Liotta G, Madaro O, Scarcella P, Inzerilli M C, Frattini B, Riccardi F, Accarino N, Mancinelli S, Terracciano E, Orlando S, Marazzi M C
Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Via Montpellier 1, 00173, Rome, Italy.
Community of Sant'Egidio, "Long Live the Elderly!" program, Via San Gallicano 25, 00153, Rome, Italy.
Transl Med UniSa. 2020 Oct 31;23:22-27. doi: 10.37825/2239-9747.1004. eCollection 2020 Oct.
The aim of this paper is to describe the protocol of a study assessing the impact of a Community-based pro-Active Monitoring Program, by measuring the effect in counteracting the adverse outcomes related to frailty.
a prospective pragmatic trial will be carried out to describe the impact of an intervention on people aged>80, adjusted for relevant parameters: demographic variables, comorbidities, disability and bio-psycho-social frailty. They have been assessed with the Functional Geriatric Evaluation questionnaire that is a validated tool. Mortality, Acute Hospital Admission rates, Emergency Room Visit rates and Institutionalization rates are the main outcomes to be evaluated annually, over three years. Two groups of patients, made up by 578 cases (undergoing the intervention under study) and 607 controls have been enrolled and interviewed.
at baseline the two groups are quite similar for age, living arrangement, comorbidity, disability and cognitive status. They differ in education, economic resources and physical status (that are better in the control group) and in social resources (that is better in the case group). The latter was expected since the intervention is focused on increasing social capital at individual and community level and aimed at improving survival among the cases as well as reducing the recourse to hospital and residential Long Term Care.
The proposed study addresses a crucial issue: assessing the impact of a service consisting of social and health interventions aimed at reducing social isolation and improving access to health care services.
本文旨在描述一项研究方案，该研究通过衡量其在抵消与衰弱相关的不良后果方面的效果，评估基于社区的主动监测计划的影响。
将开展一项前瞻性实用试验，以描述一项干预措施对80岁以上人群的影响，并对相关参数进行调整：人口统计学变量、合并症、残疾和生物心理社会衰弱。使用经过验证的功能性老年评估问卷对他们进行评估。死亡率、急性住院率、急诊室就诊率和机构化率是三年内每年要评估的主要结果。已招募并访谈了两组患者，一组由578例（接受所研究的干预措施）组成，另一组为607例对照。
在基线时，两组在年龄、生活安排、合并症、残疾和认知状态方面非常相似。他们在教育、经济资源和身体状况（对照组更好）以及社会资源（病例组更好）方面存在差异。后者是预期的，因为干预措施的重点是在个人和社区层面增加社会资本，旨在提高病例组的生存率，并减少对医院和长期护理机构的依赖。
拟议的研究解决了一个关键问题：评估一项由旨在减少社会孤立和改善医疗服务可及性的社会和健康干预措施组成的服务的影响。
