Developing and Evaluating Data Infrastructure and Implementation Tools to Support Cardiometabolic Disease Indicator Data Collection.
Mohammadreza Amiri, Suban Kangatharan, Louise Brisbois and 4 others
PMID 38174138WHAT IT FOUND
Most inpatients did not recall being taught about aerobic exercise or having their lipids checked, and fewer than half of outpatients met activity guidelines.
An AI tool extracted survey data with less than 1% error, but this quality improvement project reports no evidence that the interventions changed outcomes.
Key findings
01Only 14% of inpatients recalled being taught the need for aerobic exercise for heart health, and 85% reported they were not educated about it.
02About 48% of outpatients reported doing moderate-to-vigorous exercise, but only one in two of those met the frequency and duration guidelines.
03The AI data extraction tool had an error rate of 0.96% for inpatient surveys and 0.86% for outpatient surveys.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
This is a quality improvement project, not a controlled trial, so it cannot determine whether the implementation tools or counselling changed patient outcomes. Data were collected cross-sectionally, meaning patients were surveyed at one point in time rather than followed longitudinally. Patient recall was used to assess whether education or assessments occurred, which is unreliable and may underestimate or overestimate what actually happened. Lipid data were missing for 72 outpatients due to restricted access to electronic health records, limiting the completeness of the results. The study did not test the effectiveness of the developed tools or interventions, only their feasibility for data collection.
Declared interests
The authors received a research ethics board waiver for this quality improvement project. No specific funding sources or conflicts of interest are declared in the provided text.
The easy way to misread this
Do not interpret the high rates of abnormal lipids and low exercise adherence as evidence that the implemented counselling tools worked. The study only describes the creation of these tools and the data collection process; it does not report whether using them improved patient outcomes.