Evidence map›Paper›PMID 34112921›Full record

ArticleNPJ digital medicine2021

Predictive analytics and tailored interventions improve clinical outcomes in older adults: a randomized controlled trial.

Sara Bersche Golas, Mariana Nikolova-Simons, Ramya Palacholla, Jorn Op den Buijs, Gary Garberg, Allison Orenstein, Joseph Kvedar

Open access · goldAbstract read
In one paragraph

Article in NPJ digital medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 22 citations in OpenAlex.

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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

7 authors at 6 institutions in 2 countries.

Sara Bersche GolasPartners Connected Health Innovation, Partners HealthCare, Boston, MA, USA. SGOLAS@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-6155-9452
Mariana Nikolova-SimonsPhilips Research, Eindhoven, The Netherlands.ORCID http://orcid.org/0000-0002-5772-059X
Ramya PalachollaPartners Connected Health Innovation, Partners HealthCare, Boston, MA, USA.
Jorn Op den BuijsPhilips Research, Eindhoven, The Netherlands.
Gary GarbergPartners HealthCare at Home, Waltham, MA, USA.
Allison OrensteinPhilips Population Health Management, Framingham, MA, USA.
Joseph KvedarPartners Connected Health Innovation, Partners HealthCare, Boston, MA, USA.ORCID http://orcid.org/0000-0002-7517-2291
Philips (Netherlands) · NLHarvard University · USMass General Brigham · USPartners HealthCare Connected Health · USPhilips (United States) · USTufts University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study explored the potential to improve clinical outcomes in patients at risk of moving to the top segment of the cost acuity pyramid. This randomized controlled trial evaluated the impact of a Stepped-Care approach (predictive analytics + tailored nurse-driven interventions) on healthcare utilization among 370 older adult patients enrolled in a homecare management program and using a Personal Emergency Response System. The Control group (CG) received care as usual, while the Intervention group (IG) received Stepped-Care during a 180-day intervention period. The primary outcome, decrease in emergency encounters, was not statistically significant (15%, p = 0.291). However, compared to the CG, the IG had significant reductions in total 90-day readmissions (68%, p = 0.007), patients with 90-day readmissions (76%, p = 0.011), total 180-day readmissions (53%, p = 0.020), and EMS encounters (49%, p = 0.006). Predictive analytics combined with tailored interventions could potentially improve clinical outcomes in older adults, supporting population health management in home or community settings.

Identifiers

PMID34112921
PMCPMC8192898
OpenAlexW3166284163

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.