HL093466NHLBI NIH HHS RC2 HL101811NIA NIH HHS R21 AG053162
6 · The paper itself

Abstract

backgroundWeight telemonitoring may be an effective way to improve patients' ability to manage heart failure and prevent unnecessary utilization of health services. However, the effectiveness of such interventions is dependent upon patient adherence.

objectiveThe purpose of this study was to determine how adherence to weight telemonitoring changes in response to 2 types of events: hospital readmissions and emergency department visits.

methodsThe Better Effectiveness After Transition-Heart Failure trial examined the effectiveness of a remote telemonitoring intervention compared with usual care for patients discharged to home after hospitalization for decompensated heart failure. Participants were followed for 180 days and were instructed to transmit weight readings daily. We used Poisson regression to determine the within-person effects of events on subsequent adherence.

resultsA total of 625 events took place during the study period. Most of these events were rehospitalizations (78.7%). After controlling for the number of previous events and discharge to a skilled nursing facility, the rate for adherence decreased by nearly 20% in the 2 weeks after a hospitalization compared with the 2 weeks before (adjusted rate ratio, 0.81; 95% confidence interval: 0.77-0.86; P < .001).

conclusionsExperiencing a rehospitalization had the effect of diminishing adherence to daily weighing. Providers using telemonitoring to monitor decompensation and manage medications should take advantage of the potential "teachable moment" during hospitalization to reinforce the importance of adherence.

Indexed as

Heart FailureTelemedicineEmergency Service, HospitalHospitalizationHumansMonitoring, PhysiologicPatient Readmission

Identifiers

PMID32398500
PMCPMC8091911

What OpenQuestion holds

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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.