Evidence map›Paper›PMID 34161807›Full record

Trial reportJournal of cardiac failure2022

Self-care Management Intervention in Heart Failure (SMART-HF): A Multicenter Randomized Controlled Trial.

Daniel Sahlin, Babak Rezanezad, Marie-Louise Edvinsson, Erasums Bachus, Olle Melander, Sofia Gerward

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of cardiac failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 7 pooled it
6.0field-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.

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

29 citing papers in PubMed, 7 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Effects of an autonomy-supportive intervention programme (ASIP) on self-care, quality of life, and mental health in heart failure patients: a randomized controlled trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Trial
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. 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

6 authors at 2 institutions in 1 country.

Daniel SahlinDepartment of Emergency and Internal Medicine, Skåne University Hospital, Skåne, Sweden.
Babak RezanezadDepartment of Emergency and Internal Medicine, Skåne University Hospital, Skåne, Sweden; Department of Clinical Sciences, Lund University, Malmö, Sweden.
Marie-Louise EdvinssonDepartment of Emergency and Internal Medicine, Skåne University Hospital, Skåne, Sweden; Department of Clinical Sciences, Lund University, Lund, Sweden.
Erasums BachusDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Olle MelanderDepartment of Emergency and Internal Medicine, Skåne University Hospital, Skåne, Sweden; Department of Clinical Sciences, Lund University, Malmö, Sweden.
Sofia GerwardDepartment of Clinical Sciences, Lund University, Malmö, Sweden. Electronic address: sofia.gerward@med.lu.se.
Lund University · SESkåne University Hospital · SE

Funding

European Research Council 885003
6 · The paper itself

Abstract

backgroundSelf-care behavior is important in avoiding hospitalization for patients with heart failure (HF) and refers to those activities performed with the intention of improving or restoring health and well-being, as well as treating or preventing disease. The purpose was to study the effects of a home-based mobile device on self-care behavior and hospitalizations in a representative HF-population. METHODS AND

resultsSMART-HF is a randomized controlled multicenter clinical trial, where patients were randomized 1:1 to receive standard care (control group [CG]) or intervention with a home-based tool designed to enhance self-care behavior (intervention group [IG]) and followed for 240 days. The tool educates the patient about HF, monitors objective and subjective symptoms and adjusts loop diuretics. The primary outcome is self-care as measured by the European Heart Failure Self-care behavior scale and the secondary outcome is HF related in-hospital days.A total of 124 patients were recruited and 118 were included in the analyses (CG: n = 60, IG: n = 58). The mean age was 79 years, 39% were female, and 45% had an ejection fraction of less than 40%. Self-care was significantly improved in the IG compared to the CG (median (interquartile range) (21.5 [13.25; 28] vs 26 [18; 29.75], p = 0.014). Patients in the IG spent significantly less time in the hospital admitted for HF (2.2 days less, relative risk 0.48, 95% confidence interval 0.32-0.74, P = .001).

conclusionsThe device significantly improved self-care behavior and reduced in-hospital days in a relevant HF population.

Indexed as

Heart FailureSelf CareAgedFemaleHospitalizationHumansQuality of LifeStroke Volume

Identifiers

PMID34161807
PMCPMC7612444
OpenAlexW3175084151

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.