The RAD-HOME Project: A Pilot Study of Home Delivery of Radiology Services

Ricauda, Nicoletta Aimonino; Tibaldi, Vittoria; Bertone, Paola; Quagliotti, Eleonora; Tizzani, Alessandra; Zanocchi, Mauro; Isaia, Giovanni Carlo; Grosso, Marco; Cammarota, T; Davini, Ottavio

doi:10.1001/archinternmed.2011.336

Cited by 25 publications

(90 citation statements)

References 10 publications

(7 reference statements)

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“…Three studies described the therapeutic outcome of examinations. For 58–70% of the examinations, the assumed diagnosis was confirmed and for 40% the tentative diagnosis was disproven [20, 27]. This was similar to examinations performed in a hospital [27].…”

Section: Resultssupporting

confidence: 59%

“…There were two main outcomes for nursing home residents: First, avoiding hospitalisation, outpatient examination/treatment and transfer reduced the negative consequences for nursing home residents [23, 26, 27]. Second, radiological tests facilitated more adequate treatment and care [20, 25, 27].…”

Section: Resultsmentioning

confidence: 99%

“…According to Laerum, Åmdal [23] outpatient examinations were responsible for exhaustion and in certain cases confounded with confusion in 45% of the residents in their study [23]. Ricauda, Tibaldi [27] found that 17% of residents examined at the hospital developed delirium within a few hours after the examination. X-ray examination at the nursing home had an insignificant impact on residents [23] and none developed delirium [27].…”

Section: Resultsmentioning

confidence: 99%

“…Ricauda, Tibaldi [27] found that 17% of residents examined at the hospital developed delirium within a few hours after the examination. X-ray examination at the nursing home had an insignificant impact on residents [23] and none developed delirium [27]. In the qualitative study, the nurses and nurse assistants described residents to be confused, scared, restless and in pain when examined at the hospital.…”

Section: Resultsmentioning

confidence: 99%

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Mobile radiography services in nursing homes: a systematic review of residents’ and societal outcomes

Kjelle

Lysdahl

2017

BMC Health Serv Res

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BackgroundDemographic changes are leading to an ageing population in Europe, and predict an increase in the number of nursing home residents over the next 30 years. Nursing home residents need specialised healthcare services such as radiology due to both chronic and acute illnesses. Mobile radiography, x-ray examinations performed in the nursing homes, may be a good way of providing services to this population. The aim of this systematic review was to identify the outcomes of mobile radiography services for nursing home residents and society.MethodsA systematic review based on searches in the Medline, Cochrane, PubMed, Embase and Svemed + databases was performed. Titles and abstracts were screened according to a predefined set of inclusion criteria: empirical studies in the geriatric population, and reports of mobile radiography services in a clinical setting. All publications were quality appraised using MMAT or CASP appraisal tools. Data were extracted using a summary table and results were narratively synthesised.ResultsTen publications were included. Three overarching outcomes were identified: 1) reduced number of hospitalisations and outpatient examinations or treatments, 2) reduced number of transfers between nursing homes and hospitals and 3) increased access to x-ray examinations. These outcomes were interlinked with the more specific outcomes for residents and society reported in the literature. For residents there was a reduction in burdensome transfers and waiting time and adequate treatment and care increased. For society, released resources could be used more efficiently, and overall costs were reduced substantially.ConclusionsThis review indicates that mobile radiography services for nursing home residents in the western world are of comparable quality to hospital-based examinations and have clear potential benefits. Mobile radiography reduced transfers to and from hospital, increased the number of examinations carried out and facilitated timely diagnosis and access to treatments. Further research is needed to formally evaluate potential improvements in care quality and cost-effectiveness.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2173-8) contains supplementary material, which is available to authorized users.

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Section: Resultssupporting

confidence: 59%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Mobile radiography services in nursing homes: a systematic review of residents’ and societal outcomes

Kjelle

Lysdahl

2017

BMC Health Serv Res

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“…Patients were perceived by the doctor as being without mental impairment in only 26 (30 %) of the cases in our study. An Italian study in which mobile X-ray examinations were performed in the patients' homes revealed significantly fewer cases of delirium than in a control group who were transported to a radiology department (11). A similar favourable effect was also reported from Lund -less confusion in patients with dementia -when scans were conducted locally in nursing homes (10).…”

Section: Discussionmentioning

confidence: 72%

Mobil røntgentjeneste ved sykehjem

Vigeland¹,

Rostad²,

Lysdahl³

2017

Tidsskriftet

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The questionnaires are available at tidsskriftet.no/vigelandengappendiks MAIN POINTSA mobile X-ray service can save nursing home patients a trip to a radiology departmentIn one of five cases, the mobile service provided X-ray imaging for patients who would otherwise not have been examined. The Xray results had implications for the diagnosis and treatment of a majority of patients BACKGROUND Transport to a radiology department can be a strain on nursing home patients, leading to less use of diagnostic imaging. The purpose of this study was to examine the use and benefit of a mobile X-ray service that enables imaging at nursing homes.

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Hazards of Hospitalization: More Than Just “Never Events”

Rennke

Fang²

2011

Arch Intern Med

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Association between use of bleeding avoidance strategies and risk of periprocedural bleeding among patients undergoing percutaneous coronary intervention. JAMA. 2010;303(21):2156-2164. 28. Mehran R, Lansky AJ, Witzenbichler B, et al; HORIZONS-AMI Trial Investigators. Bivalirudin in patients undergoing primary angioplasty for acute myocardial infarction (HORIZONS-AMI): 1-year results of a randomised controlled trial. Lancet. 2009;374(9696):1149-1159. 29. Rao SV, Ou FS, Wang TY, et al. Trends in the prevalence and outcomes of radial and femoral approaches to percutaneous coronary intervention: a report from the National Cardiovascular Data Registry. JACC Cardiovasc Interv. 2008;1 (4):379-386. 30. Tahnk-Johnson ME, Sharkey SW. Impact of thrombolytic therapy on hemoglobin change after acute myocardial infarction. Am J Cardiol. 1993;71(10):869-872. 31. Xu M, Robbe VA, Jack RM, Rutledge JC. Under-filled blood collection tubes containing K2EDTA as anticoagulant are acceptable for automated complete blood counts, white blood cell differential, and reticulocyte count. Int J Lab Hematol.

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The RAD-HOME Project: A Pilot Study of Home Delivery of Radiology Services

Cited by 25 publications

References 10 publications

Mobile radiography services in nursing homes: a systematic review of residents’ and societal outcomes

Mobile radiography services in nursing homes: a systematic review of residents’ and societal outcomes

Mobil røntgentjeneste ved sykehjem

Hazards of Hospitalization: More Than Just “Never Events”

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