Evidence map›Paper›PMID 32558226›Full record

Observational studyAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2020

Use of a Bluetooth tablet-based technology to improve outcomes in lung transplantation: A pilot study.

Felicia A Schenkel, Mark L Barr, Chris C McCloskey, Tammie Possemato, Jeremy O'Conner, Roya Sadeghi, Maria Bembi, Marian Duong, Jaynita Patel, Amy E Hackmann and 1 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Remote intervention engagement and outcomes in the Clinical Trials in Organ Transplantation in Children consortium multisite trial.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Trial
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Use of Wearables and Implantable Devices to Monitor Pulmonary Health in the Outpatient Setting.American journal of respiratory and critical care medicine · 2022
    Article
  15. Article
  16. Early detection of SARS-CoV-2 and other infections in solid organ transplant recipients and household members using wearable devices.Transplant international : official journal of the European Society for Organ Transplantation · 2021
    Review
  17. Use of a Bluetooth tablet-based technology to improve outcomes in lung transplantation: A pilot study.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Felicia A SchenkelKeck Medical Center, University of Southern California, Los Angeles, California, USA.
Mark L BarrDivision of Cardiothoracic Surgery, Department of Surgery, University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-3035-3953
Chris C McCloskeyActiCare Health, Livermore, California, USA.
Tammie PossematoKeck Medical Center, University of Southern California, Los Angeles, California, USA.
Jeremy O'ConnerKeck Medical Center, University of Southern California, Los Angeles, California, USA.
Roya SadeghiKeck Medical Center, University of Southern California, Los Angeles, California, USA.
Maria BembiKeck Medical Center, University of Southern California, Los Angeles, California, USA.
Marian DuongKeck Medical Center, University of Southern California, Los Angeles, California, USA.
Jaynita PatelKeck Medical Center, University of Southern California, Los Angeles, California, USA.
Amy E HackmannDivision of Cardiothoracic Surgery, Department of Surgery, University of Southern California, Los Angeles, California, USA.
Sivagini GaneshDivision of Pulmonary and Critical Care Medicine, Department of Medicine, University of Southern California, Los Angeles, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of remote patient monitoring platforms to support the postoperative care of solid organ transplant recipients is evolving. In an observational pilot study, 28 lung transplant recipients were enrolled in a novel postdischarge home monitoring program and compared to 28 matched controls during a 2-year period. Primary endpoints included hospital readmissions and total days readmitted. Secondary endpoints were survival and inflation-adjusted hospital readmission charges. In univariate analyses, monitoring was associated with reduced readmissions (incidence rate ratio [IRR]: 0.56; 95% confidence interval [CI]: 0.41-0.76; P < .001), days readmitted (IRR: 0.46; 95% CI: 0.42-0.51; P < .001), and hospital charges (IRR: 0.52; 95% CI: 0.51-0.54; P < .001). Multivariate analyses also showed that remote monitoring was associated with lower incidence of readmission (IRR: 0.38; 95% CI: 0.23-0.63; P < .001), days readmitted (IRR: 0.14; 95% CI: 0.05-0.37; P < .001), and readmission charges (IRR: 0.11; 95% CI: 0.03-0.46; P = .002). There were 2 deaths among monitored patients compared to 6 for controls; however, this difference was not significant. This pilot study in lung transplant recipients suggests that supplementing postdischarge care with remote monitoring may be useful in preventing readmissions, reducing subsequent inpatient days, and controlling hospital charges. A multicenter, randomized control trial should be conducted to validate these findings.

Indexed as

AftercareLung TransplantationHumansPatient DischargePatient ReadmissionPilot ProjectsRetrospective StudiesTechnologybusiness/managementclinical research/practiceeconomicshealth services and outcomes researchhospital readmissionlung transplantation/pulmonologymonitoring: physiologicorgan transplantation in generaloutpatient carequality of care/care delivery

Identifiers

PMID32558226
PMCPMC7754459

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.