Evidence map›Paper›PMID 32873671›Full record

ArticleBMJ open2020

Protocol for project recovery after cardiac surgery: a single-center cohort study leveraging digital platform to characterise longitudinal patient-reported postoperative recovery patterns.

Makoto Mori, Cornell Brooks, Erica Spatz, Bobak J Mortazavi, Sanket S Dhruva, George C Linderman, Lawrence A Grab, Yawei Zhang, Arnar Geirsson, Sarwat I Chaudhry and 1 more

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Makoto MoriDivision of Cardiac Surgery, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-2367-8354
Cornell BrooksDivision of Cardiac Surgery, Yale School of Medicine, New Haven, Connecticut, USA.
Erica SpatzCenter for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut, USA.ORCID 0000-0002-1557-7713
Bobak J MortazaviDepartment of Computer Science and Engineering, Texas A&M University System, College Station, Texas, USA.
Sanket S DhruvaDepartment of Medicine, University of California San Francisco, San Francisco, California, USA.
George C LindermanCenter for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut, USA.
Lawrence A GrabDivision of Cardiac Surgery, Yale School of Medicine, New Haven, Connecticut, USA.
Yawei ZhangDepartment of Environmental Science, Yale School of Public Health, New Haven, Connecticut, USA.
Arnar GeirssonDivision of Cardiac Surgery, Yale School of Medicine, New Haven, Connecticut, USA.
Sarwat I ChaudhrySection of General Internal Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Harlan M KrumholzCenter for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut, USA harlan.krumholz@yale.edu.ORCID 0000-0003-2046-127X

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007205 · NIGMS · YALE UNIVERSITY · PI KAZMIERCZAK, BARBARA I · 1985 to 2019
$42.9M
UCSF Career Development Program in Implementation Research in Heart and Lung DiseasesK12HL138046 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BIBBINS-DOMINGO, KIRSTEN, CATTAMANCHI, ADITHYA · 2017 to 2021
$2.9M
SCH: INT: A Context-aware Cuff-less Wearable Ambulatory Blood Pressure Monitor using a Bio-Impedance Sensor ArrayR01EB028106 · NIBIB · TEXAS ENGINEERING EXPERIMENT STATION · PI JAFARI, ROOZBEH · 2018 to 2021
$1.2M
Estimating Trajectory of Recovery in Cardiac Rehabilitation using Mobile Health Technology and Personalized Machine LearningR21EB028486 · NIBIB · TEXAS ENGINEERING EXPERIMENT STATION · PI MORTAZAVI, BOBAK JACK · 2019 to 2021
$563k
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K12 HL138046NIBIB NIH HHS R01 EB028106NIBIB NIH HHS R21 EB028486NIGMS NIH HHS T32 GM007205
6 · The paper itself

Abstract

introductionImproving postoperative patient recovery after cardiac surgery is a priority, but our current understanding of individual variations in recovery and factors associated with poor recovery is limited. We are using a health-information exchange platform to collect patient-reported outcome measures (PROMs) and wearable device data to phenotype recovery patterns in the 30-day period after cardiac surgery hospital discharge, to identify factors associated with these phenotypes and to investigate phenotype associations with clinical outcomes. METHODS AND ANALYSIS: We designed a prospective cohort study to enrol 200 patients undergoing valve, coronary artery bypass graft or aortic surgery at a tertiary centre in the USA. We are enrolling patients postoperatively after the intensive care unit discharge and delivering electronic surveys directly to patients every 3 days for 30 days after hospital discharge. We will conduct medical record reviews to collect patient demographics, comorbidity, operative details and hospital course using the Society of Thoracic Surgeons data definitions. We will use phone interview and medical record review data for adjudication of survival, readmission and complications. We will apply group-based trajectory modelling to the time-series PROM and device data to classify patients into distinct categories of recovery trajectories. We will evaluate whether certain recovery pattern predicts death or hospital readmissions, as well as whether clinical factors predict a patient having poor recovery trajectories. We will evaluate whether early recovery patterns predict the overall trajectory at the patient-level. ETHICS AND DISSEMINATION: The Yale Institutional Review Board approved this study. Following the description of the study procedure, we obtain written informed consent from all study participants. The consent form states that all personal information, survey response and any medical records are confidential, will not be shared and are stored in an encrypted database. We plan to publish our study findings in peer-reviewed journals.

Indexed as

Cardiac Surgical ProceduresPostoperative ComplicationsCohort StudiesHumansPatient Reported Outcome MeasuresProspective Studiescardiac surgeryquality in health caretelemedicine

Identifiers

PMID32873671
PMCPMC7467526

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.