Evidence map›Paper›PMID 28320688›Full record

ArticleJMIR research protocols2017

Implementation of a Home Monitoring System for Heart Failure Patients: A Feasibility Study.

Martin Steven Kohn, Jeffrey Haggard, Jack Kreindler, Kade Birkeland, Ilan Kedan, Raymond Zimmer, Raj Khandwalla

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Martin Steven KohnSentrian, San Juan Capistrano, CA, United States.ORCID http://orcid.org/0000-0002-8489-6486
Jeffrey HaggardSentrian, San Juan Capistrano, CA, United States.ORCID http://orcid.org/0000-0002-1726-8519
Jack KreindlerSentrian, San Juan Capistrano, CA, United States.ORCID http://orcid.org/0000-0002-6133-3429
Kade BirkelandCedars-Sinai Heart Institute, Beverly Hills, CA, United States.ORCID http://orcid.org/0000-0002-7619-2657
Ilan KedanCedars-Sinai Heart Institute, Beverly Hills, CA, United States.ORCID http://orcid.org/0000-0002-0871-3713
Raymond ZimmerCedars-Sinai Heart Institute, Beverly Hills, CA, United States.ORCID http://orcid.org/0000-0003-2090-0148
Raj KhandwallaCedars-Sinai Heart Institute, Beverly Hills, CA, United States.ORCID http://orcid.org/0000-0003-0725-8648
Cedars-Sinai Smidt Heart Institute · USVIP Sensors (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproving the management of patients with complex chronic disease is a substantial undertaking with the simultaneous goals of improving patient outcomes and controlling costs. Reducing avoidable hospitalization for such patients is a step toward both objectives. Some of the deterioration experienced in chronic disease patients occurs outside the view of their clinicians, and before the patient becomes overtly symptomatic. Home monitoring has been used for more than 20 years to detect deterioration earlier so that the patients could be treated before they became ill enough to require hospitalization. Patient participation is an important requirement for successful home monitoring. There has been some concern that patients would be unwilling or unable to engage in a program that collected multiple measurements. The Cedars-Sinai Cardiology Center provides a high-touch, intense management program for patients with congestive heart failure (CHF). A group of their patients were chosen to join a complex, multidevice home monitoring system to see whether such patients would find value in the additional effort.

objectiveThe objective of our study was to determine whether patients already actively engaged in a high-touch intensive management program for CHF would take on the additional burden of a complex home monitoring effort.

methodsA total of 20 patients from the Cedars-Sinai group were enrolled in a monitoring program utilizing 5 different devices. Anonymous surveys were collected from the patients to assess their satisfaction with the program.

resultsIn total, 90% (18/20) completed the program, and 61% (11/20) submitted the survey. Among the 18 patients, overall compliance with the requested measurements was 70%. It was found that 73% (8/11) felt better about their health as a result of the program, whereas another 73% (8/11) believed that the care team now had a better picture of their health.

conclusionsSubstantial patient compliance and satisfaction can be achieved in a sophisticated home monitoring program.

Indexed as

heart failurehome monitoringpatient engagementpredictive analytics

Identifiers

PMID28320688
PMCPMC5379016
OpenAlexW2598702439

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.