Evidence map›Paper›PMID 39822579›Full record

ArticleKidney medicine2024

Acute Kidney Injury Survivor Remote Patient Monitoring: A Single Center's Experience and an Effectiveness Evaluation.

Mariam Charkviani, Andrea G Kattah, Andrew D Rule, Jennifer A Ferguson, Kristin C Mara, Kianoush B Kashani, Heather P May, Jordan K Rosedahl, Swetha Reddy, Lindsey M Philpot and 1 more

Abstract read
In one paragraph

Article in Kidney medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Mariam CharkvianiDivision of Nephrology & Hypertension, Mayo Clinic, Rochester, MN.
Andrea G KattahDivision of Nephrology & Hypertension, Mayo Clinic, Rochester, MN.
Andrew D RuleDivision of Nephrology & Hypertension, Mayo Clinic, Rochester, MN.
Jennifer A FergusonDivision of Community Internal Medicine, Mayo Clinic, Rochester, MN.
Kristin C MaraDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN.
Kianoush B KashaniDivision of Nephrology & Hypertension, Mayo Clinic, Rochester, MN.
Heather P MayDepartment of Pharmacy, Mayo Clinic, Rochester, MN.
Jordan K RosedahlDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN.
Swetha ReddyDivision of Critical Care Medicine, Department of Medicine, Mayo Clinic, Jacksonville, FL.
Lindsey M PhilpotDivision of Epidemiology, Mayo Clinic, Rochester, MN.
Erin F BarretoDepartment of Pharmacy, Mayo Clinic, Rochester, MN.

Funding

Beta-lactam individualization for critically ill patientsK23AI143882 · NIAID · MAYO CLINIC ROCHESTER · PI BARRETO, ERIN FRAZEE · 2020 to 2024
$986k
AHRQ HHS R03 HS028060NIAID NIH HHS K23 AI143882
6 · The paper itself

Abstract

Rationale & Objective: Remote patient monitoring (RPM) could improve the quality and efficiency of acute kidney injury (AKI) survivor care. This study described our experience with AKI RPM and characterized its effectiveness. Study Design: A cohort study matched 1:3 to historical controls. Setting & Participants: Patients hospitalized with an episode of AKI who were discharged home and were not treated with dialysis. Exposure: Participation in an AKI RPM program, which included use of a home vital sign and symptom monitoring technology and weekly in-center laboratory assessments. Outcomes: Risk of unplanned hospital readmission or emergency department (ED) visit within 6 months. Analytic Approach: Endpoints were assessed using Cox proportional hazards models. Results: Forty of the 49 patients enrolled in AKI RPM (82%) participated in the program after hospital discharge. Seventy three percent of patients experienced one AKI RPM alert, most commonly related to fluid status. Among those with stage 3 AKI, the risk of unplanned readmission or ED visit within 6 months of discharge was not different between AKI RPM patients (n = 34) and matched controls (n = 102) (HR 1.33 [95% CI, 0.81-2.18]; Limitations: Small sample size that may have been underpowered for the effectiveness endpoints. Conclusions: AKI RPM, when used after hospital discharge, led to alerts and interventions directed at optimizing kidney health and AKI complications but did not reduce the risk for rehospitalization.

Indexed as

acute kidney injurydigital healthhealth technologyremote patient monitoringTelehealth

Identifiers

PMID39822579
PMCPMC11738026

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.