Assessing the Impact of A Community-Based Pro-Active Monitoring Program Addressing the need for Care of Community-Dwelling Citizens aged more than 80: Protocol for a Prospective Pragmatic Trial and Results of the Baseline Assessment.
| Title: | Assessing the Impact of A Community-Based Pro-Active Monitoring Program Addressing the need for Care of Community-Dwelling Citizens aged more than 80: Protocol for a Prospective Pragmatic Trial and Results of the Baseline Assessment. |
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| Authors: | Liotta G; Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', Via Montpellier 1, 00173, Rome, Italy.; Madaro O; Community of Sant'Egidio, 'Long Live the Elderly!' program, Via San Gallicano 25, 00153, Rome, Italy.; Scarcella P; Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', Via Montpellier 1, 00173, Rome, Italy.; Inzerilli MC; Community of Sant'Egidio, 'Long Live the Elderly!' program, Via San Gallicano 25, 00153, Rome, Italy.; Frattini B; Community of Sant'Egidio, 'Long Live the Elderly!' program, Via San Gallicano 25, 00153, Rome, Italy.; Riccardi F; Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', Via Montpellier 1, 00173, Rome, Italy.; Accarino N; Community of Sant'Egidio, 'Long Live the Elderly!' program, Via San Gallicano 25, 00153, Rome, Italy.; Mancinelli S; Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', Via Montpellier 1, 00173, Rome, Italy.; Terracciano E; Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', Via Montpellier 1, 00173, Rome, Italy.; Orlando S; Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', Via Montpellier 1, 00173, Rome, Italy.; Marazzi MC; LUMSA University, Via della Traspontina 21, 00193, Rome, Italy. |
| Source: | Translational medicine @ UniSa [Transl Med UniSa] 2020 Oct 31; Vol. 23, pp. 22-27. Date of Electronic Publication: 2020 Oct 31 (Print Publication: 2020). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Università degli studi di Salerno Country of Publication: Italy NLM ID: 101588308 Publication Model: eCollection Cited Medium: Print ISSN: 2239-9747 (Print) Linking ISSN: 22399747 NLM ISO Abbreviation: Transl Med UniSa Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Fisciano, SA : Università degli studi di Salerno, [2011]- |
| Abstract: | The aim of this paper is to describe the protocol of a study assessing the impact of a Community-based pro-Active Monitoring Program, by measuring the effect in counteracting the adverse outcomes related to frailty.; Methods: a prospective pragmatic trial will be carried out to describe the impact of an intervention on people aged>80, adjusted for relevant parameters: demographic variables, comorbidities, disability and bio-psycho-social frailty. They have been assessed with the Functional Geriatric Evaluation questionnaire that is a validated tool. Mortality, Acute Hospital Admission rates, Emergency Room Visit rates and Institutionalization rates are the main outcomes to be evaluated annually, over three years. Two groups of patients, made up by 578 cases (undergoing the intervention under study) and 607 controls have been enrolled and interviewed.; Results: at baseline the two groups are quite similar for age, living arrangement, comorbidity, disability and cognitive status. They differ in education, economic resources and physical status (that are better in the control group) and in social resources (that is better in the case group). The latter was expected since the intervention is focused on increasing social capital at individual and community level and aimed at improving survival among the cases as well as reducing the recourse to hospital and residential Long Term Care.; Conclusion: The proposed study addresses a crucial issue: assessing the impact of a bottom up care service consisting of social and health interventions aimed at reducing social isolation and improving access to health care services. |
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| Contributed Indexing: | Keywords: Functional Geriatric Evaluation; bio-psycho-social frailty; hospital admission rate; mortality; social isolation |
| Entry Date(s): | Date Created: 20210118 Latest Revision: 20221102 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC8370536 |
| PMID: | 33457318 |
| Database: | MEDLINE |
Journal Article