Evidence map›Paper›PMID 34518302›Full record

ArticleBMJ open quality2021

Associations between remote patient monitoring programme responsiveness and clinical outcomes for patients with COVID-19.

Rebecca Steinberg, Bjorn Anderson, Ziyue Hu, Theodore M Johnson, James B O'Keefe, Laura C Plantinga, Rishi Kamaleswaran, Blake Anderson

Abstract read
In one paragraph

Article in BMJ open quality, 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
–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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Observational
  5. Article
  6. Telemedicine in Emergency Medicine in the COVID-19 Pandemic-Experiences and Prospects-A Narrative Review.International journal of environmental research and public health · 2022
    Review
  7. Observational
  8. Observational
  9. 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

8 authors.

Rebecca SteinbergDepartment of Medicine, Division of General Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0003-4622-626X
Bjorn AndersonDepartment of Medicine, Division of General Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Ziyue HuDepartment of Medicine, Division of General Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Theodore M JohnsonDepartment of Medicine, Division of General Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
James B O'KeefeDepartment of Medicine, Division of General Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0002-7151-7184
Laura C PlantingaDepartment of Medicine, Division of Geriatrics and Gerontology, Emory University School of Medicine, Atlanta, Georgia, USA.
Rishi KamaleswaranDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, Georgia, USA.
Blake AndersonDepartment of Medicine, Division of General Medicine, Emory University School of Medicine, Atlanta, Georgia, USA blake.john.anderson@emory.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess whether engagement in a COVID-19 remote patient monitoring (RPM) programme or telemedicine programme improves patient outcomes.

methodsThis is a retrospective cohort study analysing patient responsiveness to our RPM survey or telemedicine visits and outcomes during the COVID-19 pandemic. Daily text message surveys and telemedicine consultations were offered to all patients who tested positive for SARS-CoV-2 at our institutional screening centres. Survey respondents with alarm responses were contacted by a nurse. We assessed the relationship between virtual engagement (telemedicine or RPM survey response) and clinical outcomes using multivariable logistic regression.

resultsBetween 10 July 2020 and 2 January 2021, 6822 patients tested positive, with 1230 (18%) responding to at least one survey. Compared with non-responders, responders were younger (49 vs 53 years) and more likely to be white (40% vs 33%) and female (65% vs 55%) and had fewer comorbidities. After adjustment, individuals who engaged virtually were less likely to experience an emergency department visit, hospital admission or intensive care unit-level care.

conclusionTelemedicine and RPM programme engagement (vs no engagement) were associated with better outcomes, but this was likely due to differences in groups at baseline rather than the efficacy of our intervention alone.

Indexed as

COVID-19FemaleHumansMonitoring, PhysiologicPandemicsRetrospective StudiesSARS-CoV-2clinicalCOVID-19decision supporttelemedicine

Identifiers

PMID34518302
PMCPMC8438571

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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.