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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

Author

Listed:
  • Filomena Pietrantonio

    (Internal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy)

  • Antonio Vinci

    (School of Hygiene and Preventive Medicine, University of Rome “Tor Vergata”, 00100 Rome, Italy)

  • Francesco Rosiello

    (Internal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy
    Department of Infectious Disease and Public Health, Sapienza University of Rome, P. le A Moro, 5, 00185 Roma, Italy)

  • Elena Alessi

    (Internal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy)

  • Matteo Pascucci

    (Internal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy)

  • Marianna Rainone

    (Internal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy)

  • Michela Delli Castelli

    (Internal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy)

  • Angela Ciamei

    (Internal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy)

  • Fabrizio Montagnese

    (Internal Medicine Unit, Ospedale dei Castelli, ASL Roma 6, Va Nettunense, 00043 Rome, Italy)

  • Roberto D’Amico

    (Centro Oncologico Modenese, Department of Medical and Surgical Sciences, Mother and Child and Adult Health, Modena and Reggio Emilia University, 3° Piano, Azienda Ospedaliero-Universitaria Policlinico di Modena, Via del Pozzo 71, 41124 Modena, Italy)

  • Antonella Valerio

    (Fadoi Foundation, Piazza Cadorna 15, 20123 Milano, Italy)

  • Dario Manfellotto

    (Internal Medicine Unit, Fatebenefratelli Isola Tiberina, Via di Ponte Quattro Capi 39, 00186 Roma, Italy)

Abstract

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.

Suggested Citation

  • Filomena Pietrantonio & Antonio Vinci & Francesco Rosiello & Elena Alessi & Matteo Pascucci & Marianna Rainone & Michela Delli Castelli & Angela Ciamei & Fabrizio Montagnese & Roberto D’Amico & Antone, 2021. "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," IJERPH, MDPI, vol. 18(19), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10328-:d:647602
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    References listed on IDEAS

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    1. Filomena Pietrantonio & Francesco Rosiello & Elena Alessi & Matteo Pascucci & Marianna Rainone & Enrica Cipriano & Alessandra Di Berardino & Antonio Vinci & Matteo Ruggeri & Serafino Ricci, 2021. "Burden of COVID-19 on Italian Internal Medicine Wards: Delphi, SWOT, and Performance Analysis after Two Pandemic Waves in the Local Health Authority “Roma 6” Hospital Structures," IJERPH, MDPI, vol. 18(11), pages 1-11, June.
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    Cited by:

    1. Filomena Pietrantonio & Angela Ciamei & Antonio Vinci & Tiziana Ciarambino & Elena Alessi & Matteo Pascucci & Michela Delli Castelli & Silvia Zito & Simona Sanguedolce & Marianna Rainone & Jacopo Di L, 2023. "Polypharmacy Management in a Gender Perspective: At the Heart of the Problem: Analysis of Major Cardiac Diseases, SARS-CoV-2 Affection and Gender Distribution in a Cohort of Patients in Internal Medic," IJERPH, MDPI, vol. 20(9), pages 1-11, May.

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