Evidence map›Paper›PMID 37641718›Full record

ArticleMayo Clinic proceedings. Digital health2023

Postdischarge Video Visits for Adherence to Hospital Discharge Recommendations: A Randomized Clinical Trial.

Sagar B Dugani, Shangwe A Kiliaki, Megan L Nielsen, Karen M Fischer, Megan Lunde, Gina M Kesselring, Donna K Lawson, Trevor J Coons, Holly A Schenzel, Riddhi S Parikh and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in Mayo Clinic proceedings. Digital health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04547803 (Post-discharge Early Assessment With Remote Video Link), which is not on this 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.

NCT04547803 nacompletednot on this map

Post-discharge Early Assessment With Remote Video Link (PEARL) Initiative: A Randomized Controlled Trial

TypeinterventionalSponsorMayo ClinicRan2020 to 2022Enrolled1,190ConditionsHospital DischargeArmsStandard of Care, Video Visit
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

15 authors.

Sagar B DuganiDivision of Hospital, Internal Medicine, Mayo, Clinic, Rochester, MN; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN.ORCID 0000-0001-7858-1317
Shangwe A KiliakiDivision of Hospital, Internal Medicine, Mayo, Clinic, Rochester, MN.
Megan L NielsenDivision of Hospital, Internal Medicine, Mayo, Clinic, Rochester, MN.
Karen M FischerDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN.
Megan LundeDivision of Hospital, Internal Medicine, Mayo, Clinic, Rochester, MN; Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Gina M KesselringDivision of Hospital, Internal Medicine, Mayo, Clinic, Rochester, MN.
Donna K LawsonDivision of Hospital, Internal Medicine, Mayo, Clinic, Rochester, MN.
Trevor J CoonsDivision of Hospital, Internal Medicine, Mayo, Clinic, Rochester, MN.
Holly A SchenzelDivision of Hospital, Internal Medicine, Mayo, Clinic, Rochester, MN.
Riddhi S ParikhDivision of Hospital, Internal Medicine, Mayo, Clinic, Rochester, MN.
Sandeep R PagaliDivision of Hospital, Internal Medicine, Mayo, Clinic, Rochester, MN.
Anne LiwonjoDivision of Hospital Internal Medicine, Mayo Clinic Health System, Lake City, MN.
Ivana T CroghanRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN; Division of General Internal Medicine; Department of Medicine, Clinical Research Office; Mayo Clinic, Rochester, MN.
Darrell R SchroederDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN.
M Caroline BurtonDivision of Hospital, Internal Medicine, Mayo, Clinic, Rochester, MN.

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
Rural Patient Risks and Exposures for Diabetes ConTrol (Rural PREDICT)K23MD016230 · NIMHD · MAYO CLINIC ROCHESTER · PI DUGANI, CHANDRASAGAR · 2021 to 2025
$763k
NCATS NIH HHS UL1 TR002377NIMHD NIH HHS K23 MD016230
6 · The paper itself

Abstract

Objective: To determine whether a postdischarge video visit with patients, conducted by hospital medicine advanced practice providers, improves adherence to hospital discharge recommendations. Patients and Methods: We conducted a single-institution 2-site randomized clinical trial with 1:1 assignment to intervention vs control, with enrollment from August 10, 2020, to June 23, 2022. Hospital medicine patients discharged home or to an assisted living facility were randomized to a video visit 2-5 days postdischarge in addition to usual care (intervention) vs usual care (control). During the video visit, advanced practice providers reviewed discharge recommendations. Both intervention and control groups received telephone follow-up 3-6 days postdischarge to ascertain the primary outcome of adherence to all discharge recommendations for new and chronic medication management, self-management and action plan, and home support. Results: Among 1190 participants (594 intervention; 596 control), the primary outcome was ascertained in 768 participants (314 intervention; 454 control). In intervention vs control, there was no difference in the proportion of participants with the primary outcome (76.7% vs 72.5%; Conclusion: In hospital medicine patients, a postdischarge video visit did not improve adherence to discharge recommendations. Potential gender differences in adherence require further investigation.Clinicaltrials.gov number, NCT04547803.

Identifiers

PMID37641718
PMCPMC10460477

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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.