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New Care Pathways for Supporting TRANSitional CARE From Hospital to Home Using AI and Personalized Digital Assistance
Sponsor: Istituto Nazionale di Ricovero e Cura per Anziani
Summary
The objective of the TRANSCARE study is to evaluate the use of a digital remote monitoring system to reduce the risk of 30-day readmission in multimorbid elderly patients. The pilot study is multicenter, and the trial will be conducted across 3 sites: Italy, Romania, and Norway. The overall goal of the TRANSCARE project is to create a digital monitoring ecosystem capable of identifying and preventing the risk of readmission. Two hundred and ten older adults aged over 65, who meet the inclusion and exclusion criteria, will be enrolled in the study. They will be randomized into two groups and allocated to an intervention group or a control group.
Key Details
Gender
All
Age Range
65 Years - Any
Study Type
INTERVENTIONAL
Enrollment
210
Start Date
2025-12-12
Completion Date
2027-02-28
Last Updated
2026-07-28
Healthy Volunteers
No
Interventions
TRANSCARE Digital Remote Monitoring Ecosystem
A digital remote monitoring suite comprising connected home medical devices for physiological parameter measurement, a wearable activity tracker, and an integrated telemonitoring software platform designed for patient self-management and clinical risk detection.
Locations (3)
IRCCS INRCA Hospital
Ancona, Italy
Farsund Kommune
Farsund, Norway
Institutul Inimii "Niculae Stăncioiu"
Cluj-Napoca, Romania