Evidence map›Paper›PMID 34952989›Full record

Trial reportClinical cardiology2022

A randomized controlled clinical trial of cardiac telerehabilitation with a prolonged mobile care monitoring strategy after an acute coronary syndrome.

Ernesto Dalli Peydró, Nuria Sanz Sevilla, María T Tuzón Segarra, Vicente Miró Palau, Jorge Sánchez Torrijos, Juan Cosín Sales

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Clinical cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05875311 (Usefulness of a Telemonitoring System to Optimize Continuity of Care From Cardiology to Primary Care in Patients With Chronic Coronary Syndrome), which is not on this map. Cited by 28 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 11 pooled it
3.8field-weighted citation impact, top 5% 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.

NCT05875311 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Usefulness of a Telemonitoring System to Optimize Continuity of Care From Cardiology to Primary Care in Patients With Chronic Coronary Syndrome

TypeinterventionalSponsorCatcronic Salut SLRan2023 to 2024Enrolled160ConditionsChronic Coronary SyndromeArmstelemonitoring, control follow-up
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 11 syntheses or guidelines pooled it, 37 citations in OpenAlex.

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  8. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2023
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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

6 authors at 3 institutions in 1 country.

Ernesto Dalli PeydróDepartment of Cardiology, Hospital Arnau de Vilanova, Valencia, Spain.ORCID http://orcid.org/0000-0002-4340-6620
Nuria Sanz SevillaDepartment of Physical Medicine and Rehabilitation, University Hospital Doctor Peset, Valencia, Spain.
María T Tuzón SegarraDepartment of Cardiology, Hospital Arnau de Vilanova, Valencia, Spain.
Vicente Miró PalauDepartment of Cardiology, University Hospital La Fe, Valencia, Spain.
Jorge Sánchez TorrijosDepartment of Cardiology, Hospital Arnau de Vilanova, Valencia, Spain.
Juan Cosín SalesDepartment of Cardiology, Hospital Arnau de Vilanova, Valencia, Spain.ORCID http://orcid.org/0000-0002-4249-557X
Hospital Arnau de Vilanova · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario Doctor Peset · ES

Funding

Trilema Salud Foundation
6 · The paper itself

Abstract

backgroundCenter-based cardiac rehabilitation (CBCR) improves health outcomes but has some limitations. We designed and validated a telerehabilitation system to overcome these barriers.

methodsWe included 67 low-risk acute coronary syndrome patients in a randomized controlled trial allocated 1:1 to a 10-month cardiac telerehabilitation (CTR) program or an 8-week CBCR program. Patients underwent ergospirometry, blood tests, anthropometric measurements, IPAQ, PREDIMED, HADS, and EQ-5D questionnaires at baseline and 10 months. Data collectors were blinded to the treatment groups.

resultsThe intention-to-treat analysis included 31 patients in the CTR group and 28 patients in the CBCR group. The primary outcome showed increased physical activity according to the IPAQ survey in the CTR group compared to the CBCR group (median increase 1726 METS-min/week vs. 636, p = .045). Mean VO2max increased 1.62 ml/(kg min) (95% confidence interval [CI]: 0.56-2.69, p < .004) from baseline in the CTR group, and 0.60 mL/(kg min) (p = .40) in the CBCR group. Mean apoB/apoA-I ratio decreased 0.13 (95% CI: -0.03 to 0.24, p = .017) in the CTR group, with no significant change in the CBCR group (p = .092). The median non-HDL cholesterol increased by 7.3 mg/dl (IQR: -2.4 to 18.6, p = .021) in the CBCR group, but the increase was not significant in the CTR group (p = .080). Adherence to a Mediterranean diet, psychological distress, and quality of life showed greater improvement in the CTR group than in the CBCR group. Return-to-work time was reduced with the telerehabilitation strategy.

conclusionThis system allows minimal in-hospital training and prolonged follow-up. This strategy showed better results than CBCR.

Indexed as

Acute Coronary SyndromeCardiac RehabilitationTelerehabilitationHumansQuality of LifeSurveys and Questionnairescardiac rehabilitationcoronary heart diseasesecondary preventiontelemedicinetelerehabilitation

Identifiers

PMID34952989
PMCPMC8799046
OpenAlexW4200586090

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.