Evidence map›Paper›PMID 38688958›Full record

ArticleNPJ digital medicine2024

Video clips for patient comprehension of atrial fibrillation and deep vein thrombosis in emergency care. A randomised clinical trial.

Santi Di Pietro, Ilaria Ferrari, Giuseppe Bulgari, Maria Lorenza Muiesan, Francesco Falaschi, Annalisa De Silvestri, Luigia Scudeller, Valeria Musella, Simone Saglio, Beatrice Re and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03734406 (Can Video Clips Improve Patient Comprehension at the Emergency Department? A Multicentric Randomized Controlled Trial.), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 25% 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.

NCT03734406 nacompletednot on this map

Can Video Clips Improve Patient Comprehension at the Emergency Department? A Multicentric Randomized Controlled Trial.

TypeinterventionalSponsorFondazione IRCCS Policlinico San Matteo di PaviaRan2018 to 2022Enrolled144ConditionsDoctor Patient Communication, Patient Safety, New Technologies in Clinical Medicine, Patient Education and Health LiteracyArmsVideoclips
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Content Quality, Reliability, and Factors Associated With Likes of Venous Thromboembolism-Related Short Videos on TikTok and Bilibili: A Cross-Platform Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

14 authors at 10 institutions in 2 countries.

Santi Di PietroEmergency Medicine Unit and Emergency Medicine Postgraduate Training Program, IRCCS Policlinico San Matteo Foundation, Department of Internal Medicine, University of Pavia, Pavia, Italy. santi.dipietro@unipv.it.ORCID http://orcid.org/0000-0001-6486-1924
Ilaria FerrariEmergency Department, Humanitas University Hospital, Rozzano, Italy.
Giuseppe BulgariSeconda Medicina Generale ASST Spedali Civili, Brescia, Italy.
Maria Lorenza MuiesanDipartimento di Scienza Cliniche e Sperimentali, Università di Brescia, Direttore 2° Medicina Generale ASST Spedali Civili, Brescia, Italy.ORCID http://orcid.org/0000-0002-4007-9441
Francesco FalaschiAssistance Publique Hôpitaux de Paris, Hôpital Antoine Béclère, GHU Paris-Saclay, Unité Polyvalente Aiguë de Court Séjour, Clamart, France.ORCID http://orcid.org/0000-0003-4814-7741
Annalisa De SilvestriUnit of Clinical Epidemiology and Biostatistics, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy.ORCID http://orcid.org/0000-0003-3128-8441
Luigia ScudellerResearch and Innovation Unit, IRCCS Bologna University Hospital, Bologna, Italy.ORCID http://orcid.org/0000-0001-7240-9567
Valeria MusellaUnit of Clinical Epidemiology and Biostatistics, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy.
Simone SaglioInternal Medicine Residency Programme, University of Pavia, Pavia, Italy.
Beatrice ReRespiratory Medicine Residency Programme, University of Milan, Milan, Italy.
Elena MattiuzzoEmergency Physician, Pavia Poison Centre, IRCCS Fondazione Salvatore Maugeri, Pavia, Italy.
Fabio CherubiniInternal Medicine Residency Programme, University of Brescia, Brescia, Italy.
Stefano PerliniEmergency Medicine Unit and Emergency Medicine Postgraduate Training Program, IRCCS Policlinico San Matteo Foundation, Department of Internal Medicine, University of Pavia, Pavia, Italy.
Improving Emergency Department Discharge Research Group
University of Pavia · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITPoliclinico San Matteo Fondazione · ITAssistance Publique – Hôpitaux de Paris · FRFondazione Salvatore Maugeri · ITHumanitas University · ITUniversity of Bologna · ITUniversity of Brescia · ITUniversity of Milan · ITAzienda Ospedaliera Universitaria Integrata Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Integrating video clips in the discharge process may enhance patients' understanding and awareness of their condition. To determine the effect of video clip-integrated discharge discussion on patient comprehension of atrial fibrillation (AF) and deep vein thrombosis (DVT), and their main complications (stroke and pulmonary embolism), we designed a multicentre, pragmatic, parallel groups, randomised clinical trial, that was conducted at two Emergency Units in Italy. A convenience sample of 144 adult patients (or their caregivers) discharged home with either AF or DVT were randomised to receive standard verbal instructions (control) or video clip-integrated doctor-patient discharge discussion. Participants were guided by the discharging physician through the clip. Mean score for primary outcome (knowledge of the diagnosis and its potential complication) (range 0-18) was 5.87 (95% CI, 5.02-6.72] in the control group and 8.28 (95% CI, 7.27-9.31) in the intervention group (mean difference, -2.41; 95% CI, -3.73 to -1.09; p < 0.001). Among secondary outcomes, mean score for knowledge of the prescribed therapy (range 0-6) was 2.98 (95% CI, 2.57-3.39) in the control group and 3.20 (95% CI, 2.73-3.67) in the study group (mean difference, -0.22; 95% CI, -0.84 to 0.39). Mean score for satisfaction (range 0-12) was 7.34 (95% CI, 6.45-8.23) in the control arm and 7.97 (95% CI, 7.15-8.78) in the intervention arm (mean difference, -0.625; 95% CI -1.82 to 0.57). Initiation rate of newly prescribed anticoagulants was 80% (36/45) in the control group and 90.2% (46/51) in the intervention group. Among 109 patients reached at a median follow up of 21 (IQR 16-28) months, 5.55% (3/54) in the control arm and 1.82% (1/55) in the intervention arm had developed stroke or pulmonary embolism. In this trial, video clip-integrated doctor-patient discharge discussion, improved participants comprehension of AF and DVT and their main complications. Physicians should consider integrating these inexpensive tools during the discharge process of patients with AF or DVT.Trial Registration: ClinicalTrials.gov Identifier "NCT03734406".

Identifiers

PMID38688958
PMCPMC11061292
OpenAlexW4396561142

What OpenQuestion holds

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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.