Evidence map›Paper›PMID 36635722›Full record

ArticleItalian journal of pediatrics2023

Inter-hospital cardiorespiratory telemonitoring of newborns and infants: a wellworking example of a hub and spoke network.

Cinzia Arzilli, Monica Annunziata, Carola-Maria Ernst, Marta Peruzzi, Chiara Macucci, Saverio Pochesci, Niccolò Nassi

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In one paragraph

Article in Italian journal of pediatrics, 2023. 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. 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

7 authors.

Cinzia ArzilliMeyer Children's Hospital IRCCS, Sleep Disorder Breathing and SIDS Center, Viale Pieraccini, 24, Florence, 50139, Italy.
Monica AnnunziataMeyer Children's Hospital IRCCS, Sleep Disorder Breathing and SIDS Center, Viale Pieraccini, 24, Florence, 50139, Italy.
Carola-Maria ErnstMeyer Children's Hospital IRCCS, Sleep Disorder Breathing and SIDS Center, Viale Pieraccini, 24, Florence, 50139, Italy.
Marta PeruzziMeyer Children's Hospital IRCCS, Sleep Disorder Breathing and SIDS Center, Viale Pieraccini, 24, Florence, 50139, Italy.
Chiara MacucciDepartment of Paediatrics, Meyer Children's Hospital, University of Florence, Florence, Italy.
Saverio PochesciDepartment of Paediatrics, Meyer Children's Hospital, University of Florence, Florence, Italy.
Niccolò NassiMeyer Children's Hospital IRCCS, Sleep Disorder Breathing and SIDS Center, Viale Pieraccini, 24, Florence, 50139, Italy. niccolo.nassi@meyer.it.ORCID http://orcid.org/0000-0003-0827-5319

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients who experience cardiorespiratory events usually have to be moved to specialized centers to perform cardiorespiratory studies. To avoid the transfer of these patients to specialized centers, a network has been created based on an interchange system, where the recordings were uploaded in unspecialized centers (spokes) and downloaded by the Sleep Disorders Breathing (SDB) Center (hub) to be analyzed.

methodsThe inter-hospital network was established in November 2008. Initially only 3 non-tertiary hospitals in the Tuscany Region joined the network. Currently, 12 Tuscany hospitals are included.

resultsFrom November 2008 to December 2020, 625 recordings were collected belonging to 422 infants. No recurrent life-threatening episode or infant death occurred in the study population and none of the infants needed to be readmitted or be moved to a tertiary center, except infants who underwent home monitoring. The discharge diagnoses belong to the following categories: apnoea, respiratory problem of the newborn, syncope, gastroesophageal reflux, altered consciousness, transient loss of consciousness and cyanosis.

conclusionsThis study shows that the inter-hospital network is an efficient system that allows accurate and safe management of infants at risk for apnoea, bradycardia, and hypoxemia to remain in unspecialized centers, avoiding unnecessary transfers of patients and over - hospitalizations.

Indexed as

Gastroesophageal RefluxInfant, PrematureApneaHospitalizationHospitalsHumansInfantInfant, NewbornApnoea of prematurityApparent life-threatening eventsHub-and-spoke systemTelemedicine network

Identifiers

PMID36635722
PMCPMC9837930

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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.