Evidence map›Paper›PMID 38480582›Full record

ArticleAging clinical and experimental research2024

Home telemonitoring in smart rurality: results from the HIS2R interreg feasibility pilot study.

Didier Schoevaerdts, Marie-Paule Lerude, Véronique Tellier, Marie Pierard, Dimitri Voilmy, Jean-Luc Novella

Abstract read
In one paragraph

Article in Aging clinical and experimental research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
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

6 authors.

Didier SchoevaerdtsDepartment of Geriatric Medicine, CHU UCL Namur, Institute of Health and Society, Catholic University of Louvain, Avenue Dr Gaston Thérasse, 1, 5530, Yvoir, Belgium. didier.schoevaerdts@chuuclnamur.uclouvain.be.
Marie-Paule LerudePublic Health Department, Province de Namur, Place Saint Aubain, 2, 5000, Namur, Belgium.
Véronique TellierPublic Health Department, Province de Namur, Place Saint Aubain, 2, 5000, Namur, Belgium. vrpg.tellier@gmail.com.
Marie PierardFédération des Centres de Services à Domicile - FCSD, Rue de Gembloux 196, 5002, Namur, Belgium.
Dimitri VoilmyLaboratoire Informatique et Société Numérique-Équipe Modélisation et Sûreté des Systèmes, Université de technologie de Troyes, Rue Marie Curie, 12, 10300, Troyes, France.
Jean-Luc NovellaDepartment of Geriatric Medicine, CHU Reims, Hôpital Maison Blanche, rue Cognacq Jay 45, 51100, Reims, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe Health in Smart Rurality Interreg project aims to assess the feasibility of telemonitoring in rural areas across the Franco-Belgian border among patients affected by heart failure or chronic obstructive pulmonary disease. The objectives were to better understand strengths or barriers to implementing telemonitoring for early detection of potential adverse events, for improving quality of life, communication, and care coordination.

methodsUsing a prospective 6-month observational design, interconnected pads were provided to community-dwelling adults aged over 60 years. The device monitored daily body weight, temperature, cardiac rate, blood pressure, and oxygen saturation. Using predefined warning thresholds, data were analyzed by a nurse case-manager who also provided therapeutic education during their contacts.

resultsOut of 87 eligible and screened patients, 21 (24%) were included in the study. At the end of the follow-up, 19 patients (90%) were re-assessed. The rate of hospitalization and mortality was high (32% and 10%, respectively). A total of 644 alerts were recorded (median of 29 alerts/patients) with a high rate of technically-related alerts (TRA) (26%). Out of the 475 non-TRA, 79% and 1% have led to an intervention by the case-manager or the physician, respectively. Therapeutic adjustment was proposed for 12 patients during that period.

conclusionTelemonitoring appears to be a promising solution for the follow-up of patients living far from medical resources. The contribution of a case-manager is of added-value in managing alerts, therapeutic education, and coaching. Many questions remain open such as the improvement of technical aspects and long-term compliance in a real-world setting.

Indexed as

Pulmonary Disease, Chronic ObstructiveTelemedicineAgedFeasibility StudiesHumansMiddle AgedPilot ProjectsProspective StudiesQuality of LifeCase-managerChronic obstructive pulmonary diseaseHeart failureTelemedicine

Identifiers

PMID38480582
PMCPMC10937768

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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.