Evidence map›Paper›PMID 38296291›Full record

Trial reportBMJ open2024

Home-based management of hypoxaemic COVID-19 patients: design of the Therapy@Home pilot study.

Josi A Boeijen, Alma C van de Pol, Rick T van Uum, Roderick P Venekamp, Karin Smit, Karin A H Kaasjager, Robert van den Broek, Wilma Bijsterbosch, Lisette Schoonhoven, Frans H Rutten and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

11 authors at 2 institutions in 2 countries.

Josi A BoeijenDepartment of General Practice and Nursing Science, Julius Center for Health Sciences and Primary Care, Utrecht, Netherlands J.A.boeijen@umcutrecht.nl.ORCID 0000-0002-6259-4364
Alma C van de PolDepartment of General Practice and Nursing Science, Julius Center for Health Sciences and Primary Care, Utrecht, Netherlands.
Rick T van UumDepartment of General Practice and Nursing Science, Julius Center for Health Sciences and Primary Care, Utrecht, Netherlands.ORCID 0000-0001-9415-4286
Roderick P VenekampDepartment of General Practice and Nursing Science, Julius Center for Health Sciences and Primary Care, Utrecht, Netherlands.ORCID 0000-0002-1446-9614
Karin SmitDepartment of General Practice and Nursing Science, Julius Center for Health Sciences and Primary Care, Utrecht, Netherlands.
Karin A H KaasjagerDepartment of Epidemiology and Health Economics, Julius Center for Health Sciences and Primary Care, Utrecht, Netherlands.
Robert van den BroekDepartment of Internal Medicine, University Medical Center Utrecht, Utrecht, Netherlands.
Wilma BijsterboschDepartment of Internal Medicine, University Medical Center Utrecht, Utrecht, Netherlands.
Lisette SchoonhovenDepartment of General Practice and Nursing Science, Julius Center for Health Sciences and Primary Care, Utrecht, Netherlands.
Frans H RuttenDepartment of General Practice and Nursing Science, Julius Center for Health Sciences and Primary Care, Utrecht, Netherlands.ORCID 0000-0002-5052-7332
Dorien L M ZwartDepartment of General Practice and Nursing Science, Julius Center for Health Sciences and Primary Care, Utrecht, Netherlands.
Oklahoma State University Center for Health Sciences · USUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDuring the COVID-19 pandemic, hospital capacity was strained. Home-based care could relieve the hospital care system and improve patient well-being if safely organised.We designed an intervention embedded in a regional collaborative healthcare network for the home-based management of acutely ill COVID-19 patients requiring oxygen treatment. Here, we describe the design and pilot protocol for the evaluation of the feasibility of this complex intervention. METHODS AND ANALYSIS: Following a participatory action research approach, the intervention was designed in four consecutive steps: (1) literature review and establishment of an expert panel; (2) concept design of essential intervention building blocks (acute medical care, acute nursing care, remote monitoring, equipment and technology, organisation and logistics); (3) safety assessments (prospective risk analysis and a simulation patient evaluation) and (4) description of the design of the pilot (feasibility) study aimed at including approximately 15-30 patients, sufficient for fine-tuning for a large-scale randomised intervention. ETHICS AND DISSEMINATION: All patients will provide written, informed consent. The study was approved by the Medical Ethics Review Committee of the University Medical Center Utrecht, the Netherlands (protocol NL77421.041.21). The preparatory steps (1-4) needed to perform the pilot are executed and described in this paper. The findings of the pilot will be published in academic journals. If we consider the complex intervention feasible, we aim to continue with a large-scale randomised controlled study evaluating the clinical effectiveness, safety and implementation of the complex intervention.

Indexed as

COVID-19HumansPandemicsPilot ProjectsProspective StudiesTreatment OutcomeCOVID-19Feasibility StudiesOrganisation of health servicesPatient-Centered CareTelemedicine

Identifiers

PMID38296291
PMCPMC10828874
OpenAlexW4391392881

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.