[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"geriatric-multimorbidity\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:geriatric-multimorbidity":28},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":14,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":29,"overallStatus":38,"whyStopped":4,"lastUpdateSubmitDate":39,"lastUpdatePostDateStruct":40,"startDateStruct":43,"completionDateStruct":45,"leadSponsor":47,"locationsCount":50},"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":19,"type":20},210,"ESTIMATED","INTERVENTIONAL",[23],"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.",[26,27,28],"Transitional Care","Remote Patient Monitoring (RPM)","Geriatric Multimorbidity",[30,27,31,32,33,34,35,36,37],"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","RECRUITING","2026-07-23",{"date":41,"type":42},"2026-07-28","ACTUAL",{"date":44,"type":42},"2025-12-12",{"date":46,"type":20},"2027-02-28",{"name":48,"class":49},"Istituto Nazionale di Ricovero e Cura per Anziani","OTHER",3]