Evidence map›Paper›PMID 34888462›Full record

ArticleFuture healthcare journal2021

Investigating consultant-led virtual review as a model for implementing 7-day cardiology services in UK clinical practice.

Alexander J Deighton, Ceri Davies, Christos Bourantas, Charles Knight, Simon Woldman, James Deighton, Armita Azar, Debashish Das

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Future healthcare journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Alexander J DeightonBarts and The London School of Medicine and Dentistry, London, UK.
Ceri DaviesThe Royal Hospital, London, UK.
Christos BourantasThe Royal Hospital, London, UK.
Charles KnightSt Bartholomew's Hospital, London, UK.
Simon WoldmanBarts Heart Centre, London, UK.
James DeightonUniversity of Southampton School of Medicine, Southampton, UK.
Armita AzarBarts and The London School of Medicine and Dentistry, London, UK.
Debashish DasWhipps Cross University Hospital, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisparities between weekend and weekday care, termed 'the weekend effect', have led to a UK government pledge to provide 7-day services. Despite this, poor outcomes have led to criticism of the programme. This study consequently sought to evaluate consultant-led virtual review as a model for 7-day cardiology services.

methodsOver 4 weekends, cardiology patients underwent virtual review alongside in-person teams. Outcomes included length of stay, same-day discharge and 30-day mortality rates, as well as duration of ward rounds and change in patient management. Patients were surveyed on attitudes towards virtual review.

resultsStatistical analysis revealed no significant difference in clinical outcomes, while virtual review was noted to significantly decrease time taken (p<0.0001). Attitudes towards virtual review were broadly favourable.

conclusionBy demonstrating comparable outcomes compared with conventional review, as well as high acceptability, this study identified virtual review as an effective substitute for in-person care.

Indexed as

cardiologydigitalmedicinetelemedicinevirtual

Identifiers

PMID34888462
PMCPMC8651322

What OpenQuestion holds

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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.