Evidence map›Paper›PMID 36050411›Full record

ArticlePediatric cardiology2023

Initial Experience with Telemedicine for Interstage Monitoring in Infants with Palliated Congenital Heart Disease.

Alyson Stagg, Therese M Giglia, Monique M Gardner, Bonnie F Offit, Kate M Fuller, Shobha S Natarajan, David A Hehir, Anita L Szwast, Jonathan J Rome, Chitra Ravishankar and 2 more

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PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatric cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 9% 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.

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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Alyson StaggChildren's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19401, USA.
Therese M GigliaChildren's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19401, USA.
Monique M GardnerChildren's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19401, USA.
Bonnie F OffitChildren's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19401, USA.
Kate M FullerChildren's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19401, USA.
Shobha S NatarajanChildren's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19401, USA.
David A HehirChildren's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19401, USA.
Anita L SzwastChildren's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19401, USA.
Jonathan J RomeChildren's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19401, USA.
Chitra RavishankarChildren's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19401, USA.
Benjamin L LaskinChildren's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19401, USA.
Tamar J PremingerChildren's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19401, USA. premingert@chop.edu.
University of Pennsylvania · USChildren's Hospital of Philadelphia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infants with staged surgical palliation for congenital heart disease are at high-risk for interstage morbidity and mortality; home monitoring programs have mitigated these risks. In 2019, we instituted telemedicine (TM) in our established Infant Single Ventricle Monitoring Program. All consecutive patients discharged following neonatal operation/intervention were monitored until subsequent stage 2 surgical palliation. We offered TM (synchronous video) visits as part of regularly scheduled follow-up, replacing at least one in-person primary care visit with a TM cardiologist visit. We tracked emergency department (ED) visits, hospitalizations, how TM identified clinical concerns, and whether use of TM prevented unnecessary ED visits or expedited in-person assessment. We assessed caregiver and clinician satisfaction. Between 8/2019 and 5/2020, we conducted 60 TM visits for 29 patients. Of 31 eligible patients, 2 families (6.9%) declined. Median monitoring time was 199 days (range 75-264) and median number of TM visits/patient was 2 (range 1-5). In 6 visits (10%), significant clinical findings were identified which avoided an ED visit. Five TM visits led to expedited outpatient assessments, of which 1 patient required hospitalization. There were no missed events or deaths. Median ED visits/patient/month were significantly lower compared to the same calendar period of the prior year (0.0 (0-2.5) vs. 0.4 (0-3.7), p = 0.0004). Caregivers and clinicians expressed high levels of satisfaction with TM. TM for this high-risk population is feasible and effective in identifying clinical concerns and preventing unnecessary ED visits. TM was particularly effective during the COVID-19 pandemic, allowing for easy adaptation of care to ensure patient safety in this fragile cohort.

Indexed as

COVID-19Heart Defects, CongenitalTelemedicineHumansInfantInfant, NewbornPandemicsPatient DischargeCOVID-19In-home monitoringInterstage outcomesQuality improvementSingle ventricleTelemedicine

Identifiers

PMID36050411
PMCPMC9436461
OpenAlexW4294152303

What OpenQuestion holds

Textmetadata
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.