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Intra- and Extra-Hospitalization Monitoring of Vital Signs—Two Sides of the Same Coin: Perspectives from LIMS and Greenline-HT Study Operators

Background: In recent years, due to the epidemiological transition, the burden of very complex patients in hospital wards has increased. Telemedicine usage appears to be a potential high-impact factor in helping with patient management, allowing hospital personnel to assess conditions in out-of-hosp...

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Autores principales: Pietrantonio, Filomena, Vinci, Antonio, Maurici, Massimo, Ciarambino, Tiziana, Galli, Barbara, Signorini, Alessandro, La Fazia, Vincenzo Mirco, Rosselli, Francescantonio, Fortunato, Luca, Iodice, Rosa, Materazzo, Marco, Ciuca, Alessandro, Cicerchia, Lamberto Carlo Maria, Ruggeri, Matteo, Manfellotto, Dario, Rosiello, Francesco, Moriconi, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10305521/
https://www.ncbi.nlm.nih.gov/pubmed/37420575
http://dx.doi.org/10.3390/s23125408
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author Pietrantonio, Filomena
Vinci, Antonio
Maurici, Massimo
Ciarambino, Tiziana
Galli, Barbara
Signorini, Alessandro
La Fazia, Vincenzo Mirco
Rosselli, Francescantonio
Fortunato, Luca
Iodice, Rosa
Materazzo, Marco
Ciuca, Alessandro
Cicerchia, Lamberto Carlo Maria
Ruggeri, Matteo
Manfellotto, Dario
Rosiello, Francesco
Moriconi, Andrea
author_facet Pietrantonio, Filomena
Vinci, Antonio
Maurici, Massimo
Ciarambino, Tiziana
Galli, Barbara
Signorini, Alessandro
La Fazia, Vincenzo Mirco
Rosselli, Francescantonio
Fortunato, Luca
Iodice, Rosa
Materazzo, Marco
Ciuca, Alessandro
Cicerchia, Lamberto Carlo Maria
Ruggeri, Matteo
Manfellotto, Dario
Rosiello, Francesco
Moriconi, Andrea
author_sort Pietrantonio, Filomena
collection PubMed
description Background: In recent years, due to the epidemiological transition, the burden of very complex patients in hospital wards has increased. Telemedicine usage appears to be a potential high-impact factor in helping with patient management, allowing hospital personnel to assess conditions in out-of-hospital scenarios. Methods: To investigate the management of chronic patients during both hospitalization for disease and discharge, randomized studies (LIMS and Greenline-HT) are ongoing in the Internal Medicine Unit at ASL Roma 6 Castelli Hospital. The study endpoints are clinical outcomes (from a patient’s perspective). In this perspective paper, the main findings of these studies, from the operators’ point of view, are reported. Operator opinions were collected from structured and unstructured surveys conducted among the staff involved, and their main themes are reported in a narrative manner. Results: Telemonitoring appears to be linked to a reduction in side-events and side-effects, which represent some of most commons risk factors for re-hospitalization and for delayed discharge during hospitalization. The main perceived advantages are increased patient safety and the quick response in case of emergency. The main disadvantages are believed to be related to low patient compliance and an infrastructural lack of optimization. Conclusions: The evidence of wireless monitoring studies, combined with the analysis of activity data, suggests the need for a model of patient management that envisages an increase in the territory of structures capable of offering patients subacute care (the possibility of antibiotic treatments, blood transfusions, infusion support, and pain therapy) for the timely management of chronic patients in the terminal phase, for which treatment in acute wards must be guaranteed only for a limited time for the management of the acute phase of their diseases.
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spelling pubmed-103055212023-06-29 Intra- and Extra-Hospitalization Monitoring of Vital Signs—Two Sides of the Same Coin: Perspectives from LIMS and Greenline-HT Study Operators Pietrantonio, Filomena Vinci, Antonio Maurici, Massimo Ciarambino, Tiziana Galli, Barbara Signorini, Alessandro La Fazia, Vincenzo Mirco Rosselli, Francescantonio Fortunato, Luca Iodice, Rosa Materazzo, Marco Ciuca, Alessandro Cicerchia, Lamberto Carlo Maria Ruggeri, Matteo Manfellotto, Dario Rosiello, Francesco Moriconi, Andrea Sensors (Basel) Perspective Background: In recent years, due to the epidemiological transition, the burden of very complex patients in hospital wards has increased. Telemedicine usage appears to be a potential high-impact factor in helping with patient management, allowing hospital personnel to assess conditions in out-of-hospital scenarios. Methods: To investigate the management of chronic patients during both hospitalization for disease and discharge, randomized studies (LIMS and Greenline-HT) are ongoing in the Internal Medicine Unit at ASL Roma 6 Castelli Hospital. The study endpoints are clinical outcomes (from a patient’s perspective). In this perspective paper, the main findings of these studies, from the operators’ point of view, are reported. Operator opinions were collected from structured and unstructured surveys conducted among the staff involved, and their main themes are reported in a narrative manner. Results: Telemonitoring appears to be linked to a reduction in side-events and side-effects, which represent some of most commons risk factors for re-hospitalization and for delayed discharge during hospitalization. The main perceived advantages are increased patient safety and the quick response in case of emergency. The main disadvantages are believed to be related to low patient compliance and an infrastructural lack of optimization. Conclusions: The evidence of wireless monitoring studies, combined with the analysis of activity data, suggests the need for a model of patient management that envisages an increase in the territory of structures capable of offering patients subacute care (the possibility of antibiotic treatments, blood transfusions, infusion support, and pain therapy) for the timely management of chronic patients in the terminal phase, for which treatment in acute wards must be guaranteed only for a limited time for the management of the acute phase of their diseases. MDPI 2023-06-07 /pmc/articles/PMC10305521/ /pubmed/37420575 http://dx.doi.org/10.3390/s23125408 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Perspective
Pietrantonio, Filomena
Vinci, Antonio
Maurici, Massimo
Ciarambino, Tiziana
Galli, Barbara
Signorini, Alessandro
La Fazia, Vincenzo Mirco
Rosselli, Francescantonio
Fortunato, Luca
Iodice, Rosa
Materazzo, Marco
Ciuca, Alessandro
Cicerchia, Lamberto Carlo Maria
Ruggeri, Matteo
Manfellotto, Dario
Rosiello, Francesco
Moriconi, Andrea
Intra- and Extra-Hospitalization Monitoring of Vital Signs—Two Sides of the Same Coin: Perspectives from LIMS and Greenline-HT Study Operators
title Intra- and Extra-Hospitalization Monitoring of Vital Signs—Two Sides of the Same Coin: Perspectives from LIMS and Greenline-HT Study Operators
title_full Intra- and Extra-Hospitalization Monitoring of Vital Signs—Two Sides of the Same Coin: Perspectives from LIMS and Greenline-HT Study Operators
title_fullStr Intra- and Extra-Hospitalization Monitoring of Vital Signs—Two Sides of the Same Coin: Perspectives from LIMS and Greenline-HT Study Operators
title_full_unstemmed Intra- and Extra-Hospitalization Monitoring of Vital Signs—Two Sides of the Same Coin: Perspectives from LIMS and Greenline-HT Study Operators
title_short Intra- and Extra-Hospitalization Monitoring of Vital Signs—Two Sides of the Same Coin: Perspectives from LIMS and Greenline-HT Study Operators
title_sort intra- and extra-hospitalization monitoring of vital signs—two sides of the same coin: perspectives from lims and greenline-ht study operators
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10305521/
https://www.ncbi.nlm.nih.gov/pubmed/37420575
http://dx.doi.org/10.3390/s23125408
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