Evidence map›Paper›PMID 40456137›Full record

ArticleJMIR research protocols2025

Impact of Virtual Care With Remote Automated Monitoring on the Rate of Acute Hospital Care Post Discharge and Index Length of Hospital Stay: Protocol for the Post Discharge After Surgery Virtual Care With Remote Automated Monitoring Technology 3 (PVC-RAM-3) Trial.

Sandra Ofori, Michael H McGillion, Flavia K Borges, Carley Ouellette, Ameen Patel, David Conen, Maura Marcucci, Michael Ke Wang, Lily Jaeyoung Park, Conor Bell and 23 more

Erratum issued Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR research protocols, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05171569 (Post Discharge After Surgery Virtual Care With Remote Automated Monitoring Technology-3), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05171569 naactive not recruitingnot on this map

Post Discharge After Surgery Virtual Care With Remote Automated Monitoring Technology-3 (PVC-RAM-3) Trial

TypeinterventionalSponsorPopulation Health Research InstituteRan2021 to 2025Enrolled2,500ConditionsSurgeryArmsVirtual care with remote automated monitoring (RAM)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

33 authors.

Sandra OforiMcMaster University, Hamilton, ON, Canada.ORCID 0000-0002-1691-0979
Michael H McGillionMcMaster University, Hamilton, ON, Canada.ORCID 0000-0002-1343-7012
Flavia K BorgesMcMaster University, Hamilton, ON, Canada.ORCID 0000-0001-5377-7612
Carley OuelletteMcMaster University, Hamilton, ON, Canada.ORCID 0000-0003-3242-6164
Ameen PatelMcMaster University, Hamilton, ON, Canada.ORCID 0000-0002-9338-2815
David ConenMcMaster University, Hamilton, ON, Canada.ORCID 0000-0002-2459-5251
Maura MarcucciMcMaster University, Hamilton, ON, Canada.ORCID 0000-0002-8468-7991
Michael Ke WangMcMaster University, Hamilton, ON, Canada.ORCID 0000-0002-4949-3235
Lily Jaeyoung ParkMcMaster University, Hamilton, ON, Canada.ORCID 0000-0002-0372-3525
Conor BellMcMaster University, Hamilton, ON, Canada.ORCID 0000-0002-5595-8246
Jennifer LounsburyHamilton Health Sciences, Hamilton, ON, Canada.ORCID 0009-0007-5537-7832
Kanae NagataniHamilton Health Sciences, Hamilton, ON, Canada.
Vikas TandonMcMaster University, Hamilton, ON, Canada.ORCID 0009-0007-0257-3936
Trevor J WilkiesonMcMaster University, Hamilton, ON, Canada.ORCID 0009-0009-9004-8238
Ahraaz WyneMcMaster University, Hamilton, ON, Canada.ORCID 0009-0007-6114-9780
Valerie HarveyPopulation Health Research Institute, Hamilton, ON, Canada.ORCID 0000-0002-3075-4036
Stephanie HarrisonPopulation Health Research Institute, Hamilton, ON, Canada.ORCID 0009-0005-4656-579X
Rahima NenshiMcMaster University, Hamilton, ON, Canada.ORCID 0009-0001-2124-2004
Jessica BogachMcMaster University, Hamilton, ON, Canada.ORCID 0000-0001-5536-1530
John HarlockMcMaster University, Hamilton, ON, Canada.ORCID 0000-0002-6631-7399
Margherita CadedduMcMaster University, Hamilton, ON, Canada.ORCID 0009-0008-6261-7395
Shawn ForbesMcMaster University, Hamilton, ON, Canada.ORCID 0000-0001-5653-2119
Shariq HaiderMcMaster University, Hamilton, ON, Canada.ORCID 0000-0002-3776-5926
Reza D MirzaMcMaster University, Hamilton, ON, Canada.ORCID 0000-0002-0576-4208
Sunita NarangMcMaster University, Hamilton, ON, Canada.ORCID 0009-0004-1078-7457
Clare J ReadeMcMaster University, Hamilton, ON, Canada.ORCID 0000-0001-6018-6503
Daniel M TushinskiMcMaster University, Hamilton, ON, Canada.ORCID 0000-0002-2117-4654
Amit RautMcMaster University, Hamilton, ON, Canada.ORCID 0009-0005-8001-8124
Samir RazaMcMaster University, Hamilton, ON, Canada.ORCID 0009-0005-3387-9706
Ted ScottHamilton Health Sciences, Hamilton, ON, Canada.ORCID 0000-0002-6190-050X
Anthony AdiliMcMaster University, Hamilton, ON, Canada.ORCID 0000-0003-4692-819X
Jeremy PetchMcMaster University, Hamilton, ON, Canada.ORCID 0000-0003-1614-1046
P J DevereauxMcMaster University, Hamilton, ON, Canada.ORCID 0000-0003-2935-637X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA substantial proportion of patients require acute hospital care after hospital discharge post surgery, and many regions and countries have surgical backlogs.

objectiveThe Post Discharge After Surgery Virtual Care with Remote Automated Monitoring Technology-3 (PCV-RAM-3) trial tests the hypothesis that informing surgeons and patients of virtual care with remote automated monitoring (VC-RAM) assignment will promote earlier discharge, thereby reducing the index length of hospital stay, and that postdischarge VC-RAM will reduce acute hospital care.

methodsThe PVC-RAM-3 trial is a randomized controlled trial that compares VC-RAM to standard postdischarge care among 2500 adults undergoing elective noncardiac surgery in 3 Canadian hospitals. Following the randomization of patients prior to surgery, surgeons and patients are immediately notified whether the patient has been allocated to the VC-RAM or control group. Outcome adjudicators remain blinded to each participant's group assignment. Patients in the intervention arm learn to use a Health Canada-approved cellular modem-enabled tablet computer and Bluetooth-enabled remote automated monitoring technology from Cloud DX to take daily wound photos for 7 days and measure daily vital signs (ie, blood pressure, heart rate, oxygen saturation, temperature, and weight) three times daily on days 1-7 and twice daily on days 8-14 post discharge, along with completing a brief recovery survey. Nurses review these data and conduct scheduled virtual visits (days 1, 3, 7, and 14). Nurses will escalate care to a preassigned and available perioperative care physician if predetermined vital sign thresholds are exceeded, concerning symptoms arise, or a medication error is detected. These physicians manage the issues and add or modify treatments as needed. The standard care group will receive postdischarge care as per the standard of care at the hospital where they undergo surgery. The coprimary outcomes are acute hospital care and the index hospital length of stay within the first 30 days after randomization.

resultsStudy recruitment and follow-up are completed, and analysis of the study results is underway.

conclusionsThis trial will offer insights into the role of VC-RAM in reducing acute hospital care and index length of hospital stay among adults undergoing elective surgery.

trial registrationClinicalTrials.gov NCT05171569; https://clinicaltrials.gov/ct2/show/NCT05171569. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/72672.

Indexed as

Length of StayPatient DischargePostoperative CareAdultCanadaEquivalence Trials as TopicHumansMonitoring, PhysiologicMulticenter Studies as TopicRandomized Controlled Trials as TopicTelemedicineacute hospital careelective surgeryindex length of stayrandomized controlled trialremote automated monitoringvirtual care

Identifiers

PMID40456137
PMCPMC12171644

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.