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

Filomena Pietrantonio, Antonio Vinci, Francesco Rosiello, Elena Alessi, Matteo Pascucci, Marianna Rainone, Michela Delli Castelli, Angela Ciamei, Fabrizio Montagnese, Roberto D’Amico, Antonella Valerio and Dario Manfellotto
Additional contact information
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
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

IJERPH, 2021, vol. 18, issue 19, 1-12

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.

Keywords: wireless monitoring system; telemedicine; integrating hospital and community; acute medicine; poly-morbidity; internal medicine core competencies (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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