[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100649174":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":33,"locations":39,"responsibleParty":85,"collaborators":87,"id":98,"slug":99,"hasResults":100,"nctId":101,"briefTitle":102,"officialTitle":102,"acronym":103,"eligibilityCriteria":104,"healthyVolunteers":100,"sex":105,"minAge":106,"maxAge":18,"enrollmentInfo":107,"targetDuration":18,"studyType":110,"phases":111,"briefSummary":113,"conditions":114,"keywords":118,"overallStatus":42,"whyStopped":18,"lastUpdateSubmitDate":127,"lastUpdatePostDateStruct":128,"startDateStruct":131,"completionDateStruct":133,"leadSponsor":135,"locationsCount":136},{"fullName":5,"class":6},"Istituto Nazionale di Ricovero e Cura per Anziani","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"TRANSCARE Ecosystem Group","EXPERIMENTAL","Participants in this arm will receive the TRANSCARE digital remote monitoring ecosystem upon hospital discharge for a duration of 90 days. This includes a suite of home medical monitoring devices (for measuring physiological vital signs) and a wearable activity tracking device connected to a central digital platform. Participants will use these tools for daily health self-monitoring to enable early risk detection and promote self-management capabilities. In addition to the technological intervention, participants will receive standard post-discharge care.",[13],"Other: TRANSCARE Digital Remote Monitoring Ecosystem",{"label":15,"type":16,"description":17,"interventionNames":18},"Usual Care Group","NO_INTERVENTION","Participants in this arm will receive standard post-discharge care (usual care) provided by the national healthcare system without the TRANSCARE digital monitoring tools or wearable devices.",null,[20],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":18},"TRANSCARE Digital Remote Monitoring Ecosystem","A digital remote monitoring suite comprising connected home medical devices for physiological parameter measurement, a wearable activity tracker, and an integrated telemonitoring software platform designed for patient self-management and clinical risk detection.",[9],[25,29],{"name":26,"affiliation":27,"role":28},"Ionut Anghel, Prof. Dr.","Technical University of Cluj-Napoca, Romania","STUDY_CHAIR",{"name":30,"affiliation":31,"role":32},"Roberta Bevilacqua, Ph.D.","IRCCS INRCA, Ancona, Italy","PRINCIPAL_INVESTIGATOR",[34],{"name":35,"role":36,"phone":37,"phoneExt":18,"email":38},"Anna Rita Bonfigli, PhD","CONTACT","0718003719","a.bonfigli@inrca.it",[40,60,70],{"facility":41,"status":42,"city":43,"state":18,"zip":44,"country":45,"countryCode":46,"cosmosGeoPoint":47,"geoPoint":52,"contacts":53},"IRCCS INRCA Hospital","RECRUITING","Ancona","60127","Italy","IT",{"type":48,"coordinates":49},"Point",[50,51],13.5103,43.60717,{"lat":51,"lon":50},[54,58],{"name":55,"role":36,"phone":56,"phoneExt":18,"email":57},"Antonio Cherubini, Prof. MD","+390718003537","a.cherubini@inrca.it",{"name":59,"role":32,"phone":18,"phoneExt":18,"email":18},"Antonio Cherubini, Prof. Dr.",{"facility":61,"status":42,"city":62,"state":18,"zip":18,"country":63,"countryCode":64,"cosmosGeoPoint":65,"geoPoint":69,"contacts":18},"Farsund Kommune","Farsund","Norway","NO",{"type":48,"coordinates":66},[67,68],6.80468,58.09479,{"lat":68,"lon":67},{"facility":71,"status":42,"city":72,"state":18,"zip":18,"country":73,"countryCode":74,"cosmosGeoPoint":75,"geoPoint":79,"contacts":80},"Institutul Inimii \"Niculae Stăncioiu\"","Cluj-Napoca","Romania","RO",{"type":48,"coordinates":76},[77,78],23.6,46.76667,{"lat":78,"lon":77},[81],{"name":82,"role":36,"phone":83,"phoneExt":18,"email":84},"Ovidiu Anchidin, M.D., Ph.D.","+40 264 591 941","anchidin_ovidiu@institutulinimii.ro",{"type":86,"investigatorFullName":18,"investigatorTitle":18,"investigatorAffiliation":18,"oldNameTitle":18,"oldOrganization":18},"SPONSOR",[88,90,92,94,96],{"name":27,"class":89},"UNKNOWN",{"name":91,"class":89},"INSTITUTUL INIMII \"NICOLAE STANCIOIU\" CLUJ-NAPOCA, Romania",{"name":93,"class":89},"Tellu AS, Norway",{"name":95,"class":89},"Farsund Kommune, Norway",{"name":97,"class":89},"Karde AS, Norway","100649174","new-care-pathways-for-supporting-transitional-care-from-hospital-to-home-using-ai-and-personalized-digital-assistance-100649174",false,"NCT07731126","New Care Pathways for Supporting TRANSitional CARE From Hospital to Home Using AI and Personalized Digital Assistance","TRANSCARE","Inclusion Criteria:\n\n* Able to stand and walk even with support;\n* Mini Mental State Examination (MMSE) ≥ 18;\n* Clinical Frailty Scale (CFS) score 2-7;\n\nExclusion Criteria:\n\n* Allergy to nichel components;\n* Concomitant participation in other studies;\n* Severe dementia condition\n* Mild to moderate dementia condition in the absence of the caregiver\n* Terminal chronic renal failure with the need for dialysis\n* Inability or unwillingness to sign written informed consent;\n* Pacemaker or implantable cardioverter defibrillator;\n* Metastatic cancer or immunosuppressive therapy;\n* Significant visual or hearing impairment;\n* Severe systemic diseases with life expectancy \\\u003C 6 year;\n* Move to nursing home after discharge","ALL","65 Years",{"count":108,"type":109},210,"ESTIMATED","INTERVENTIONAL",[112],"NA","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.",[115,116,117],"Transitional Care","Remote Patient Monitoring (RPM)","Geriatric Multimorbidity",[119,116,120,121,122,123,124,125,126],"Digital Health Ecosystem","Multimorbidity","30-Day Hospital Readmission","Self-Management Empowerment","Older Adults \u002F Geriatric Care","Machine Learning Predictive Modeling","eHealth Literacy","Multicenter Pilot Study","2026-07-23",{"date":129,"type":130},"2026-07-28","ACTUAL",{"date":132,"type":130},"2025-12-12",{"date":134,"type":109},"2027-02-28",{"name":5,"class":6},3]