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Congestive heart failure mobile health

Riddhi Doshi, Robert H Aseltine, Alyse B Sabina, Garth N Graham
Digital and mhealth interventions can be effective in improving health outcomes among minority patients with diabetes, congestive heart failure, and chronic respiratory diseases. A number of electronic and digital approaches to individual and population-level interventions involving telephones, internet and web-based resources, and mobile platforms have been deployed to improve chronic disease outcomes. This paper summarizes the evidence supporting the efficacy of various behavioral and digital interventions targeting intermediate outcomes and hospitalizations with particular emphasis on studies examining the effects of these interventions on racial and ethnic minority population...
December 2017: Journal of Racial and Ethnic Health Disparities
Lynn F Reinke, Diane E Meier
Palliative care demonstrably improves quality of life for the seriously ill in a manner that averts preventable health crises and their associated costs. Because of these outcomes, palliative care is now broadening its reach beyond hospitals, and hospice care for those near death, to patients and their families living in the community with chronic multimorbidities that have uncertain or long expected survival. In this article, we address research needed to enable policies supportive of palliative care access and quality, including changes in regulatory, accreditation, financing, and training approaches in the purview of policy makers...
August 2017: Journal of Palliative Medicine
Kelvin Kim, Diep Pham, Ran Schwarzkopf
The potential for using mobile applications (apps) as an effective tool to monitor patients in an outpatient setting is promising. Past studies have investigated the use of applications in preoperative and postoperative settings as well as in monitoring and treating chronic illnesses such as diabetes, congestive heart failure (CHF), and multiple sclerosis. However, there is limited data on its specific use in the context of total knee arthroplasty. Given the complicated nature and crucial role of patient adherence to protocols during the preparatory and recovery phases of the procedure, the use of an app can serve as a helpful tool in aiding patients throughout this process...
April 2016: Surgical Technology International
S Marceglia, P Fontelo, E Rossi, M J Ackerman
BACKGROUND: Mobile health Applications (mHealth Apps) are opening the way to patients' responsible and active involvement with their own healthcare management. However, apart from Apps allowing patient's access to their electronic health records (EHRs), mHealth Apps are currently developed as dedicated "island systems". OBJECTIVE: Although much work has been done on patient's access to EHRs, transfer of information from mHealth Apps to EHR systems is still low. This study proposes a standards-based architecture that can be adopted by mHealth Apps to exchange information with EHRs to support better quality of care...
2015: Applied Clinical Informatics
Gabriel C Brooks, Eric Vittinghoff, Sivaraman Iyer, Damini Tandon, Peter Kuhar, Kristine A Madsen, Gregory M Marcus, Mark J Pletcher, Jeffrey E Olgin
BACKGROUND: The 6-minute walk test (6MWT) independently predicts congestive heart failure severity, death, and heart failure hospitalizations, but must be administered in clinic by qualified staff on a premeasured course. As part of the Health eHeart Study, we sought to develop and validate a self-administered 6MWT mobile application (SA-6MWTapp) for independent use at home by patients. METHODS AND RESULTS: We performed a validation study of an SA-6MWTapp in 103 participants...
September 2015: Circulation. Heart Failure
Bryan Y Choi, Charles Blumberg, Kenneth Williams
Mobile integrated health care and community paramedicine are models of health care delivery that use emergency medical services (EMS) personnel to fill gaps in local health care infrastructure. Community paramedics may perform in an expanded role and require additional training in the management of chronic disease, communication skills, and cultural sensitivity, whereas other models use all levels of EMS personnel without additional training. Currently, there are few studies of the efficacy, safety, and cost-effectiveness of mobile integrated health care and community paramedicine programs...
March 2016: Annals of Emergency Medicine
Joshua Juen, Qian Cheng, Bruce Schatz
Mobile devices have the potential to continuously monitor health by collecting movement data including walking speed during natural walking. Natural walking is walking without artificial speed constraints present in both treadmill and nurse-assisted walking. Fitness trackers have become popular which record steps taken and distance, typically using a fixed stride length. While useful for everyday purposes, medical monitoring requires precise accuracy and testing on real patients with a scientifically valid measure...
July 2015: IEEE Journal of Biomedical and Health Informatics
Shiyi Zan, Stephen Agboola, Stephanie A Moore, Kimberly A Parks, Joseph C Kvedar, Kamal Jethwani
BACKGROUND: Intensive remote monitoring programs for congestive heart failure have been successful in reducing costly readmissions, but may not be appropriate for all patients. There is an opportunity to leverage the increasing accessibility of mobile technologies and consumer-facing digital devices to empower patients in monitoring their own health outside of the hospital setting. The iGetBetter system, a secure Web- and telephone-based heart failure remote monitoring program, which leverages mobile technology and portable digital devices, offers a creative solution at lower cost...
2015: JMIR MHealth and UHealth
I Svagård, H O Austad, T Seeberg, J Vedum, A Liverud, B M Mathiesen, B Keller, O C Bendixen, P Osborne, F Strisland
Sensor-based monitoring of congestive heart-failure (CHF) patients living at home can improve quality of care, detect exacerbations of disease at an earlier stage and motivate the patient for better self care. This paper reports on a usability study of the ESUMS system that provides continuous measurements of heart rate, activity, upper body posture and skin temperature via a sensor belt and a smartphone as patient terminal. Five CHF patients were included in the trial, all recently discharged from hospital...
2014: Studies in Health Technology and Informatics
J A Batsis, T A Mackenzie, L K Barre, F Lopez-Jimenez, S J Bartels
BACKGROUND: Sarcopenia is defined as the loss of skeletal muscle mass and quality, which accelerates with aging and is associated with functional decline. Rising obesity prevalence has led to a high-risk group with both disorders. We assessed mortality risk associated with sarcopenia and sarcopenic obesity in elders. METHODS: A subsample of 4652 subjects ≥60 years of age was identified from the National Health and Nutrition Examination Survey III (1988-1994), a cross-sectional survey of non-institutionalized adults...
September 2014: European Journal of Clinical Nutrition
Joshua Juen, Qian Cheng, Valentin Prieto-Centurion, Jerry A Krishnan, Bruce Schatz
We have developed GaitTrack, a phone application to detect health status while the smartphone is carried normally. GaitTrack software monitors walking patterns, using only accelerometers embedded in phones to record spatiotemporal motion, without the need for sensors external to the phone. Our software transforms smartphones into health monitors, using eight parameters of phone motion transformed into body motion by the gait model. GaitTrack is designed to detect health status while the smartphone is carried during normal activities, namely, free-living walking...
November 2014: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Michelle Canavan, Liam G Glynn, Andrew Smyth, Eamon C Mulkerrin, Andrew W Murphy, Joan Mulqueen, Emer R McGrath, Martin J O'Donnell
BACKGROUND: Older adults report preservation of functional independence as one of the most important constructs of successful ageing. Vascular risk factors may increase the risk of functional impairment due to clinical and subclinical vascular disease. OBJECTIVE: To describe the association between vascular risk factors and impaired ability to perform daily living activities, independent of established cardiovascular disease. METHODS: We conducted an analysis of the Clarity Cohort, which is a cross-sectional study of 9,816 community-dwelling Irish adults...
2014: Gerontology
Frode Strisland, Ingrid Svagård, Trine M Seeberg, Bjørn Magnus Mathisen, Jon Vedum, Hanne O Austad, Anders E Liverud, Anders Kofod-Petersen, Ole Christian Bendixen
The pressure on the healthcare services is building up for several reasons. The ageing population trend, the increase in life-style related disease prevalence, as well as the increased treatment capabilities with associated general expectation all add pressure. The use of ambient healthcare technologies can alleviate the situation by enabling time and cost-efficient monitoring and follow-up of patients discharged from hospital care. We report on an ambulatory system developed for monitoring of physical rehabilitation patients...
2013: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Padmaja Ayyagari, Fred Ullrich, Theodore K Malmstrom, Elena M Andresen, Mario Schootman, J Philip Miller, Douglas K Miller, Fredric D Wolinsky
BACKGROUND: Self-rated health taps health holistically and dynamically blends prior health histories with current illness burdens and expectations for future health. While consistently found as an independent predictor of functional decline, sentinel health events, physician visits, hospital episodes, and mortality, much less is known about intra-individual changes in self-rated health across the life course, especially for African Americans. MATERIALS/METHODS: Data on 998 African American men and women aged 50-64 years old were taken from a probability-based community sample that was first assessed in 2000-2001 and re-assessed 1, 2, 3, 4, 7, and 9 years later...
2012: PloS One
Carlos O Weiss, Cynthia M Boyd, Jennifer L Wolff, Bruce Leff
BACKGROUND AND AIMS: Potential treatment effect modifiers (TEMs) are specific diseases or conditions with a well-described mechanism for treatment effect modification. The prevalence of TEMs in older adults with type 2 diabetes mellitus (DM) is unknown. Objectives were to 1) determine the prevalence of pre-specified potential TEMs; 2) demonstrate the potential impact of TEMs in the older adult population using a simulated trial; 3) identify TEM combinations associated with number of hospitalizations to test construct validity...
August 2012: Aging Clinical and Experimental Research
Kerry Schnell, Carlos O Weiss, Todd Lee, Jerry A Krishnan, Bruce Leff, Jennifer L Wolff, Cynthia Boyd
BACKGROUND: Treatment of chronic diseases such as chronic obstructive pulmonary disease (COPD) is complicated by the presence of comorbidities. The objective of this analysis was to estimate the prevalence of comorbidity in COPD using nationally-representative data. METHODS: This study draws from a multi-year analytic sample of 14,828 subjects aged 45+, including 995 with COPD, from the National Health and Nutrition Examination Survey (NHANES), 1999-2008. COPD was defined by self-reported physician diagnosis of chronic bronchitis or emphysema; patients who reported a diagnosis of asthma were excluded...
2012: BMC Pulmonary Medicine
Hsu-Ko Kuo, Soham Al Snih, Yong-Fang Kuo, Mukaila A Raji
OBJECTIVE: Although C-reactive protein (CRP) and albuminuria are well-documented cardiovascular risk markers, the functional implications of these biomarkers and their combination on functional disability and metabolic risks in patients with cardiovascular disease (CVD) are unknown. METHODS: Data were from 1403 adults (≥60 years, mean 73.2 years) with CVD, ascertained by self-reported diagnosis of angina, coronary heart disease, congestive heart failure, myocardial infarction or stroke, in the National Health and Nutrition Examination Survey 1999-2008...
June 2012: Atherosclerosis
Jeffrey R Willis, Joan L Jefferys, Susan Vitale, Pradeep Y Ramulu
OBJECTIVE: To examine how accelerometer-measured physical activity is affected by visual impairment (VI) and uncorrected refractive error (URE). DESIGN: Cross-sectional study using data from the 2003-2004/2005-2006 National Health and Nutritional Examination Survey. Visual impairment was defined as better-eye postrefraction visual acuity worse than 20/40. Uncorrected refractive error was defined as better-eye presenting visual acuity of 20/50 or worse, improving to 20/40 or better with refraction...
March 2012: Archives of Ophthalmology
Frank Kelly, Ben Armstrong, Richard Atkinson, H Ross Anderson, Ben Barratt, Sean Beevers, Derek Cook, Dave Green, Dick Derwent, Ian Mudway, Paul Wilkinson
On February 4, 2008, the world's largest low emission zone (LEZ) was established. At 2644 km2, the zone encompasses most of Greater London. It restricts the entry of the oldest and most polluting diesel vehicles, including heavy-goods vehicles (haulage trucks), buses and coaches, larger vans, and minibuses. It does not apply to cars or motorcycles. The LEZ scheme will introduce increasingly stringent Euro emissions standards over time. The creation of this zone presented a unique opportunity to estimate the effects of a stepwise reduction in vehicle emissions on air quality and health...
November 2011: Research Report (Res Rep Health Eff Inst)
Cynthia M Boyd, Bruce Leff, Jennifer L Wolff, Qilu Yu, Jing Zhou, Cynthia Rand, Carlos O Weiss
OBJECTIVES: To describe the prevalence of coexisting conditions that affect clinical decision-making in adults with coronary heart disease (CHD). DESIGN: Cross-sectional. SETTING: National Health and Nutrition Examination Survey, 1999 to 2004. PARTICIPANTS: Eight thousand six hundred fifty-four people aged 45 and older; 1,259 with CHD. MEASUREMENTS: Coexisting conditions relevant to clinical decision-making and implementing therapy for CHD across three domains: chronic diseases, self-reported and laboratory-based clinical measures, and health status factors of self-reported and observed function...
May 2011: Journal of the American Geriatrics Society
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