Trial Outcomes & Findings for Telemedicine in Cardiac Surgery: A Pilot Study (NCT NCT01163474)

NCT ID: NCT01163474

Last Updated: 2019-08-06

Results Overview

Using CVT software and desktop webcams on the VA private network, "Virtual" CVT visits were conducted immediately prior to usual care of Face-to-Face (FTF) postoperative visits. Two independent surgeons reviewed the CVT recordings and made recommendations on patient dispositions. Accuracy was assessed by comparing the 2 reviewers' CVT decisions to the FTF decision.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

40 participants

Primary outcome timeframe

1 month

Results posted on

2019-08-06

Participant Flow

Patients were recruited after coronary artery bypass or cardiac valvular surgery.

All participants were assigned to both the intervention (post-surgical evaluation by video-teleconference) and control (face-to-face visit) groups.

Participant milestones

Participant milestones
Measure
Arm 1 - Evaluate Video Clinic Visit Prior to Face-to-Face Usua
Evaluate video clinic visit prior to Face-to-Face usual care visit
Overall Study
STARTED
40
Overall Study
COMPLETED
24
Overall Study
NOT COMPLETED
16

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm 1 - Evaluate Video Clinic Visit Prior to Face-to-Face Usua
Evaluate video clinic visit prior to Face-to-Face usual care visit
Overall Study
Withdrawal by Subject
1
Overall Study
Tech barriers to videoteleconference vis
12
Overall Study
Lost to Follow-up
3

Baseline Characteristics

Telemedicine in Cardiac Surgery: A Pilot Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1 - Evaluate Video Clinic Visit
n=24 Participants
Evaluate video clinic visit prior to Face-to-Face usual care visit
Age, Continuous
64 years
STANDARD_DEVIATION 8.3 • n=99 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
Sex: Female, Male
Male
24 Participants
n=99 Participants
Race/Ethnicity, Customized
White
16 participants
n=99 Participants
Race/Ethnicity, Customized
African American
4 participants
n=99 Participants
Race/Ethnicity, Customized
Hispanic
4 participants
n=99 Participants
Region of Enrollment
United States
24 participants
n=99 Participants

PRIMARY outcome

Timeframe: 1 month

Using CVT software and desktop webcams on the VA private network, "Virtual" CVT visits were conducted immediately prior to usual care of Face-to-Face (FTF) postoperative visits. Two independent surgeons reviewed the CVT recordings and made recommendations on patient dispositions. Accuracy was assessed by comparing the 2 reviewers' CVT decisions to the FTF decision.

Outcome measures

Outcome measures
Measure
Arm 1 - Evaluate Video Conferencing
n=24 Participants
Evaluate virtual video conference follow-up clinic visit Evaluative process: Evaluative process using video conferencing
Accuracy (FTF Decision on Patient Disposition vs. V-visit Decision on Patient Disposition)
89 percentage of agreement

SECONDARY outcome

Timeframe: 1 month

Acceptability was assessed using a the Demeris 17-item Likert-scale questionnaire. Scale from 1 to 5 (1 = strongly disagree; 5 = strongly agree).

Outcome measures

Outcome measures
Measure
Arm 1 - Evaluate Video Conferencing
n=23 Participants
Evaluate virtual video conference follow-up clinic visit Evaluative process: Evaluative process using video conferencing
Acceptability
68 units on a scale
Standard Deviation 6.7

SECONDARY outcome

Timeframe: 1 month

Population: Data for this outcome are no longer available.

Outcome measures

Outcome data not reported

Adverse Events

Arm 1 - Evaluate Video Conferencing

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm 2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Donna Smith/Project Coordinator

Houston VA HSR&D

Phone: (713)440-4423

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place