Predictive analytics and tailored interventions improve clinical outcomes in older adults: a randomized controlled trial

Abstract 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 health...

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Autores principales:	Sara Bersche Golas, Mariana Nikolova-Simons, Ramya Palacholla, Jorn op den Buijs, Gary Garberg, Allison Orenstein, Joseph Kvedar
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/93dc59efb58c49f28f86f32cbd59bf50
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spelling	oai:doaj.org-article:93dc59efb58c49f28f86f32cbd59bf502021-12-02T17:38:27ZPredictive analytics and tailored interventions improve clinical outcomes in older adults: a randomized controlled trial10.1038/s41746-021-00463-y2398-6352https://doaj.org/article/93dc59efb58c49f28f86f32cbd59bf502021-06-01T00:00:00Zhttps://doi.org/10.1038/s41746-021-00463-yhttps://doaj.org/toc/2398-6352Abstract 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.Sara Bersche GolasMariana Nikolova-SimonsRamya PalachollaJorn op den BuijsGary GarbergAllison OrensteinJoseph KvedarNature PortfolioarticleComputer applications to medicine. Medical informaticsR858-859.7ENnpj Digital Medicine, Vol 4, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Computer applications to medicine. Medical informatics R858-859.7 Sara Bersche Golas Mariana Nikolova-Simons Ramya Palacholla Jorn op den Buijs Gary Garberg Allison Orenstein Joseph Kvedar Predictive analytics and tailored interventions improve clinical outcomes in older adults: a randomized controlled trial
description	Abstract 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.
format	article
author	Sara Bersche Golas Mariana Nikolova-Simons Ramya Palacholla Jorn op den Buijs Gary Garberg Allison Orenstein Joseph Kvedar
author_facet	Sara Bersche Golas Mariana Nikolova-Simons Ramya Palacholla Jorn op den Buijs Gary Garberg Allison Orenstein Joseph Kvedar
author_sort	Sara Bersche Golas
title	Predictive analytics and tailored interventions improve clinical outcomes in older adults: a randomized controlled trial
title_short	Predictive analytics and tailored interventions improve clinical outcomes in older adults: a randomized controlled trial
title_full	Predictive analytics and tailored interventions improve clinical outcomes in older adults: a randomized controlled trial
title_fullStr	Predictive analytics and tailored interventions improve clinical outcomes in older adults: a randomized controlled trial
title_full_unstemmed	Predictive analytics and tailored interventions improve clinical outcomes in older adults: a randomized controlled trial
title_sort	predictive analytics and tailored interventions improve clinical outcomes in older adults: a randomized controlled trial
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/93dc59efb58c49f28f86f32cbd59bf50
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Predictive analytics and tailored interventions improve clinical outcomes in older adults: a randomized controlled trial

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