1,721,109 research outputs found
Efficacy of a physician-led multiparametric telemonitoring system in very old adults with heart failure
Objectives To evaluate the effect of an innovative model integrating telemonitoring of vital parameters and telephone support on 6-month survival and hospital admissions of elderly adults with heart failure (HF). Design Parallel-arm, randomized trial. Setting Geriatric acute care ward and outpatient clinic at Policlinico Campus Biomedico (Rome, Italy). Participants Individuals with HF aged 65 and older (mean age 80) randomly assigned to intervention (n = 50) or control (n = 46). Participants had an average ejection fraction of 46%. Intervention Telemonitoring system (receives and communicates oxygen saturation, heart rate, and blood pressure readings) and office-hours telephonic support provided by a geriatrician. Measurements Combination of all-cause death and hospital admissions. Results The two groups were similar with the exception of the prevalence of women and of disability (both more common in the control group). Three patients for each group were lost to follow-up (final analyzed sample size: 90). Incidence of the main outcome was 42% in the control group and 21% in the intervention group (relative risk = 0.51, 95% confidence interval (CI) = 0.26-0.98). The results were unchanged after taking into account the setting of enrollment, sex, and disability (hazard ratio = 0.42, 95% CI = 0.19-0.94). Conclusion Telemonitoring of elderly people with HF is feasible and reduces the risk of death and hospitalization. Further studies are needed to confirm these findings and evaluate the cost-efficacy of the service
Quality of diet and potential renal acid load as risk factors for reduced bone density in elderly women Reply
FEV1/FEV6 and FEV6: sensitivity and specificity in detecting obstructive and restrictive disease of older patients
Correction: Circadian rhythm of COPD symptoms in clinically based phenotypes. Results from the STORICO Italian observational study (BMC Pulmonary Medicine (2019) 19 (171) DOI: 10.1186/s12890-019-0935-2)
Following publication of the original article [1], the authors flagged that the article had been provided with the names of the authors (not including the STORICO study group) in the wrong order: the 'Given Names' and Family Names' were erroneously swapped around. Please see this table for the correct order of the names: (Table Presented) This error has now been corrected in the original article and the corrected author list is detailed in this article
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