Evidence map›Paper›PMID 40415092›Full record

ArticleScientific reports2025

New care pathways for supporting transitional care from hospitals to home using AI and personalized digital assistance.

Ionut Anghel, Tudor Cioara, Roberta Bevilacqua, Federico Barbarossa, Terje Grimstad, Riitta Hellman, Arnor Solberg, Lars Thomas Boye, Ovidiu Anchidin, Ancuta Nemes and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ionut AnghelComputer Science Department, Technical University of Cluj-Napoca, G. Barițiu 26-28, 400027, Cluj-Napoca, Romania. ionut.anghel@cs.utcluj.ro.
Tudor CioaraComputer Science Department, Technical University of Cluj-Napoca, G. Barițiu 26-28, 400027, Cluj-Napoca, Romania. tudor.cioara@cs.utcluj.ro.
Roberta BevilacquaScientific Direction, IRCCS INRCA, Via S. Margherita 5, 60124, Ancona, Italy.
Federico BarbarossaScientific Direction, IRCCS INRCA, Via S. Margherita 5, 60124, Ancona, Italy.
Terje GrimstadKarde AS, Irisveien 14, 0870, Oslo, Norway.
Riitta HellmanKarde AS, Irisveien 14, 0870, Oslo, Norway.
Arnor SolbergTellu AS, Lysaker Torg 15, 1366, Lysaker, Norway.
Lars Thomas BoyeTellu AS, Lysaker Torg 15, 1366, Lysaker, Norway.
Ovidiu AnchidinNiculae Stancioiu Heart Institute, Moților 19-21, 400001, Cluj-Napoca, Romania.
Ancuta NemesNiculae Stancioiu Heart Institute, Moților 19-21, 400001, Cluj-Napoca, Romania.
Camilla GabrielsenFarsund Kommune, Postboks 100, 4552, Farsund, Norway.

Funding

Italian Ministry of Health (IT) 1449Ministry of Research, Innovation and Digitization, CNCS/CCCDI - UEFISCDI ERANET-PARTENERIAT-THCS-TransCare-1Research Council of Norway (NO) 1449Transforming Health & Care Systems Programme 1449
6 · The paper itself

Abstract

Transitional care may play a vital role in the sustainability of Europe's future healthcare system, offering solutions for relocating patient care from hospital to home, therefore addressing the growing demand for medical care as the population is ageing. Re-hospitalization for the same initial pathological cause is a recurrent problem among older adults with chronic conditions such as heart failure or chronic obstructive pulmonary disease. However, to be effective, it is nowadays essential to integrate into the transitional care process innovative Information and Communications Technology technologies to ensure that patients with comorbidities experience a smooth and coordinated transition from hospitals or care centers to home, thereby reducing the risk of rehospitalization. In this paper, we present an overview of the integration of Internet of Things, artificial intelligence, and digital assistance technologies with traditional care pathways to address the challenges and needs of healthcare systems in Europe. We identify the current gaps in transitional care and define the technology mapping to enhance the care pathways, aiming to improve patient outcomes, safety, and quality of life, avoiding hospital readmissions. Finally, we define the trial setup and evaluation methodology needed to provide clinical evidence that supports the positive impact of technology integration on patient care and discuss the potential effects on the healthcare system.

Indexed as

Artificial IntelligenceHome Care ServicesTransitional CareEuropeHospitalsHumansInternet of ThingsPatient ReadmissionQuality of LifeTelemedicineArtificial intelligenceDigital supportPersonalized careRemote monitoringTransitional care

Identifiers

PMID40415092
PMCPMC12104311

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.