Evidence map›Paper›PMID 37217585›Full record

Trial reportScientific reports2023

Using remotely monitored patient activity patterns after hospital discharge to predict 30 day hospital readmission: a randomized trial.

Mitesh S Patel, Kevin G Volpp, Dylan S Small, Genevieve P Kanter, Sae-Hwan Park, Chalanda N Evans, Daniel Polsky

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Optimizing temporal windows for wearable-augmented post-discharge risk prediction: a methods study.Journal of the American Medical Informatics Association : JAMIA · 2026
    Article
  5. Article
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  8. Article
  9. Review
  10. Article
  11. Observational
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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

7 authors.

Mitesh S PatelAscension, St. Louis, MO, USA. Mitesh.Patel3@Ascension.org.
Kevin G VolppPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Dylan S SmallWharton School, University of Pennsylvania, Philadelphia, PA, USA.
Genevieve P KanterSol Price School of Public Polocy, University of Southern California, Los Angeles, CA, USA.
Sae-Hwan ParkPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Chalanda N EvansPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Daniel PolskyJohns Hopkins University, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hospital readmission prediction models often perform poorly, but most only use information collected until the time of hospital discharge. In this clinical trial, we randomly assigned 500 patients discharged from hospital to home to use either a smartphone or wearable device to collect and transmit remote patient monitoring (RPM) data on activity patterns after hospital discharge. Analyses were conducted at the patient-day level using discrete-time survival analysis. Each arm was split into training and testing folds. The training set used fivefold cross-validation and then final model results are from predictions on the test set. A standard model comprised data collected up to the time of discharge including demographics, comorbidities, hospital length of stay, and vitals prior to discharge. An enhanced model consisted of the standard model plus RPM data. Traditional parametric regression models (logit and lasso) were compared to nonparametric machine learning approaches (random forest, gradient boosting, and ensemble). The main outcome was hospital readmission or death within 30 days of discharge. Prediction of 30-day hospital readmission significantly improved when including remotely-monitored patient data on activity patterns after hospital discharge and using nonparametric machine learning approaches. Wearables slightly outperformed smartphones but both had good prediction of 30-day hospital-readmission.

Indexed as

Patient ReadmissionWearable Electronic DevicesHospitalsHumansMonitoring, PhysiologicPatient Discharge

Identifiers

PMID37217585
PMCPMC10203290

What OpenQuestion holds

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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.