- Mobile Health and mHealth Applications
- Digital Mental Health Interventions
- Health Systems, Economic Evaluations, Quality of Life
- Cardiac pacing and defibrillation studies
- Artificial Intelligence in Healthcare and Education
- Telemedicine and Telehealth Implementation
- Cardiac Arrhythmias and Treatments
- Cancer survivorship and care
- Social Media in Health Education
- Healthcare Systems and Public Health
- Healthcare cost, quality, practices
- Clinical practice guidelines implementation
- Management, Economics, and Public Policy
- Sodium Intake and Health
- Chronic Disease Management Strategies
- Cardiac Valve Diseases and Treatments
- Cardiac electrophysiology and arrhythmias
- Nutritional Studies and Diet
- Innovation Policy and R&D
- Technology Use by Older Adults
- Retinal and Optic Conditions
- FinTech, Crowdfunding, Digital Finance
- Artificial Intelligence in Healthcare
- Data-Driven Disease Surveillance
- Agriculture Sustainability and Environmental Impact
Bocconi University
2017-2024
Epatocentro Ticino
2017-2018
IRCCS Ospedale San Raffaele
2013
Centro Cardiologico Monzino
2013
Vita-Salute San Raffaele University
2012
Late Potentials Ventricular Tachycardia Ablation . Rationale: To evaluate the efficacy of radiofrequency ventricular tachycardia (VT) ablation targeting complete late potential (LP) activity. Methods and Results: Sixty‐four consecutive patients (pts) with recurrent VTs coronary artery disease or idiopathic dilated cardiomyopathy were evaluated. Fifty (47 male; 66.2 ± 10.1 years) had LPs at electroanatomical mapping; 35 least 1 VT inducible basal programmed stimulation. After substrate...
We investigated the impact of catheter ablation on ventricular tachycardia (VT) recurrence and survival in a large number patients with structural heart disease treated setting dedicated multiskilled unit.Since January 2007, we have implemented multidisciplinary model, aiming for comprehensive management VT patients. Programmed stimulation was used to assess acute outcome. Primary end points were occurrence cardiac sudden death. Overall, 528 by (634 procedures; 1-4 procedures per patient)....
A common development observed during the COVID-19 pandemic is renewed reliance on digital health technologies. Prior to pandemic, uptake of technologies directly strengthen public systems had been unsatisfactory; however, a relentless acceleration took place within care pandemic. Therefore, could not be prescinded from organizational and institutional merits in which they were introduced. The Italian National Health Service strongly decentralized, with national government exercising general...
Introduction: The unparalleled surge in digital health adoption during the COVID-19 pandemic has emphasized potential of mHealth apps. However, quality available evidence is generally low, and regulatory frameworks have focused on apps with medical purposes only, overlooking significant interactions patients that may require stronger oversight.Areas covered: To support this expanded generation process, we identified reasons distinguish compared to devices at large should differentially...
Subcutaneous implantable cardioverter-defibrillator (S-ICD) can avoid important complications associated with transvenous leads in patients inherited primary arrhythmia syndromes, who do not need pacing therapy. Few data are available on the percentage of syndromes eligible for S-ICD implantation. Aim this study was to analyse eligibility a series Brugada syndrome (BrS), and compare it other channelopathies. Patients presenting BrS, long-QT (LQTS), early repolarization (ERS), idiopathic...
Digital health and mobile medical apps (MMAs) have shown great promise in transforming care, but their adoption clinical care has been unsatisfactory, regulatory guidance coverage decisions lacking or incomplete. A multidimensional assessment framework for regulatory, policymaking, technology assessment, purposes based on the MMA lifecycle is needed. targeted review of relevant policy documents from international sources was conducted to map current frameworks, formulate 10 recommendations,...
Introduction Mobile health technologies may enhance patient empowerment and data integration along the whole care continuum. However, these interventions pose relatively new regulatory, organisational technological challenges that limit appropriate evaluation. Lung Cancer App (LuCApp) is a mobile application developed by researchers clinicians to promote real-time monitoring management of patients’ symptoms. This protocol illustrates clinical trial designed evaluate usability, effectiveness...
Mobile technologies are increasingly being used to manage chronic diseases, including cancer, with the promise of improving efficiency and effectiveness care. Among myriad mobile in health care, we have seen an explosion apps. The rapid increase digital apps is not paralleled by a similar trend usage statistics clinicians patients. Little known about how much what ways (mHealth) patients for cancer variables affect their use mHealth, patients' clinicians' expectations mHealth are.This study...
Abstract Despite the acceleration in use of digital health technologies across different aspects healthcare system, full potential real-world data (RWD) and evidence (RWE) arising from is not being utilised decision-making. We examine current national efforts future opportunities to systematically RWD RWE decision-making five countries (Estonia, Finland, Germany, Italy United Kingdom), then develop a framework for promotion systematic RWE. A review assesses efforts, complemented with...
There is currently limited evidence on the level and intensity of physical activity in individuals with hemophilia A. Mobile technologies can offer a rigorous reliable alternative to support data collection processes but they are often associated poor user retention. The lack longitudinal continuity their use be partly attributed insufficient consideration stakeholder inputs development process mobile apps. Several user-centered models have been proposed guarantee that thorough knowledge end...
The aim of the study was to retrospectively evaluate safety and patient satisfaction same-day discharge after elective radial coronary angiography/percutaneous intervention (PCI) implementation a lounge facility.All patients admitted our with planned an uncomplicated angiography/PCI, having co-living caregiver, were day enrolled in study. Rates discharge, unplanned overnight stay, in-hospital first complications [death, myocardial infarction (MI), angiography, access site hematoma, bleedings...
Day surgery breast-conserving (DS-BCS) is a surgical approach applied in many specialized breast departments. This study demonstrates the benefits of this from perspectives patients and Hospital/National Health System compared to ordinary (ORD-BCS) under general anesthetic. A comparison costs diagnosis-related group (DRG) reimbursement demonstrated improved cost-effectiveness DS-BCS ORD-BCS.
Therapeutic innovation is expected to change if not disrupt present care models for several chronic diseases in the coming years, as suggested by recent clinical trials. New drugs that anticipate and possibly delay full expression of a disease will likely face some common challenges, such need designing implementing large scale interventions; necessary engagement multiple specialties both diagnosis treatment; shift from specialist non-specialist interventions secondary prevention. Building...
Introduction Continuity of care is among the foundations primary and has long been identified as a critical determinant healthcare outcomes. This article aims to assess through an empirical study relationships between distinct organizational features (namely, use clinical pathways databases, centralization setting or provider) types patient-perceived continuity care. Methods A multilevel regression model was performed, analyzing survey data on organization for three specific chronic...
Il sistema sanitario lombardo ha recentemente avviato una serie di interventi normativi volti a riordinare l’assetto istituzionale e organizzativo dei propri servizi sanitari socio-sanitari il proprio modello presa in carico della cronicita. L’architettura finale del risulta tuttavia indeterminata, dipendendo fortemente dal livello adesione allo schema degli attori delle cure primarie, peso sistemico che assumeranno gli erogatori pubblici privati dall’evoluzione processo integrazione...