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Record W4409337864 · doi:10.5334/ijic.icic24395

Digital Health Technology Post-Discharge for Follow-up and Management of Geriatric Patients: A Systematic Review

2025· review· en· W4409337864 on OpenAlexaboutno aff
Harmehr Sekhon, Kerman Sekhon, J.‐G. Chabot, Tarek K. Rajji

Bibliographic record

VenueInternational Journal of Integrated Care · 2025
Typereview
Languageen
FieldPsychology
TopicDigital Mental Health Interventions
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineDigital healthSystematic reviewTelehealthDischarge planningPatient dischargeHealth care managementHealth technologyHealth careNursingTelemedicineMEDLINEPublic health

Abstract

fetched live from OpenAlex

Background: The COVID-19 pandemic has greatly increased the burden on the healthcare system, especially tertiary healthcare settings, such as hospitals. Hospitalization require a great amount of resources and cost, and often require patient follow-up and continued support to the patient once they are discharged. Older adults, a rapidly growing population that makes up a large proportion of Canadians has more hospitalizations, longer length of hospital stay and higher cost associated with hospitalizations. Older adults who comprised 14% of the Canadian population in 2011 occupied 40% of acute hospital care beds (1). Moreover, there is an essential need to support older adults post-discharge with different levels of support as they are more likely to be readmitted to the hospital and have decline in their activities of daily living (2). In Canada 12% of older adults discharged from the hospital are readmitted within 30 days (3). The use of digital interventions may be an innovative approach to tackle the limited healthcare resources including staffing shortages. This systematic review will identify points where digital health technologies can create innovative solutions to support integrative care at the community level in order to fill an ongoing gap in post-discharge follow-up and continuity of care Methods: Pubmed, Scopus and Web of Science were used for this systematic review. The following keywords were used (Digital OR Virtual OR Tele*) AND (management) AND (discharge) AND (Geriatric*). A total of 435 articles were identified in this search. Results: This is an ongoing study, results will be available in January 2024. Discussion: This systematic review will provide an overview of the different types of digital health technologies being used to follow up with older adults post-hospital discharge, the components that have been successfully implemented and barriers. Successful digital health technologies may reduce the resources and personnel required, reduce rehospitalizations and improve the continuity of care for older adults. References: https://www.cihi.ca/en/dementia-in-canada/dementia-care-across-the-health-system/dementia-in-hospitals Boyd CM, Landefeld CS, Counsell SR, Palmer RM, Fortinsky RH, Kresevic D, Burant C, Covinsky KE. Recovery of activities of daily living in older adults after hospitalization for acute medical illness. Journal of the American Geriatrics Society. 2008 Dec;56(12):2171-9. Gruneir A, Fung K, Fischer HD, Bronskill SE, Panjwani D, Bell CM, Dhalla I, Rochon PA, Anderson G. Care setting and 30-day hospital readmissions among older adults: a population-based cohort study. Cmaj. 2018 Sep 24;190(38):E1124-33.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.035
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.010
Threshold uncertainty score0.032

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0060.035
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0050.005
Bibliometrics0.0090.010
Science and technology studies0.0010.001
Scholarly communication0.0020.002
Open science0.0020.002
Research integrity0.0020.001
Insufficient payload (model declined to judge)0.0060.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.024
GPT teacher head0.403
Teacher spread0.379 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSystematic review
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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