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Dell'Aquila G, Di Rosa M, Aguzzi I, Suppa F, Carrieri B, Beccacece A, Scrimieri A, Rossi L, Salvi F, Fedecostante M, Carle F, Cherubini A
Geriatric Telemanagement of Health Conditions (GET HEALTH) in Nursing Home Residents Recently Discharged From the Hospital: Protocol for a Before-After Study
GEriatric Telemanagement of HEALTH conditions in nursing home residents (GET HEALTH) recently discharged from the hospital: protocol for a before-after study
Giuseppina Dell'Aquila;
Mirko Di Rosa;
Irene Aguzzi;
Francesca Suppa;
Barbara Carrieri;
Alessia Beccacece;
Antonia Scrimieri;
Lorena Rossi;
Fabio Salvi;
Massimiliano Fedecostante;
Flavia Carle;
Antonio Cherubini
ABSTRACT
Background:
Nursing home (NH) residents have a high burden of multimorbidity and disability, and are frequently hospitalized. Comprehensive geriatric assessment might reduce hospitalization. However, few geriatricians are working in NHs. Technology might be used to overcome this problem.
Objective:
This study aims to verify if a geriatric telemanagement (GTM) model might improve patient outcomes in NH residents recently discharged from the hospital.
Methods:
Clinical outcomes of NH residents recently discharged from the hospital are compared before and after the implementation of GTM, where a geriatrician evaluates each patient during televisits with NH staff and discusses the case with the general practitioner. NH residents aged ≥70 years readmitted to NHs after hospitalization in the 3 years prior to COVID pandemic (2017-2019) represent the control group enrolled in the retrospective pre-intervention phase. The primary outcome of the study is the hospital readmission rate during 6-month follow-up. Health technology assessment evaluates the cost-effectiveness of model implementation.
Results:
A total of 333 NH residents were included in the pre-intervention retrospective study and 104 NH residents in the intervention study.
Conclusions:
Currently, NHs in Italy are striving to manage the complexity of older patients who are often hospitalized. A geriatric telemanagement model might reduce hospitalizations and therefore negative outcomes as well as healthcare costs in this vulnerable population. Clinical Trial: ClinicalTrials.gov NCT06893419; https://clinicaltrials.gov/study/NCT06893419?id=NCT06893419%20&rank=1
Citation
Please cite as:
Dell'Aquila G, Di Rosa M, Aguzzi I, Suppa F, Carrieri B, Beccacece A, Scrimieri A, Rossi L, Salvi F, Fedecostante M, Carle F, Cherubini A
Geriatric Telemanagement of Health Conditions (GET HEALTH) in Nursing Home Residents Recently Discharged From the Hospital: Protocol for a Before-After Study