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| Name | Class |
|---|---|
| Cedars Sinai Medical Center, Los Angeles, USA | UNKNOWN |
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This study is a prospective, single center, randomized trial comparing an AI-generated peri-operative video education program to standard of care education (1:1 ratio) in patients undergoing MV repair. The trial will be conducted in Southern California. The primary aim of this study is to evaluate the impact of a novel, AI-generated, interactive peri-operative video education program on total unplanned healthcare utilization, defined as a composite of hospital readmissions, ED visits, and unplanned outpatient visits, among patients undergoing mitral valve (MV) repair compared with standard of care education. The secondary aim is to analyze the association between utilization of this educational program with hospital length of stay (LOS) and patient cardiovascular medication compliance compared to standard of care education. The tertiary aim of this trial is to evaluate a range of patient-centered outcomes (levels of anxiety, satisfaction, and discharge location) following receipt of this educational program compared with standard of care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Peri-Operative Standard of Care and Artificial Intelligence Video Education Arm | Active Comparator | In this arm, patients will receive AI-generated, interactive, peri-operative video education program in addition to standard of care education |
|
| Peri-Operative Standard of Care Education only Arm | No Intervention | In this arm, patients will receive the usual Standard of Care Peri-Operative Education |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Artificial Intelligence Video Education Arm | Other | A novel, AI-generated, interactive peri-operative video education program. AI videos will be personalized using medical record chart data, specifically the patient's name, surgery date, and past medical history. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Unplanned Healthcare Utilization events | includes the following events: unplanned (i.e. patient initiated) phone calls, emails, clinic visits, and ED visits. | From randomization to 30 days post-surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Aminah Sallam, MD | Contact | 3104233277 | aminah.sallam@cshs.org | |
| Allen Armin Razavi, MD | Contact | 3104233277 | armin.razavi@cshs.org |
| Name | Affiliation | Role |
|---|---|---|
| Joanna Chikwe, MD | Cedars-Sinai Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cedars Sinai Medical Center Smidt Heart Institute | Recruiting | Los Angeles | California | 90048 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36018625 | Background | van Steenbergen G, van Veghel D, van Lieshout D, Sperwer M, Ter Woorst J, Dekker L. Effects of Video-Based Patient Education and Consultation on Unplanned Health Care Utilization and Early Recovery After Coronary Artery Bypass Surgery (IMPROV-ED): Randomized Controlled Trial. J Med Internet Res. 2022 Aug 26;24(8):e37728. doi: 10.2196/37728. | |
| 15196195 |
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| Tromp F, Dulmen S, Weert J. Interdisciplinary preoperative patient education in cardiac surgery. J Adv Nurs. 2004 Jul;47(2):212-22. doi: 10.1111/j.1365-2648.2004.03081.x. |
| 12724430 | Background | Kessels RP. Patients' memory for medical information. J R Soc Med. 2003 May;96(5):219-22. doi: 10.1177/014107680309600504. No abstract available. |
| Background | Ljungqvist O, Francis NK, Urman RD, eds. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes. Springer International Publishing; 2020. doi:10.1007/978-3-030-33443-7 |
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| 21768583 | Background | Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011 Jul 19;155(2):97-107. doi: 10.7326/0003-4819-155-2-201107190-00005. |
| 36183003 | Background | Fernandez-Castro M, Jimenez JM, Martin-Gil B, Munoz-Moreno MF, Martin-Santos AB, Del Rio-Garcia I, Redondo-Perez N, Lopez M. The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery. Sci Rep. 2022 Oct 1;12(1):16464. doi: 10.1038/s41598-022-20870-9. |
| 31248177 | Background | Prado-Olivares J, Chover-Sierra E. Preoperatory Anxiety in Patients Undergoing Cardiac Surgery. Diseases. 2019 Jun 19;7(2):46. doi: 10.3390/diseases7020046. |
| 29157759 | Background | Ramesh C, Nayak BS, Pai VB, Patil NT, George A, George LS, Devi ES. Effect of Preoperative Education on Postoperative Outcomes Among Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis. J Perianesth Nurs. 2017 Dec;32(6):518-529.e2. doi: 10.1016/j.jopan.2016.11.011. Epub 2017 Apr 13. |