Predictive analytics and tailored interventions improve clinical outcomes in older adults: a randomized controlled trial
| Autor: | Ramya Palacholla, Joseph C. Kvedar, Gary Garberg, Jorn op den Buijs, Mariana Nikolova-Simons, Sara Golas, Allison Orenstein |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Computer applications to medicine. Medical informatics R858-859.7 Psychological intervention Medicine (miscellaneous) Health Informatics 030204 cardiovascular system & hematology Article law.invention Population screening 03 medical and health sciences 0302 clinical medicine Text mining Health Information Management Randomized controlled trial law Intervention (counseling) Medicine In patient 030212 general & internal medicine business.industry Predictive analytics Computer Science Applications Outcomes research Tailored interventions Randomized controlled trials Physical therapy Community setting business |
| Zdroj: | npj Digital Medicine, Vol 4, Iss 1, Pp 1-10 (2021) NPJ Digital Medicine |
| ISSN: | 2398-6352 |
| Popis: | This study explored the potential to improve clinical outcomes in patients at risk of moving to the top segment of the cost acuity pyramid. This randomized controlled trial evaluated the impact of a Stepped-Care approach (predictive analytics + tailored nurse-driven interventions) on healthcare utilization among 370 older adult patients enrolled in a homecare management program and using a Personal Emergency Response System. The Control group (CG) received care as usual, while the Intervention group (IG) received Stepped-Care during a 180-day intervention period. The primary outcome, decrease in emergency encounters, was not statistically significant (15%, p = 0.291). However, compared to the CG, the IG had significant reductions in total 90-day readmissions (68%, p = 0.007), patients with 90-day readmissions (76%, p = 0.011), total 180-day readmissions (53%, p = 0.020), and EMS encounters (49%, p = 0.006). Predictive analytics combined with tailored interventions could potentially improve clinical outcomes in older adults, supporting population health management in home or community settings. |
| Databáze: | OpenAIRE |
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