Evidence map›Paper›PMID 34639631›Full record

Trial reportInternational journal of environmental research and public health2021

Green Line Hospital-Territory Study: A Single-Blind Randomized Clinical Trial for Evaluation of Technological Challenges of Continuous Wireless Monitoring in Internal Medicine, Preliminary Results.

Filomena Pietrantonio, Antonio Vinci, Francesco Rosiello, Elena Alessi, Matteo Pascucci, Marianna Rainone, Michela Delli Castelli, Angela Ciamei, Fabrizio Montagnese, Roberto D'Amico and 2 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Review
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. 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

12 authors.

Filomena PietrantonioInternal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy.
Antonio VinciSchool of Hygiene and Preventive Medicine, University of Rome "Tor Vergata", 00100 Rome, Italy.ORCID 0000-0002-4915-7733
Francesco RosielloInternal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy.ORCID 0000-0002-6532-1185
Elena AlessiInternal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy.
Matteo PascucciInternal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy.
Marianna RainoneInternal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy.
Michela Delli CastelliInternal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy.
Angela CiameiInternal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy.
Fabrizio MontagneseInternal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy.
Roberto D'AmicoCentro Oncologico Modenese, Department of Medical and Surgical Sciences, Mother and Child and Adult Health, Modena and Reggio Emilia University, 3° Piano, Azienda Ospedaliero-Universitaria Policlinico di Modena, Via del Pozzo 71, 41124 Modena, Italy.
Antonella ValerioFadoi Foundation, Piazza Cadorna 15, 20123 Milano, Italy.
Dario ManfellottoInternal Medicine Unit, Fatebenefratelli Isola Tiberina, Via di Ponte Quattro Capi 39, 00186 Roma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWireless vital parameter continuous monitoring (WVPCM) after discharge is compared to regular monitoring to provide data on the clinical-economic impact of complex patients (CPs) discharged from Internal Medicine Units of Ospedale dei Castelli, Lazio. PRIMARY OUTCOME: Major complications (MC) reduction. SECONDARY OUTCOMES: Patients who reached discharge criteria within the 7th day from admission; difference in MC incidence at the conclusion of the standard telemonitoring/clinical monitoring phase, 5 and 30 days after discharge; and conditions predisposing to MC occurrence.

methodsOpen label randomized controlled trial with wearable wireless system that creates alerts on portable devices. Continuous glycemic monitoring is performed for patients with diabetes mellitus.

resultsThere were 110 patients enrolled (mean age: 76.2 years). Comorbidity: Cumulative Illness Rating Scale CIRS-CI (comorbidities index): 3.93, CIRS SI (severity index): 1.93. About 19% scored a BRASS (Blaylock Risk Assessment Screening Score) ≥20 indicating need for discharge planning requiring step-down care. Globally, 48% of patients in the control group had major complications (27 out of 56 patients), in contrast to 22% in the intervention group (12 out of 54 patients).

conclusionsSince WVPCM detects early complications during the post-discharge CPs monitoring, it increases safety and reduces inappropriate access to the Emergency Room, preventing avoidable re-hospitalizations.

Indexed as

AftercarePatient DischargeAgedHospitalizationHospitalsHumansSingle-Blind Methodacute medicineintegrating hospital and communityinternal medicine core competenciespoly-morbiditytelemedicinewireless monitoring system

Identifiers

PMID34639631
PMCPMC8507826

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.