Evidence map›Paper›PMID 36133002›Full record

ArticleDigital health

"Staying at Home": A pivotal trial of telemedicine-based internal medicine hospitalization at a nursing home.

G Barkai, H Amir, O Dulberg, E Itelman, G Gez, T Carmon, L Merhav, S Zigler, A Atamne, O Pinhasov and 2 more

Open access · goldAbstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

G BarkaiSackler faculty of medicine, Tel Aviv university, Chaim Sheba Medical Center, Sheba BEYOND Virtual Hospital, Ramat Gan, Israel.
H AmirSackler faculty of medicine, Tel Aviv university, Chaim Sheba Medical Center, Sheba BEYOND Virtual Hospital, Ramat Gan, Israel.
O DulbergAMAL Holdings, AMAL Geriatric Hospitals Division, Nursing Home, Raanana, Israel.
E ItelmanSackler faculty of medicine, Tel Aviv university, Internal Medicine "I", Chaim Sheba Medical Center, Ramat Gan, Israel.
G GezAMAL Holdings, AMAL Geriatric Hospitals Division, Nursing Home, Raanana, Israel.
T CarmonAMAL Holdings, AMAL Geriatric Hospitals Division, Nursing Home, Raanana, Israel.
L MerhavAMAL Holdings, AMAL Geriatric Hospitals Division, Nursing Home, Raanana, Israel.
S ZiglerAMAL Holdings, AMAL Geriatric Hospitals Division, Nursing Home, Raanana, Israel.
A AtamneAMAL Holdings, AMAL Geriatric Hospitals Division, Nursing Home, Raanana, Israel.
O PinhasovAMAL Holdings, AMAL Geriatric Hospitals Division, Nursing Home, Raanana, Israel.
E ZimlichmanSackler faculty of medicine, Tel Aviv university, Management Wing, Chaim Sheba Medical Center, Ramat Gan, Israel.
G SegalSackler faculty of medicine, Tel Aviv university, Chaim Sheba Medical Center, Sheba BEYOND Virtual Hospital, Ramat Gan, Israel.ORCID https://orcid.org/0000-0002-3851-3245
Sheba Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In-hospital stay of acutely ill elderlies could be reduced by increasing the availability of community-based hospitalizations. The feasibility of remotely managing these patients by specialized internists, without leaving their nursing homes should be sought. In the current pivotal study, we aimed to evaluate the aforementioned model. Methods: This was a prospective, open-label study at a tertiary medical center and a nursing home. The study aimed at comparing clinical outcomes of patients hospitalized in each location. Results: Over a period of 5.5 months, we recruited 18 patients designated for hospitalization, meeting our inclusion criteria to either in-hospital stay or staying in their nursing home and treated by means of telemedicine from our tertiary medical center. The mean age was 85.3 years. Out of 114 hospitalization days, 44 days (48%) were at the nursing home. No significant difference was noted in terms of age, gender, and length of stay between the patients who were hospitalized in either location. In almost all cases, diagnosis changed during hospitalization. Three patients died during the study, all included in the in-hospital group. No safety breaching events happened in the nursing home-hospitalization group. Conclusions: Remote, telemedicine-based hospitalization of nursing home-dwelling elderlies is safe and feasible, potentially reducing the length of in-hospital stay by almost 50%. Larger studies in this realm are warranted.

Indexed as

elderlyHospital-at-homeinternal medicinenursing hometelemedicine

Identifiers

PMID36133002
PMCPMC9483959
OpenAlexW4295916797

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.