Trial reportBMC geriatrics2022
Effectiveness and cost-effectiveness of a telemedicine programme for preventing unplanned hospitalisations of older adults living in nursing homes: the GERONTACCESS cluster randomized clinical trial.
Trial report in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02816177 (Impact of Telemedicine on Avoiding Emergency Hospital Admissions and Hospitalization for Nursing Home Residents), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Impact of Telemedicine on Avoiding Emergency Hospital Admissions and Hospitalization for Nursing Home Residents
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The cost-effectiveness and patient satisfaction of telehealth in geriatric care: a systematic review.BMC geriatrics · 2025Pooled it
- The impact of telehealth care on escalation to emergency care: A systematic review and meta-analysis.Journal of telemedicine and telecare · 2025Pooled it
- Trial
- Postimplementation Evaluation in Assisted Living Facilities of an eHealth Medical Device Developed to Predict and Avoid Unplanned Hospitalizations: Pragmatic Trial.Journal of medical Internet research · 2024Trial
- EPOCA Tele-Monitoring System for Older Adults at High Risk of Hospitalization: Budget Impact and Cost-Effectiveness Analysis.Journal of medical Internet research · 2026Article
- Article
- Geriatric Telemanagement of Health Conditions (GET HEALTH) in Nursing Home Residents Recently Discharged From the Hospital: Protocol for a Before-After Study.JMIR research protocols · 2026Article
- Cost-effectiveness of an acute medical teleconsultation model for nursing home residents.Innovation in aging · 2026Article
- The impact of telephone-based telemedicine on unplanned hospital visits and mortality risk during the COVID-19 pandemic: a study from a middle-income country.BMC geriatrics · 2025Article
- Remote monitoring system for older adults at risk for complications: a scoping review.BMC geriatrics · 2025Article
- Impact of regular televisits on unplanned hospital admissions of nursing home residents in rural Germany: a pre-post intervention study.BMC geriatrics · 2025Article
- Factors influencing the adoption of telemedicine services among middle-aged and older patients with chronic conditions in rural China: a multicentre cross-sectional study.BMC health services research · 2025Article
- Prevalence and characteristics of older adults with type 2 diabetes mellitus living in French Caribbean nursing homes: results from the baseline KASEHPAD study.Aging clinical and experimental research · 2025Article
- Metrics for Evaluating Telemedicine in Randomized Controlled Trials: Scoping Review.Journal of medical Internet research · 2025Article
- Impact of telehealth on health outcomes and quality of life in the older adults population: a systematic review.Frontiers in digital health · 2025Review
- Long-Term Adoption of Televisits in Nursing Homes During the COVID-19 Crisis and Following Up Into the Postpandemic Setting: Mixed Methods Study.JMIR aging · 2024Article
- Clinical profiles of older adults in French Caribbean nursing homes: a descriptive cross-sectional study.Frontiers in medicine · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe GERONTACCESS trial evaluated the utility and cost-effectiveness of a gerontological telemedicine (TLM) programme for preventing unplanned hospitalisation of residents living in nursing homes (NHs) in regions lacking medical facilities and/or qualified medical providers ("medical deserts").
designGERONTACCESS was a 12-month, multicentre, prospective cluster-randomised trial conducted in NHs. The intervention group underwent TLM assessments every 3 months. The control group received the usual care. In both groups, comprehensive on-site assessments were conducted at baseline and the final visit. Care requirements were documented throughout the study. SETTING AND
participantsNH residents aged ≥ 60 years with multiple chronic diseases.
methodsThe study outcomes were the proportion of patients who experienced avoidable and unplanned hospitalisation, and the incremental cost savings per quality-adjusted life years from baseline to the 12-month follow-up.
resultsOf the 426 randomised participants (mean ± standard deviation age, 87.2 ± 7.6 years; 311 [73.0%] women), 23.4% in the intervention group and 32.5% in the control group experienced unplanned hospitalisation (odds ratio [OR] = 0.73, 95% confidence interval [CI] 0.43 to 0.97; p = 0.034). Each avoided hospitalisation in the intervention group saved $US 3,846. CONCLUSIONS AND IMPLICATIONS: The results of GERONTACCESS revealed that our gerontological, preventative TLM program significantly reduced unplanned hospitalisations. This innovative intervention limited disease progression and promoted a healthy lifestyle among NH residents.
trial registrationClinicaltrials.gov, NCT02816177, registered June 28, 2016.
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