Evidence map›Paper›PMID 40703106›Full record

ArticleEuropean heart journal. Digital health2025

Study design and rationale of the AZIMUTH trial: a smartphone, app-based, E-health-integrated model of care for heart failure patients.

Domenico D'Amario, Attilio Restivo, Renzo Laborante, Donato Antonio Paglianiti, Alfredo Cesario, Stefano Patarnello, Sofoklis Kyriazakos, Alice Luraschi, Konstantina Kostopoulou, Antonio Iaconelli and 13 more

Abstract read
In one paragraph

Article in European heart journal. Digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  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

23 authors.

Domenico D'AmarioDepartment of Translational Medicine, University of Eastern Piedmont, Corso Mazzini 18, Padiglione A, Novara 28100, Italy.
Attilio RestivoFondazione Universitaria Policlinico A. Gemelli IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0002-9097-5287
Renzo LaboranteFondazione Universitaria Policlinico A. Gemelli IRCCS, Rome, Italy.
Donato Antonio PaglianitiFondazione Universitaria Policlinico A. Gemelli IRCCS, Rome, Italy.
Alfredo CesarioFondazione Universitaria Policlinico A. Gemelli IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0003-4687-0709
Stefano PatarnelloFondazione Universitaria Policlinico A. Gemelli IRCCS, Rome, Italy.
Sofoklis KyriazakosInnovation Sprint Sprl, Bruxelles, Belgium.
Alice LuraschiFondazione Universitaria Policlinico A. Gemelli IRCCS, Rome, Italy.
Konstantina KostopoulouInnovation Sprint Sprl, Bruxelles, Belgium.
Antonio IaconelliFondazione Universitaria Policlinico A. Gemelli IRCCS, Rome, Italy.
Enrico IncaminatoDepartment of Translational Medicine, University of Eastern Piedmont, Corso Mazzini 18, Padiglione A, Novara 28100, Italy.
Gaetano RizzoDepartment of Translational Medicine, University of Eastern Piedmont, Corso Mazzini 18, Padiglione A, Novara 28100, Italy.
Marco GoriniHealthcare Innovation, AstraZeneca, Milan, Italy.
Stefania MarcoliHealthcare Innovation, AstraZeneca, Milan, Italy.
Vincenzo BartoliHealthcare Innovation, AstraZeneca, Milan, Italy.
Thomas GriffithsHealthcare Service Design, AstraZeneca, London, UK.
Peter FeniciDepartment of Cardiovascular Sciences, Catholic University of the Sacred Heart, Rome, Italy.
Simona GiubilatoDepartment of Cardiology, Cannizzaro Hospital, Catania, Italy.
Maurizio VolterraniDepartment of Cardiopulmonary, IRCCS San Raffaele Roma, Rome 00166, Italy.ORCID https://orcid.org/0000-0002-2624-9213
Giuseppe PattiDepartment of Translational Medicine, University of Eastern Piedmont, Corso Mazzini 18, Padiglione A, Novara 28100, Italy.ORCID https://orcid.org/0000-0002-5404-3968
Vincenzo ValentiniFondazione Universitaria Policlinico A. Gemelli IRCCS, Rome, Italy.
Giovanni ScambiaFondazione Universitaria Policlinico A. Gemelli IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0003-2758-1063
Filippo CreaDepartment of Cardiovascular Sciences, Catholic University of the Sacred Heart, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Despite advancements in disease-modifying therapies, the rate of hospitalizations in patients with heart failure (HF) remains high, with an increased risk of future adverse events and healthcare costs. In this context, the AZIMUTH study aims to evaluate the large-scale applicability of a smartphone app-based model of care to improve the quality of care and clinical outcomes of HF patients. Methods and results: The AZIMUTH trial is a multicentre, prospective, pragmatic, interventional, single-cohort study enrolling HF patients. Three hundred patients will be recruited from four different sites. For comparative analyses, historical data from participating hospitals for the 6 months before enrolment and propensity-matching score analyses from GENERATOR HF DataMart, will be used. The estimated duration of the study is 6 months. During the whole observational period, the patients are asked to provide information regarding their clinical status, transmit remote clinical parameters, and periodically answer validated questionnaires, the Kansas City Cardiomyopathy Questionnaire Health and Morisky Medication Adherence Scale 8-item, on a mobile application, through which healthcare providers implement therapeutic adjustments and remote clinical assessments. The primary objective of this study is to evaluate the feasibility, usability, and perceived benefits for key stakeholders (patients and clinical staff) of the AZIMUTH digital platform in the enrolled patients when compared to standard of care. Secondary endpoints will be the description of the rate of hospital readmissions, ambulatory visits and prescribed therapy in the 6 months following enrolment in the experimental group compared to both the historical and propensity-matched cohorts. Conclusion: The AZIMUTH aims to enhance HF management by leveraging digital technologies to support the care process and enhance monitoring, engagement, and personalized treatment for HF patients.

Indexed as

Digital TechnologiesE-health integrated model of careHeart failure

Identifiers

PMID40703106
PMCPMC12282352

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.