New Care Pathways for Supporting TRANSitional CARE From Hospital to Home Using AI and Personalized Digital Assistance

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorIstituto Nazionale di Ricovero e Cura per Anziani

About this trial

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.

Eligibility criteria

Qualifiers

Able to stand and walk even with support;

Mini Mental State Examination (MMSE) ≥ 18;

Clinical Frailty Scale (CFS) score 2-7;

Disqualifiers

Allergy to nichel components;

Concomitant participation in other studies;

Severe dementia condition

Mild to moderate dementia condition in the absence of the caregiver

Trial design

Treatments tested in this trial

  • TRANSCARE Digital Remote Monitoring Ecosystem

Treatment groups

210 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Istituto Nazionale di Ricovero e Cura per Anziani

Lead sponsor

Technical University of Cluj-Napoca, Romania

Collaborator

INSTITUTUL INIMII "NICOLAE STANCIOIU" CLUJ-NAPOCA, Romania

Collaborator

Tellu AS, Norway

Collaborator

Farsund Kommune, Norway

Collaborator

Karde AS, Norway

Collaborator