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A Model for Continuous Care of Fragile Patients
Sponsor: Azienda Sanitaria Locale CN2 Alba-Bra
Summary
This observational study aims to monitor functional status and identify potential declines in the functioning of medically fragile patients with neurological and/or orthopedic conditions, representing an added value for ensuring appropriate patient management. This approach improves system efficiency and supports a proactive strategy that promotes the appropriate use of resources.
Official title: Un Modello di Presa in Carico Continua Del Paziente Fragile
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
100
Start Date
2025-12
Completion Date
2028-06
Last Updated
2025-12-23
Healthy Volunteers
No
Interventions
Telemedicine-Based Functional Monitoring
This intervention provides structured functional monitoring of medically fragile patients with neurological and/or orthopedic conditions using telemedicine. Patients undergo MMSE, Rankin Scale, Barthel Index, TUG, GPCog, and SF-36 assessments at discharge and during follow-up at 3, 6, and 12 months. Patient and caregiver satisfaction with remote monitoring is also evaluated. All remote assessments are performed via the TESI eViSus BioCare® system on mobile devices, allowing early detection of functional decline and supporting proactive patient management.
Locations (1)
Azienda Sanitaria Locale CN2 Alba-Bra, Ospedale Michele e Pietro Ferrero
Verduno, CN, Italy