Evidence map›Paper›PMID 36314123›Full record

Trial reportStroke2022

Telehealth After Stroke Care Pilot Randomized Trial of Home Blood Pressure Telemonitoring in an Underserved Setting.

Imama A Naqvi, Kevin Strobino, Ying Kuen Cheung, Hanlin Li, Kevin Schmitt, Stephen Ferrara, Sarah E Tom, Adriana Arcia, Olajide A Williams, Ian M Kronish and 1 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Stroke, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04640519 (Telehealth After Stroke Care), which is not on this map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 pooled it
5.3field-weighted citation impact, top 3% 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.

NCT04640519 nacompletednot on this map

Telehealth After Stroke Care (TASC): Integrated Multidisciplinary Access to Post-stroke Care

TypeinterventionalSponsorColumbia UniversityRan2020 to 2021Enrolled50ConditionsStroke, Health Care Acceptability, HypertensionArmsUsual care, TASC intervention
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 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

11 authors at 3 institutions in 1 country.

Imama A NaqviDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, NY (I.A.N., K.S., S.E.T., O.A.W., M.S.V.E.).ORCID 0000-0002-4228-7500
Kevin StrobinoDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, NY (I.A.N., K.S., S.E.T., O.A.W., M.S.V.E.).ORCID 0000-0002-9799-064X
Ying Kuen CheungDepartment of Biostatistics, Mailman School of Public Health, Columbia University, NY (Y.K.C.).ORCID 0000-0001-8530-035X
Hanlin LiNewYork-Presbyterian Hospital, NY (H.L., K.S.).ORCID 0000-0002-6508-145X
Kevin SchmittNewYork-Presbyterian Hospital, NY (H.L., K.S.).
Stephen FerraraColumbia University School of Nursing, NY (S.F., A.A.).ORCID 0000-0003-2287-8255
Sarah E TomDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, NY (I.A.N., K.S., S.E.T., O.A.W., M.S.V.E.).ORCID 0000-0003-0094-5138
Adriana ArciaColumbia University School of Nursing, NY (S.F., A.A.).ORCID 0000-0002-4773-7195
Olajide A WilliamsDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, NY (I.A.N., K.S., S.E.T., O.A.W., M.S.V.E.).ORCID 0000-0002-0210-0078
Ian M KronishCenter for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, NY (I.M.K.).ORCID 0000-0003-0945-2380
Mitchell S V ElkindDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, NY (I.A.N., K.S., S.E.T., O.A.W., M.S.V.E.).ORCID 0000-0003-2562-1156
Columbia University · USPresbyterian Hospital · USColumbia University Irving Medical Center · US

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
NCATS NIH HHS UL1 TR001873
6 · The paper itself

Abstract

backgroundHypertension is the most important modifiable stroke risk factor, but blood pressure (BP) remains poorly controlled after stroke, especially among Black and Hispanic patients. We tested the feasibility of TASC (Telehealth After Stroke Care), a post-acute stroke care model integrating nurse-supported home BP telemonitoring, tailored infographics, and multidisciplinary team video visits.

methodsAcute stroke patients with hypertension were randomized at discharge to usual care or usual care with TASC. Usual care patients received video visits with primary care and stroke. TASC included a tablet and monitor to wirelessly transmit BP data to the electronic health record, with telenursing support, tailored infographics to explain BP readings, and pharmacist visits. Outcomes assessment was blinded. Feasibility outcomes included recruitment, randomization, adherence, and retention. Systolic BP from baseline to 3 months after discharge was evaluated using generalized linear modeling.

resultsFifty patients (64±14 years; 36% women' 44% Hispanic, 32% Black, 54% ≤high school education, 30% private insurance), and 75% of all eligible were enrolled over 6.3 months. Baseline systolic BP was similar in both (TASC n=25, 140±19 mm Hg; usual care n=25, 142±19 mm Hg). At 3 months, adherence to video visits (91% versus 75%,

conclusionsEnhancing post-acute stroke care with home BP telemonitoring is feasible to improve hypertension in an underserved setting and should be tested in a definitive randomized clinical trial. REGISTRATION: URL: https://www. CLINICALTRIALS: gov; Unique identifier: NCT04640519.

Indexed as

HypertensionStrokeTelemedicineAntihypertensive AgentsBlood PressureBlood Pressure Monitoring, AmbulatoryFemaleHumansMalePilot ProjectsAntihypertensive Agentsdisparitieshypertensionmultidisciplinaryself-efficacystroketelehealth

Identifiers

PMID36314123
PMCPMC9698100
OpenAlexW4307772337

What OpenQuestion holds

Textmetadata
LicenceTDM
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.