Evidence map›Paper›PMID 33956325›Full record

ArticleIrish journal of medical science2022

Integrating hospital and community care: using a community virtual ward model to deliver combined specialist and generalist care to patients with severe chronic respiratory disease in their homes.

Breda Cushen, Aisling Madden, Deirdre Long, Yvonne Whelan, Michael Emmet O'Brien, Deirdre Carroll, Des O'Flynn, Michelle Forde, Virginia Pye, Loretto Grogan and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Irish journal of medical science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
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  5. Article
  6. 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

14 authors at 2 institutions in 1 country.

Breda CushenDepartment of Respiratory Medicine, Beaumont Hospital, Dublin 9, Dublin, Ireland. bredacushen@beaumont.ie.ORCID http://orcid.org/0000-0003-4954-5354
Aisling MaddenDepartment of Respiratory Medicine, Beaumont Hospital, Dublin 9, Dublin, Ireland.
Deirdre LongDepartment of Respiratory Medicine, Beaumont Hospital, Dublin 9, Dublin, Ireland.
Yvonne WhelanDepartment of Respiratory Medicine, Beaumont Hospital, Dublin 9, Dublin, Ireland.
Michael Emmet O'BrienDepartment of Respiratory Medicine, Beaumont Hospital, Dublin 9, Dublin, Ireland.
Deirdre CarrollCommunity Intervention Team, Community Healthcare Organisation Dublin North Central and County, Area 9 (CHO 9 DNCC), Dublin North City, Ireland.
Des O'FlynnCommunity Intervention Team, Community Healthcare Organisation Dublin North Central and County, Area 9 (CHO 9 DNCC), Dublin North City, Ireland.
Michelle FordeCommunity Intervention Team, Community Healthcare Organisation Dublin North Central and County, Area 9 (CHO 9 DNCC), Dublin North City, Ireland.
Virginia PyeOffice of the Nursing and Midwifery Services Director, Health Service Executive, Dublin South City, Ireland.
Loretto GroganOffice of the Nursing and Midwifery Services Director, Health Service Executive, Dublin South City, Ireland.
Margaret CaseyOffice of the Nursing and Midwifery Services Director, Health Service Executive, Dublin South City, Ireland.
Karolina FarrellDepartment of Health, Chief Nurse's Office, Dublin, Ireland.
Richard W CostelloDepartment of Respiratory Medicine, Beaumont Hospital, Dublin 9, Dublin, Ireland.
Clare LewisDepartment of Health, Chief Nurse's Office, Dublin, Ireland.
Beaumont Hospital · IEHealth Service Executive · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic respiratory diseases are responsible for significant patient morbidity, mortality, and healthcare use. Community virtual ward (CVW) models of care have been successfully implemented to manage patients with complex medical conditions.

aimsTo explore the feasibility and clinical outcomes of a CVW model of care in patients with chronic respiratory disease.

methodsPatients known to specialist respiratory services with Chronic Obstructive Pulmonary Disease (COPD) and/or asthma were admitted to the CVW for disease optimisation and exacerbation management. Individualised management plans were delivered in the patients' home by hospital-based respiratory and community nursing teams, incorporating remote technology to monitor vital signs. Symptoms and health status at admission and discharge were compared.

resultsTwenty patients were admitted. One-quarter of patients had asthma, 50% COPD, and 25% combined asthma/COPD. Patients had severe disease, mean (SD) FEV

conclusionA CVW model facilitates the delivery of combined specialist and generalist care to patients with chronic respiratory disease in the community and improves symptoms and health status. The principles of the model are transferable to other conditions to improve overall health and reduce emergency hospital care.

Indexed as

Pulmonary Disease, Chronic ObstructiveQuality of LifeHospitalizationHospitalsHumansPatient DischargeAsthmaChronic disease managementCOPDIntegrated CareVirtual Ward

Identifiers

PMID33956325
PMCPMC8100740
OpenAlexW3159070587

What OpenQuestion holds

Textmetadata
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.