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Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

933
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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Holter Monitor: 24-Hour Monitoring01:23

Holter Monitor: 24-Hour Monitoring

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Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
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Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
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EPOCA Tele-Monitoring System for Older Adults at High Risk of Hospitalization: Budget Impact and Cost-Effectiveness Analysis.

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Impact of a Home-Based Remote Patient Monitoring System on Hospitalizations and Emergency Department Visits of Older Adults With Polypathology: Multicenter Retrospective Observational Study.

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Related Experiment Video

Updated: Sep 15, 2025

Multi-Modal Home Sleep Monitoring in Older Adults
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Remote Patient Monitoring System for Polypathological Older Adults at High Risk for Hospitalization: Retrospective

Damien Testa1, Israa Salma2,3, Vincent Iborra1

  • 1EPOCA U&I, 1-3 Allée du Tertre, Nanterre, 92500, France, 33 1 79 35 59 74.

Journal of Medical Internet Research
|July 14, 2025
PubMed
Summary

Remote patient monitoring (RPM) significantly reduced hospitalizations and emergency department visits for older adults with multiple health conditions. This technology helps manage complex care at home, improving outcomes and reducing healthcare system strain.

Keywords:
chronically ill patientsemergency department visitsgeneral practitionergeriatric carehealth care outcomestelemonitoringunplanned hospitalization

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Area of Science:

  • Gerontology
  • Health Services Research
  • Digital Health

Background:

  • Aging populations present significant challenges to healthcare systems, with high rates of hospitalization among older adults.
  • Remote Patient Monitoring (RPM) offers a solution to proactively manage patient health in home settings, potentially reducing avoidable hospitalizations.
  • Previous research evaluated the EPOCA RPM system with geriatrician operators; this study examines its impact with general practitioner operators.

Purpose of the Study:

  • To analyze the effect of the EPOCA RPM system, operated by general practitioners, on unplanned hospitalizations and emergency department (ED) visits in polypathological older adults.
  • To compare hospitalization days, admissions, and ED visits before and after implementing the EPOCA RPM system.

Main Methods:

  • A retrospective, before-and-after cohort study design was employed.
  • Included were 80 polypathological older adult patients (≥70 years) using the EPOCA RPM system for at least one year.
  • Outcomes (hospital admissions, hospitalization days, ED visits) were compared between a baseline year (Y-1) and a follow-up year (Y).

Main Results:

  • The EPOCA RPM system led to significant reductions: 57% in hospital admissions, 49% in hospitalization days, and 62% in ED visits (P<.001).
  • Per-patient decreases included admissions (0.99 to 0.42), ED visits (0.99 to 0.37), and 9.7 fewer hospitalization days annually.
  • The greatest benefits were observed in high-risk patients with severe disabilities, with no increase in mortality or ICU transfers.

Conclusions:

  • The EPOCA RPM system, with general practitioners as operators, effectively reduces hospitalizations and ED visits in polypathological older adults, consistent with prior findings.
  • RPM technology shows promise in enhancing care for older adults, improving health outcomes, and decreasing the burden on hospitals.
  • Integrating reimbursement policies for RPM initiatives is crucial for widespread adoption and maximizing their impact on healthcare.