Evidence mapPaperPMID 37645519Full record

ArticleFrontiers in cardiovascular medicine2023

COVID-19 teleassistance and teleconsultation: a matched case-control study (MIRATO project, Lombardy, Italy).

Palmira Bernocchi, Giacomo Crotti, Elvira Beato, Francesco Bonometti, Vittorio Giudici, Patrizia Bertolaia, Elisa Perger, Andrea Remuzzi, Tiziana Bachetti, Maria Teresa La Rovere and 6 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04898179 (Targed Support for Patients Discharged After Hospitalization for SARS-CoV-2 Infection and Comorbidities. [ITALIAN. Supporto MIRATO ai Pazienti Dimessi Dopo un Ricovero Per Infezione da SARS-CoV-2 e comorbidità]), 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
1.2field-weighted citation impact, top 21% 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.

NCT04898179 completednot on this map

Targed Support for Patients Discharged After Hospitalization for SARS-CoV-2 Infection and Comorbidities. [ITALIAN. Supporto MIRATO ai Pazienti Dimessi Dopo un Ricovero Per Infezione da SARS-CoV-2 e comorbidità]

TypeobservationalSponsorIstituti Clinici Scientifici Maugeri SpARan2020 to 2022Enrolled796ConditionsCOVID19 PatientsArmsTelecare Group, Control group
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

16 authors at 6 institutions in 1 country.

Palmira BernocchiContinuity Care and Telemedicine Service, Istituti Clinici Scientifici Maugeri IRCCS, Institute of Lumezzane, Brescia, Italy.
Giacomo CrottiEpidemiology Unit, Bergamo Health Protection Agency, Bergamo, Italy.
Elvira BeatoEpidemiology Unit, Bergamo Health Protection Agency, Bergamo, Italy.
Francesco BonomettiContinuity Care and Telemedicine Service, Istituti Clinici Scientifici Maugeri IRCCS, Institute of Lumezzane, Brescia, Italy.
Vittorio GiudiciDepartment of Cardiac Rehabilitation, Bolognini Hospital, Azienda Socio Sanitaria Territoriale Bergamo Est, Bergamo, Italy.
Patrizia BertolaiaSocio-Health Management Direction, Azienda Socio Sanitaria Territoriale Bergamo Est, Bergamo, Italy.
Elisa PergerIstituto Auxologico Italiano, IRCCS, Sleep Disorders Center & Department of Cardiovascular, Neural and Metabolic Sciences, San Luca Hospital, Milan, Italy.
Andrea RemuzziDepartment of Management, Information and Production Engineering, University of Bergamo, Bergamo, Italy.
Tiziana BachettiScientific Direction, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
Maria Teresa La RovereCardiac Rehabilitation Division, Istituti Clinici Scientifici Maugeri IRCCS, Institute of Montescano, Pavia, Italy.
Laura Adelaide Dalla VecchiaDepartment of Cardiology, Istituti Clinici Scientifici Maugeri IRCCS, Institute of Milan, Milan, Italy.
Fabio AngeliDepartment of Medicine and Technological Innovativon (DiMIT), University of Insubria, Varese, Italy.
Gianfranco ParatiDepartment of Cardiology, Istituto Auxologico Italiano, IRCCS, San Luca Hospital, Milan, Italy.
Gabriella BorghiContinuity Care and Telemedicine Service, Istituti Clinici Scientifici Maugeri IRCCS, Institute of Lumezzane, Brescia, Italy.
Michele VitaccaDepartment of Respiratory Rehabilitation, Istituti Clinici Scientifici Maugeri IRCCS, Institute of Lumezzane, Brescia, Italy.
Simonetta ScalviniContinuity Care and Telemedicine Service, Istituti Clinici Scientifici Maugeri IRCCS, Institute of Lumezzane, Brescia, Italy.
Istituti Clinici Scientifici Maugeri · ITUniversity of Bergamo · ITIRCCS Istituto Auxologico Italiano · ITAzienda Socio Sanitaria Territoriale Bergamo EstAzienda Socio Sanitaria Territoriale Lariana · ITUniversity of Insubria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: During the COVID-19 pandemic, telemedicine has been recognised as a powerful modality to shorten the length of hospital stay and to free up beds for the sicker patients. Lombardy, and in particular the areas of Bergamo, Brescia, and Milan, was one of the regions in Europe most hit by the COVID-19 pandemic. The primary aim of the MIRATO project was to compare the incidence of severe events (hospital readmissions and mortality) in the first three months after discharge between COVID-19 patients followed by a Home-Based Teleassistance and Teleconsultation (HBTT group) program and those discharged home without Telemedicine support (non-HBTT group). Methods: The study was designed as a matched case-control study. The non-HBTT patients were matched with the HBTT patients for sex, age, presence of COVID-19 pneumonia and number of comorbidities. After discharge, the HBTT group underwent a telecare nursing and specialist teleconsultation program at home for three months, including monitoring of vital signs and symptoms. Further, in this group we analysed clinical data, patients' satisfaction with the program, and quality of life. Results: Four hundred twenty-two patients per group were identified for comparison. The median age in both groups was 70 ± 11 years (62% males). One or more comorbidities were present in 86% of the HBTT patients and 89% in the non-HBTT group ( Conclusions: Compared to usual care, an HBTT program can reduce severe events (hospital admissions/mortality) at 3-months from discharge and improve symptoms and quality of life. Clinical trial registration: www.ClinicalTrials.gov, NCT04898179.

Indexed as

chronic diseaseoutcomerehabilitationsymptomsteleassistanceteleconsultationtelemedicinetelemonitoring

Identifiers

PMID37645519
PMCPMC10461473
OpenAlexW4385837498

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.