Evidence map›Paper›PMID 33506388›Full record

Trial reportJournal of general internal medicine2021

Home Telemonitoring to Reduce Readmission of High-Risk Patients: a Modified Intention-to-Treat Randomized Clinical Trial.

Nancy L Dawson, Bryan P Hull, Priyanka Vijapura, Adrian G Dumitrascu, Colleen T Ball, Kay M Thiemann, Michael J Maniaci, M Caroline Burton

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02136186 (Home Telemonitoring in Patients at High Risk for Readmission), which is not on this map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
5.3field-weighted citation impact, top 3% 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.

NCT02136186 nacompletednot on this map

Home Telemonitoring in Patients at High Risk for Readmission

TypeinterventionalSponsorMayo ClinicRan2014 to 2020Enrolled1,380ConditionsInpatientsArmsPhilips Telehealth
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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  17. Structured handoff to improve communication from inpatient to outpatient dialysis units: A quality improvement project.Hemodialysis international. International Symposium on Home Hemodialysis · 2023
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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

8 authors at 4 institutions in 1 country.

Nancy L DawsonDivision of Hospital Internal Medicine, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL, 32224, USA. dawson.nancy11@mayo.edu.
Bryan P HullDivision of Hospital Internal Medicine, Mayo Clinic Hospital, Phoenix, AZ, USA.
Priyanka VijapuraDivision of Hospital Internal Medicine, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL, 32224, USA.
Adrian G DumitrascuDivision of Hospital Internal Medicine, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL, 32224, USA.
Colleen T BallDepartment of Health Sciences Research, Mayo Clinic, Jacksonville, FL, USA.
Kay M ThiemannShared Services Administration, Mayo Clinic, Rochester, MN, USA.
Michael J ManiaciDivision of Hospital Internal Medicine, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL, 32224, USA.
M Caroline BurtonDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Florida · USMayo Clinic · USMayo Clinic Hospital · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHome telemonitoring has been used with discharged patients in an attempt to reduce 30-day readmissions with mixed results.

objectiveTo assess whether home 30-day telemonitoring after discharge for patients at high risk of readmission would reduce readmissions or mortality.

designProspective, randomized controlled trial. PATIENTS: We compared 30-day readmission rates and mortality for patients at high risk for readmission who received home telemonitoring versus standard care between November 1, 2014, and November 30, 2018, in 2 tertiary care hospitals.

interventionsThe intervention group received home-installed equipment to measure blood pressure, heart rate, pulse oximetry, weight if heart failure was present, and glucose if diabetes was present. Results were transmitted daily and reviewed by a nurse. Both groups received standard care. MAIN MEASURES: The primary outcome was a composite end point of hospital readmission or death within 30 days after discharge. The secondary outcome was an emergency department visit within 30 days after discharge. KEY

resultsA total of 1380 participants (mean [SD] age, 66 [14] years; 722 [52.3%] men and 658 [47.7%] women) participated in this study. Using a modified intention-to-treat analysis, the risk of readmission or death within 30 days among patients at high readmission risk was 23.7% (137/578) in the control group and 18.2% (87/477) in the telemonitoring group (absolute risk difference, - 5.5% [95% CI, - 10.4 to - 0.6%]; relative risk, 0.77 [95% CI, 0.61 to 0.98]; P = .03). Emergency department visits occurred within 30 days after discharge in 14.2% (81/570) of patients in the control group and 8.6% (40/464) of patients in the telemonitoring group (absolute risk difference, - 5.6% [95% CI, - 9.4 to - 1.8%]; relative risk, 0.61 [95% CI, 0.42 to 0.87]; P = .005).

conclusionsThirty days of postdischarge telemonitoring may reduce readmissions of high-risk patients.

trial registrationClinicalTrials.gov identifier: NCT02136186.

Indexed as

AftercarePatient ReadmissionAgedFemaleHumansIntention to Treat AnalysisMalePatient DischargeProspective Studiescommunicationrisk assessmenttelemedicine

Identifiers

PMID33506388
PMCPMC8606403
OpenAlexW3123099758

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.