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Peer-Reviewed Publication
J Am Med Inform Assoc2024;31(4):919-928.April 3, 2024Journal Article

Artificial intelligence predictive analytics in heart failure: results of the pilot phase of a pragmatic randomized clinical trial.

Konstantinos Sideris1,2, Charlene R Weir1,3, Carsten Schmalfuss4,5, Heather Hanson1,2, Matt Pipke6, Po-He Tseng6, Neil Lewis7,8, Karim Sallam9,10, Biykem Bozkurt11,12, Thomas Hanff1,2, Richard Schofield4,5, Karen Larimer6, Christos P Kyriakopoulos1,2, Iosif Taleb1,2, Lina Brinker1,2, Tempa Curry4,5, Cheri Knecht4,5, Jorie M Butler1,3, Josef Stehlik1,2
1Cardiology Section, Medical Service, George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, UT 84148, United States.
2Division of Cardiovascular Medicine, Department of Internal Medicine, University of Utah, Salt Lake City, UT 84112, United States.
3Department of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT 84108, United States.
4Cardiology Section, Medical Service, Malcom Randall VA Medical Center, Gainesville, FL 32608, United States.
5Division of Cardiovascular Medicine, Department of Internal Medicine, University of Florida College of Medicine, Gainesville, FL 32610, United States.
6PhysIQ, Inc., Chicago, IL 60563, United States.
7Cardiology Section, Medical Service, Hunter Holmes McGuire Veterans Medical Center, Richmond, VA 23249, United States.
8Department of Internal Medicine, Division of Cardiovascular Disease, Virginia Commonwealth University, Richmond, VA 23249, United States.
9Cardiology Section, Medical Service, VA Palo Alto Health Care System, Palo Alto, CA 94304, United States.
10Division of Cardiovascular Medicine, Department of Internal Medicine, Stanford University School of Medicine, Stanford, CA 94305, United States.
11Cardiology Section, Medical Service, Michael E. DeBakey VA Medical Center, Houston, TX 77030, United States.
12Section of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX 77030, United States.

Abstract

OBJECTIVES: We conducted an implementation planning process during the pilot phase of a pragmatic trial, which tests an intervention guided by artificial intelligence (AI) analytics sourced from noninvasive monitoring data in heart failure patients (LINK-HF2). MATERIALS AND METHODS: A mixed-method analysis was conducted at 2 pilot sites. Interviews were conducted with 12 of 27 enrolled patients a…

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