Evidence map›Paper›PMID 34478205›Full record

ArticleJournal of cardiac surgery2021

Remote patient monitoring after cardiac surgery: The utility of a novel telemedicine system.

Kıvanç Atilgan, Burak E Onuk, Pınar Köksal Coşkun, Fahri G Yeşi L, Cemal Aslan, Abdullah Çolak, Aksüyek S Çelebi, Hüseyin Bozbaş

Abstract read
In one paragraph

Article in Journal of cardiac surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. The implications of 5G technology on cardiothoracic surgical services in India.Indian journal of thoracic and cardiovascular surgery · 2023
    Review
  11. Mobile health vs. standard care after cardiac surgery: results of The Box 2.0 study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Observational
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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.

Kıvanç AtilganDepartment of Cardiovascular Surgery, TOBB ETU Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0001-9907-9879
Burak E OnukDepartment of Cardiovascular Surgery, TOBB ETU Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0003-3941-3622
Pınar Köksal CoşkunDepartment of Cardiovascular Surgery, TOBB ETU Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-4649-9834
Fahri G Yeşi LDepartment of Cardiovascular Surgery, TOBB ETU Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0001-7816-4193
Cemal AslanDepartment of Cardiovascular Surgery, TOBB ETU Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0003-3030-0162
Abdullah ÇolakDepartment of Cardiovascular Surgery, TOBB ETU Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-5485-332X
Aksüyek S ÇelebiDepartment of Cardiology, TOBB ETU Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-3637-0711
Hüseyin BozbaşDepartment of Cardiology, TOBB ETU Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-7405-0137

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe examined cardiac surgery patients who underwent monitoring of postoperative vital parameters using medical monitoring devices which transferred data to a mobile application and a web-based software.

methodsFrom November 2017 to November 2020, a total of 2340 patients were enrolled in the remote patient monitoring system after undergoing cardiac surgery. The medical devices recorded vital parameters, such as blood pressure, pulse rate, saturation, body temperature, blood glucose, and electrocardiography were measured via the Health Monitor DakikApp and Holter ECG DakikApp devices which reported data to web-based software and a mobile application (DakikApp Mobile Systems, Remscheid, Germany). During the follow-up period, patients were contacted daily through text and voice messages, and video conferences. Remote Medical Evaluations (RMEs) concerning patients' medical states were performed. Medication reminders, daily treatment were communicated to the patients with the DakikApp Mobile Systems Software.

resultsDuring a mean follow-up period of 78.9 ± 107.1 (10-395) days, a total of 135,786 patient contacts were recorded (782 video conferences, 2805 voice messaging, and 132,199 text correspondence). The number of RMEs handled by the Telemedicine Team was 79,560. A total of 105,335 vital parameter measurements were performed and 5024 hospital application requests (6.3% per RME) were addressed successfully and hospitalization was avoided. A total of 144 (6.1%) potentially life-threatening complications were found to have been diagnosed early using the Telemedicine System.

conclusionRemote Patient Monitoring Systems combined with professional medical devices are feasible, effective, and safe for the purpose of improving postoperative outcomes.

Indexed as

Cardiac Surgical ProceduresTelemedicineElectrocardiographyElectrocardiography, AmbulatoryHumansSoftwarecardiac surgeryreal-time ECGremote Holter ECGremote patient monitoringtelemedicine

Identifiers

PMID34478205
PMCPMC9292885

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Registered trials

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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.