作者
Bernardo Valdivieso, Anibal García-Sempere, Gabriel Sanfélix-Gimeno, Raquel Faubel, Julian Librero, Elisa Soriano, Salvador Peiró
发表日期
2018/10/23
期刊
Medicina clinica
卷号
151
期号
8
页码范围
308-314
出版商
Elsevier Doyma
简介
Background and objective
To assess the effect of home based telehealth or structured telephone support interventions with respect to usual care on quality of life, mortality and healthcare utilization in elderly high-risk multiple chronic condition patients.
Patients and methods
472 elderly high-risk patients with plurimorbidity in the region of Valencia (Spain) were recruited between June 2012 and May 2013, and followed for 12 months from recruitment. Patients were allocated to either: (a) a structured telephone intervention, a nurse-led case management program with telephone follow up every 15 days; (b) telehealth, which adds technology for remote self-management and the exchange of clinical data; or (c) usual care. Main outcome measures was quality of life measured by the EuroQol (EQ-5D) instrument, cognitive impairment, functional status, mortality and healthcare resource use. Inadequate randomization …
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B Valdivieso, A García-Sempere, G Sanfélix-Gimeno… - Medicina clinica, 2018