P121 | Intra- and extra-hospitalization monitoring of vital signs – Two sides of the same coin: perspectives from LIMS and Greenline H-T study operators

F. Pietrantonio¹, F. Rosiello², A. Ciamei¹, A. Vinci³, M. Ruggeri⁴, M. Lordi¹, A. Moriconi⁵, D. Manfellotto⁶ | ¹UOC Medicina Interna, Dipartimento di Medicina, Ospedale dei Castelli, ASL Roma 6, Roma, ²Department of Infectious Disease and Public Health, Sapienza University of Rome, ³Local Health Authority Roma 1, Roma, ⁴Departmental Faculty of Medicine, St. Camillus University of Medicine and Health Sciences, Roma, ⁵Department of Business and Management, LUISS University, Roma, ⁶Centro Studi “FADOI”, Milano, Italy

Background: In recent years, due to the epidemiological transition, burden of very complex patients (CP) in hospital wards has increased. Telemedicine appears to be a potential high impact factor in helping with patient management, allowing hospital personnel to assess conditions in out-of-hospital.
Methods: To investigate CP management during hospitalization for disease and discharge, randomized studies (LIMS and Greenline-HT) are ongoing in the Internal Medicine Unit at Castelli Hospital Rome. The study endpoints are clinical outcomes. In this perspective paper, main findings of these studies,from the operators’ point of view, are reported. Operator opinions were collected from structured and unstructured surveys conducted among the staff involved, in a narrative manner.
Results: Telemonitoring appears to be linked to a reduction in side-events and side-effects, which represent some of most commons risk factors for re-hospitalization and for delayed discharge during hospitalization. Main perceived advantages are increased patient safety and the quick response in case of emergency. Main disadvantages are related to low patient compliance and an infrastructural lack of optimization.
Conclusions: The evidence of wireless monitoring studies, combined with the analysis of activity data, suggests the need for a model of patient management that envisages an increase in the territory of structures capable of offering patients subacute care for the timely management of CP in the terminal phase, for which treatment in acute wards must be guaranteed only for a limited time.