Evidence map›Paper›PMID 37808027›Full record

ArticleJTCVS open2023

Remote monitoring following adult cardiac surgery: A paradigm shift?

Kevin W Lobdell, Shannon Crotwell, Larry T Watts, Bradley LeNoir, John Frederick, Eric R Skipper, Gregory B Russell, Robert Habib, Thomas Maxey, Geoffrey A Rose

Abstract read
In one paragraph

Article in JTCVS open, 2023. 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
–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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

10 authors.

Kevin W LobdellSanger Heart & Vascular Institute, Charlotte, NC.
Shannon CrotwellSanger Heart & Vascular Institute, Charlotte, NC.
Larry T WattsSanger Heart & Vascular Institute, Charlotte, NC.
Bradley LeNoirSanger Heart & Vascular Institute, Charlotte, NC.
John FrederickSanger Heart & Vascular Institute, Charlotte, NC.
Eric R SkipperSanger Heart & Vascular Institute, Charlotte, NC.
Gregory B RussellWake Forest University School of Medicine, Winston-Salem, NC.
Robert HabibSTS Research Center, Chicago, Ill.
Thomas MaxeySanger Heart & Vascular Institute, Charlotte, NC.
Geoffrey A RoseSanger Heart & Vascular Institute, Charlotte, NC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Perfect Care (PC) initiative engages, educates, and enrolls adult cardiac surgery patients into a transformational program that includes an app for appointment scheduling, tracking biometric data and patient-reported outcomes, audiovisual visits, and messaging, paired with a digital health kit (consisting of a fitness tracker, scale, and sphygmomanometer). PC aims to reduce postoperative length of stay (LOS) as well as 30-day readmission and mortality. Methods: This was a retrospective review of patients who underwent coronary artery bypass (CAB), valve, or combined CAB and valve procedures at either of the 2 participating hospitals between April 2018 and March 2022. Patients who participated in the PC quality improvement initiative were compared to propensity-matched controls (1:1 matching). The evaluation focused on postoperative LOS and a novel composite measure comprising 30-day readmission and mortality. Results: Remote monitoring (PC) was associated with a shorter postoperative LOS, lower combined rate of 30-day readmission and mortality, and less variation compared to matched non-PC controls. Conclusions: Integrated improvements in postoperative remote monitoring of adult cardiac surgery patients may reduce time in the hospital and post-acute care facilities. Future prioritized efforts include the development of additional, personalized biometric monitoring devices, use of biometric data to augment risk assessment, and investigation of the value of remote monitoring on various patient risk profiles to address potential disparities in care.

Indexed as

cardiac surgerydigital healthqualityremote monitoringsafetyvalue

Identifiers

PMID37808027
PMCPMC10556943

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.