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Pietrantonio F, Vinci A, Maurici M, Ciarambino T, Galli B, Signorini A, La Fazia VM, Rosselli F, Fortunato L, Iodice R, Materazzo M, Ciuca A, Cicerchia LCM, Ruggeri M, Manfellotto D, Rosiello F, Moriconi A. Intra- and Extra-Hospitalization Monitoring of Vital Signs-Two Sides of the Same Coin: Perspectives from LIMS and Greenline-HT Study Operators. SENSORS (BASEL, SWITZERLAND) 2023; 23:5408. [PMID: 37420575 DOI: 10.3390/s23125408] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Revised: 05/29/2023] [Accepted: 06/02/2023] [Indexed: 07/09/2023]
Abstract
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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Affiliation(s)
- Filomena Pietrantonio
- Internal Medicine Unit, Castelli Hospital, Asl Roma 6, 00072 Rome, Italy
- Departmental Faculty of Medicine, St. Camillus University of Medicine and Health Sciences, 00131 Rome, Italy
| | - Antonio Vinci
- Local Health Authority Roma 1, 00193 Rome, Italy
- Doctoral School in Nursing Science and Public Health, University of Rome "Tor Vergata", 00133 Rome, Italy
| | - Massimo Maurici
- Department of Biomedicine and Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy
| | - Tiziana Ciarambino
- Department of Internal Medicine, Luigi Vanvitelli University, 81100 Caserta, Italy
| | - Barbara Galli
- Casa Circondariale Rebibbia, Nuovo Complesso Prison, 00185 Rome, Italy
| | - Alessandro Signorini
- Departmental Faculty of Medicine, St. Camillus University of Medicine and Health Sciences, 00131 Rome, Italy
| | - Vincenzo Mirco La Fazia
- Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX 78705, USA
- Department of Systems Medicine, Division of Cardiology, Tor Vergata University, 00133 Rome, Italy
| | - Francescantonio Rosselli
- Cardiology and Coronary Intensive Therapy Unit, San Francesco di Paola Hospital, 87027 Paola, Italy
| | | | | | - Marco Materazzo
- Breast Unit, Department of Surgical Science, Policlinico Tor Vergata University, 00100 Rome, Italy
- PhD Program in Applied Medical-Surgical Sciences, Breast Oncoplastic Surgery, University of Rome Tor Vergata, 00100 Rome, Italy
| | - Alessandro Ciuca
- Department of Infectious Disease and Public Health, Sapienza University of Rome, 00185 Roma, Italy
| | | | - Matteo Ruggeri
- Departmental Faculty of Medicine, St. Camillus University of Medicine and Health Sciences, 00131 Rome, Italy
- National Centre for Health Technology Assessment, National Health Institute, 00153 Rome, Italy
| | - Dario Manfellotto
- UOC Medicina Interna, Fatebenefratelli Isola Tiberina-Gemelli Hospital, 00186 Rome, Italy
- "Centro Studi" FADOI, 20123 Milan, Italy
| | - Francesco Rosiello
- Internal Medicine Unit, Castelli Hospital, Asl Roma 6, 00072 Rome, Italy
- Departmental Faculty of Medicine, St. Camillus University of Medicine and Health Sciences, 00131 Rome, Italy
- Department of Infectious Disease and Public Health, Sapienza University of Rome, 00185 Roma, Italy
- Department of Hystological, Anatomical Sciences and Legal Medicine, Sapienza-University of Rome, 00196 Rome, Italy
| | - Andrea Moriconi
- Department of Business and Management, LUISS University, 00197 Rome, Italy
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