Evidence map›Paper›PMID 36762022›Full record

ArticleDigital health

Bringing the hospital to home: Patient-reported outcome measures of a digital health-supported home hospitalisation platform to support hospital care at home for heart failure patients.

Martijn Scherrenberg, Jobbe Pl Leenen, Astrid E van der Velde, Josiane Boyne, Wendy Bruins, Julie Vranken, Hans-Peter Brunner-La Rocca, Ed P De Kluiver, Paul Dendale

Open access · goldAbstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 7 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

9 authors at 5 institutions in 2 countries.

Martijn ScherrenbergHeart Centre Hasselt, Jessa Hospital, Hasselt, Belgium.ORCID https://orcid.org/0000-0001-9483-3828
Jobbe Pl LeenenIsala Heart Centre, Isala, Zwolle, The Netherlands.
Astrid E van der VeldeIsala Heart Centre, Isala, Zwolle, The Netherlands.
Josiane BoyneMaastricht University Medical Centre, Maastricht, The Netherlands.
Wendy BruinsIsala Heart Centre, Isala, Zwolle, The Netherlands.
Julie VrankenFaculty of Medicine and Life Sciences, UHasselt, Diepenbeek, Belgium.
Hans-Peter Brunner-La RoccaMaastricht University Medical Centre, Maastricht, The Netherlands.
Ed P De KluiverIsala Heart Centre, Isala, Zwolle, The Netherlands.
Paul DendaleFaculty of Medicine and Life Sciences, UHasselt, Diepenbeek, Belgium.
Isala · NLHasselt University · BEMaastricht University Medical Centre · NLJessa Hospital · BEZuyderland Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hospitalisations for heart failure are frequent and costly, linked with a lower quality of life, and lead to higher morbidity and mortality. Home hospitalisation interventions could be a substitute for in-hospital stays to reduce the burden on patients. The current study aims to investigate patient-reported satisfaction and usability in combination with the safety of a digital health-supported home hospitalisation intervention for heart failure patients. Methods: We conducted an international, multicentre, single-arm, interventional study to investigate the feasibility and safety of a digital health-supported home hospitalisation platform. Patients with acute decompensation of known and well-assessed chronic heart failure with an indication for hospital admission were included. The primary outcome was patient satisfaction. Secondary outcomes were usability, adherence, and safety. Results: A total number of 66 patients were included, of which the data of 65 patients (98.5%) was analysed. A total of 86.1% of patients reported being very satisfied or totally satisfied. No patients reported to be not satisfied with the home hospitalisation intervention. The patients reported a sufficient usability score (mean score: 75.8% of 100%) for the digital health-supported home hospitalisation platform. The adherence to the daily measurements of blood pressure and weight was very high, whereas the adherence to the daily interaction with the eCoach was lower (69.3%). In 7 patients (10.8%), a conversion from home hospitalisation to regular hospitalisation was needed. Furthermore, 6 patients (9.2%) had rehospitalisation within 30 days after the end of the home hospitalisation intervention. Conclusion: A digitally supported home hospitalisation intervention is feasible. This study demonstrates high patient satisfaction and sufficiently high usability scores. The safety outcomes are comparable with traditional heart failure hospitalisations. This indicates that digitally supported home hospitalisation could be an alternative to in-hospital care for all age groups, yet further research is needed to prove the (cost-) effectiveness.

Indexed as

digital healthheart failurehome hospitalisationhospital to home transitionTelemedicine

Identifiers

PMID36762022
PMCPMC9903014
OpenAlexW4317935101

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.