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Green Line Hospital-Territory Study: A Single-Blind Randomized Clinical Trial for Evaluation of Technological Challenges of Continuous Wireless Monitoring in Internal Medicine, Preliminary Results

Background: Wireless vital parameter continuous monitoring (WVPCM) after discharge is compared to regular monitoring to provide data on the clinical-economic impact of complex patients (CPs) discharged from Internal Medicine Units of Ospedale dei Castelli, Lazio. Primary outcome: Major complications...

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Autores principales: Pietrantonio, Filomena, Vinci, Antonio, Rosiello, Francesco, Alessi, Elena, Pascucci, Matteo, Rainone, Marianna, Delli Castelli, Michela, Ciamei, Angela, Montagnese, Fabrizio, D’Amico, Roberto, Valerio, Antonella, Manfellotto, Dario
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507826/
https://www.ncbi.nlm.nih.gov/pubmed/34639631
http://dx.doi.org/10.3390/ijerph181910328
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author Pietrantonio, Filomena
Vinci, Antonio
Rosiello, Francesco
Alessi, Elena
Pascucci, Matteo
Rainone, Marianna
Delli Castelli, Michela
Ciamei, Angela
Montagnese, Fabrizio
D’Amico, Roberto
Valerio, Antonella
Manfellotto, Dario
author_facet Pietrantonio, Filomena
Vinci, Antonio
Rosiello, Francesco
Alessi, Elena
Pascucci, Matteo
Rainone, Marianna
Delli Castelli, Michela
Ciamei, Angela
Montagnese, Fabrizio
D’Amico, Roberto
Valerio, Antonella
Manfellotto, Dario
author_sort Pietrantonio, Filomena
collection PubMed
description Background: Wireless vital parameter continuous monitoring (WVPCM) after discharge is compared to regular monitoring to provide data on the clinical-economic impact of complex patients (CPs) discharged from Internal Medicine Units of Ospedale dei Castelli, Lazio. Primary outcome: Major complications (MC) reduction. Secondary outcomes: Patients who reached discharge criteria within the 7th day from admission; difference in MC incidence at the conclusion of the standard telemonitoring/clinical monitoring phase, 5 and 30 days after discharge; and conditions predisposing to MC occurrence. Methods: Open label randomized controlled trial with wearable wireless system that creates alerts on portable devices. Continuous glycemic monitoring is performed for patients with diabetes mellitus. Results: There were 110 patients enrolled (mean age: 76.2 years). Comorbidity: Cumulative Illness Rating Scale CIRS-CI (comorbidities index): 3.93, CIRS SI (severity index): 1.93. About 19% scored a BRASS (Blaylock Risk Assessment Screening Score) ≥20 indicating need for discharge planning requiring step-down care. Globally, 48% of patients in the control group had major complications (27 out of 56 patients), in contrast to 22% in the intervention group (12 out of 54 patients). Conclusions: Since WVPCM detects early complications during the post-discharge CPs monitoring, it increases safety and reduces inappropriate access to the Emergency Room, preventing avoidable re-hospitalizations.
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spelling pubmed-85078262021-10-13 Green Line Hospital-Territory Study: A Single-Blind Randomized Clinical Trial for Evaluation of Technological Challenges of Continuous Wireless Monitoring in Internal Medicine, Preliminary Results Pietrantonio, Filomena Vinci, Antonio Rosiello, Francesco Alessi, Elena Pascucci, Matteo Rainone, Marianna Delli Castelli, Michela Ciamei, Angela Montagnese, Fabrizio D’Amico, Roberto Valerio, Antonella Manfellotto, Dario Int J Environ Res Public Health Article Background: Wireless vital parameter continuous monitoring (WVPCM) after discharge is compared to regular monitoring to provide data on the clinical-economic impact of complex patients (CPs) discharged from Internal Medicine Units of Ospedale dei Castelli, Lazio. Primary outcome: Major complications (MC) reduction. Secondary outcomes: Patients who reached discharge criteria within the 7th day from admission; difference in MC incidence at the conclusion of the standard telemonitoring/clinical monitoring phase, 5 and 30 days after discharge; and conditions predisposing to MC occurrence. Methods: Open label randomized controlled trial with wearable wireless system that creates alerts on portable devices. Continuous glycemic monitoring is performed for patients with diabetes mellitus. Results: There were 110 patients enrolled (mean age: 76.2 years). Comorbidity: Cumulative Illness Rating Scale CIRS-CI (comorbidities index): 3.93, CIRS SI (severity index): 1.93. About 19% scored a BRASS (Blaylock Risk Assessment Screening Score) ≥20 indicating need for discharge planning requiring step-down care. Globally, 48% of patients in the control group had major complications (27 out of 56 patients), in contrast to 22% in the intervention group (12 out of 54 patients). Conclusions: Since WVPCM detects early complications during the post-discharge CPs monitoring, it increases safety and reduces inappropriate access to the Emergency Room, preventing avoidable re-hospitalizations. MDPI 2021-09-30 /pmc/articles/PMC8507826/ /pubmed/34639631 http://dx.doi.org/10.3390/ijerph181910328 Text en © 2021 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 Article
Pietrantonio, Filomena
Vinci, Antonio
Rosiello, Francesco
Alessi, Elena
Pascucci, Matteo
Rainone, Marianna
Delli Castelli, Michela
Ciamei, Angela
Montagnese, Fabrizio
D’Amico, Roberto
Valerio, Antonella
Manfellotto, Dario
Green Line Hospital-Territory Study: A Single-Blind Randomized Clinical Trial for Evaluation of Technological Challenges of Continuous Wireless Monitoring in Internal Medicine, Preliminary Results
title Green Line Hospital-Territory Study: A Single-Blind Randomized Clinical Trial for Evaluation of Technological Challenges of Continuous Wireless Monitoring in Internal Medicine, Preliminary Results
title_full Green Line Hospital-Territory Study: A Single-Blind Randomized Clinical Trial for Evaluation of Technological Challenges of Continuous Wireless Monitoring in Internal Medicine, Preliminary Results
title_fullStr Green Line Hospital-Territory Study: A Single-Blind Randomized Clinical Trial for Evaluation of Technological Challenges of Continuous Wireless Monitoring in Internal Medicine, Preliminary Results
title_full_unstemmed Green Line Hospital-Territory Study: A Single-Blind Randomized Clinical Trial for Evaluation of Technological Challenges of Continuous Wireless Monitoring in Internal Medicine, Preliminary Results
title_short Green Line Hospital-Territory Study: A Single-Blind Randomized Clinical Trial for Evaluation of Technological Challenges of Continuous Wireless Monitoring in Internal Medicine, Preliminary Results
title_sort green line hospital-territory study: a single-blind randomized clinical trial for evaluation of technological challenges of continuous wireless monitoring in internal medicine, preliminary results
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507826/
https://www.ncbi.nlm.nih.gov/pubmed/34639631
http://dx.doi.org/10.3390/ijerph181910328
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