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https://www.readbyqxmd.com/read/29162557/self-management-and-clinical-decision-support-for-patients-with-complex-chronic-conditions-through-the-use-of-smartphone-based-telemonitoring-randomized-controlled-trial-protocol
#1
Emily Seto, Patrick Ware, Alexander G Logan, Joseph A Cafazzo, Kenneth R Chapman, Phillip Segal, Heather J Ross
BACKGROUND: The rising prevalence of chronic illnesses hinders the sustainability of the health care system because of the high cost of frequent hospitalizations of patients with complex chronic conditions. Clinical trials have demonstrated that telemonitoring can improve health outcomes, but they have generally been limited to single conditions such as diabetes, hypertension, or heart failure. Few studies have examined the impact of telemonitoring on complex patients with multiple chronic conditions, although these patients may benefit the most from this technology...
November 21, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29157591/telemonitoring-in-continuous-positive-airway-pressure-treated-patients-improves-delay-to-first-intervention-and-early-compliance-a%C3%A2-randomized-trial
#2
F Hoet, W Libert, C Sanida, S Van den Broecke, A V Bruyneel, M Bruyneel
OBJECTIVE: Telemonitoring (TM) has been used in continuous positive airway pressure (CPAP)-treated patients to improve compliance, but results have been inconsistent. The purpose of this study was to assess the impact of TM on the delay to the first technical intervention after CPAP initiation. The impact of TM on mean compliance during the first 3 months of treatment was measured as a secondary outcome. METHODS: Patients diagnosed with moderate to severe obstructive sleep apnea syndrome were prospectively included and randomized to receive usual care (UC) or TM...
November 2017: Sleep Medicine
https://www.readbyqxmd.com/read/29153220/-telemonitoring-by-the-nurse-of-patients-equipped-with-an-implantable-heart-device
#3
Laurence Guédon-Moreau, Valérie Lerouge, Élisabeth Veirman, Françoise Pinelli, Loïc Finat
The nurse is at the heart of the caregiving relationship in the remote monitoring of patients with heart failure equipped with an implantable device. Her direct contact with the patient erases the distance imposed by telemonitoring and her close connection with the cardiologist-arrhythmia specialist ensures the patient follow-up is optimal. After her training in telemedicine, the nurse plays a key role in the telerhythmology activity.
November 2017: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/29114106/designing-and-implementation-of-a-heart-failure-telemonitoring-system
#4
Reza Safdari, Maryam Jafarpour, Mehrshad Mokhtaran, Nasim Naderi
Introduction: The aim of this study was to identify patients at-risk, enhancing self-care management of HF patients at home and reduce the disease exacerbations and readmissions. Method: In this research according to standard heart failure guidelines and Semi-structured interviews with 10 heart failure Specialists, a draft heart failure rule set for alerts and patient instructions was developed. Eventually, the clinical champion of the project vetted the rule set...
September 2017: Acta Informatica Medica: AIM
https://www.readbyqxmd.com/read/29098863/approaches-to-nurse-education-and-competence-development-in-remote-telemonitoring-of-heart-failure-patients-with-implanted-heart-devices-in-italy-a-cause-for-concern
#5
Michela Barisone, Annamaria Bagnasco, Fiona Timmins, Giuseppe Aleo, Loredana Sasso
No abstract text is available yet for this article.
November 1, 2017: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29060726/speech-features-for-telemonitoring-of-parkinson-s-disease-symptoms
#6
Hamideh Ramezani, Hossein Khaki, Engin Erzin, Ozgur B Akan
The aim of this paper is tracking Parkinson's disease (PD) progression based on its symptoms on vocal system using Unified Parkinsons Disease Rating Scale (UPDRS). We utilize a standard speech signal feature set, which contains 6373 static features as functionals of low-level descriptor (LLD) contours, and select the most informative ones using the maximal relevance and minimal redundancy based on correlations (mRMRC) criteria. Then, we evaluate performance of Gaussian mixture regression (GMR) and support vector regression (SVR) on estimating the third subscale of UPDRS, i...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29060707/transmission-delay-performance-in-telemedicine-a-case-study
#7
Gang Wang, Shan Lin, Margaret Mullen-Fortino, Oleg Sokolsky, Insup Lee
Given the prevalence of chronic health conditions, such as diabetes, obesity, epilepsy, and cardiovascular diseases, telemedicine technologies are increasingly adopted to help patients better manage their care and treat these diseases at home. These emerging telemedicine systems have been deployed and tested in a number of different health programs and hospitals. However, due to the lack of dedicated and reliable networking infrastructure, achieving real-time data collection is very challenging task. In this paper, we conduct a comprehensive analysis on the delay issues presented during the use of a store and forward telemonitoring system for congestive heart failure patients in urban Philadelphia...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29059903/automated-diagnosis-of-coronary-artery-disease-using-pattern-recognition-approach
#8
Usha Desai, C Gurudas Nayak, G Seshikala, Roshan J Martis
Coronary Artery Disease (CAD) is the most leading Cardiovascular Disease (CVD), which results due to buildup of plaque inside the coronary arteries. The CAD and Normal Sinus Rhythm (NSR) heartbeats can be discriminated and diagnosed noninvasively using the standard tool Electrocardiogram (ECG). However, manual diagnosis of ECG is tiresome and time consuming task, due to complex nature and unseen nonlinearities of ECG. Hence an automated system plays a substantial role. In this study, CAD and NSR heartbeats are discriminated and diagnosed using Higher-Order Statistics (HOS) cumulants features...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29027869/acceptance-of-telemonitoring-among-patients-with-obstructive-sleep-apnea-syndrome-how-is-the-perceived-interest-by-and-for-patients
#9
Julie S Bros, Caroline Poulet, Nathalie Arnol, Chrystèle Deschaux, Marc Gandit, Marie Charavel
BACKGROUND: Obstructive sleep apnea syndrome, a chronic respiratory disease, requires regular adherence to Continuous Positive Airway Pressure (CPAP) therapy. Telemonitoring may be relevant to support adherence, but nonetheless this raises ethical issues around the intrusive nature of the daily life of patients Objective: To explore the acceptance of telemonitoring by patients and the impact of this on adherence. MATERIALS AND METHODS: A prospective and observational study has been performed with 160 patients who initiated their CPAP therapy...
October 13, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29024308/does-remote-monitoring-change-osa-management-and-cpap-adherence
#10
REVIEW
Jean L Pépin, Renaud Tamisier, Dennis Hwang, Suresh Mereddy, Sairam Parthasarathy
It is increasingly recognized that the high prevalence of obstructive sleep apnoea (OSA), and its associated cardio-metabolic morbidities make OSA a burden for society. Continuous positive airway pressure (CPAP), the gold standard treatment, needs to be used for more than 4 h/night to be effective, but suffers from relatively poor adherence. Furthermore, CPAP is likely to be more effective if combined with lifestyle changes. Thus, the remote telemonitoring (TM) of OSA patients in terms of CPAP use, signalling of device problems, following disease progression, detection of acute events and monitoring of daily physical activity is an attractive option...
November 2017: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/29020993/assessment-of-a-business-to-consumer-b2c-model-for-telemonitoring-patients-with-chronic-heart-failure-chf
#11
Andrija S Grustam, Hubertus J M Vrijhoef, Ron Koymans, Philipp Hukal, Johan L Severens
BACKGROUND: The purpose of this study is to assess the Business-to-Consumer (B2C) model for telemonitoring patients with Chronic Heart Failure (CHF) by analysing the value it creates, both for organizations or ventures that provide telemonitoring services based on it, and for society. METHODS: The business model assessment was based on the following categories: caveats, venture type, six-factor alignment, strategic market assessment, financial viability, valuation analysis, sustainability, societal impact, and technology assessment...
October 11, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28994634/the-eu-project-united4health-results-and-experiences-from-automatic-health-status-assessment-in-a-norwegian-telemedicine-trial-system
#12
Martin Gerdes, Frode Gallefoss, Rune Werner Fensli
Introduction Patients with chronic obstructive pulmonary disease require help in daily life situations to increase their individual perception of security, especially under worsened medical conditions. Unnecessary hospital (re-)admissions and home visits by doctors or nurses shall be avoided. This study evaluates the results from a two-year telemedicine field trial for automatic health status assessment based on remote monitoring and analysis of a long time series of vital signs data from patients at home over periods of weeks or months...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28993389/innovative-telemonitoring-enhanced-care-programme-for-chronic-heart-failure-itec-chf-to-improve-guideline-compliance-and-collaborative-care-protocol-of-a-multicentre-randomised-controlled-trial
#13
Hang Ding, Rajiv Jayasena, Andrew Maiorana, Alison Dowling, Sheau Huey Chen, Mohan Karunanithi, Jamie Layland, Iain Edwards
INTRODUCTION: Chronic heart failure (CHF) is a life-threatening chronic disease characterised by periodic exacerbations and recurrent hospitalisations. In the management of CHF, patient compliance with evidence-based clinical guidelines is essential, but remains difficult practically. The objective of this study is to examine whether an Innovative Telemonitoring Enhanced Care Programme for CHF (ITEC-CHF) improves patients' compliance, and associated health and economic outcomes. METHODS AND ANALYSIS: An open multicentre randomised controlled trial has been designed...
October 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28990455/remote-consulting-with-telemonitoring-of-continuous-positive-airway-pressure-usage-data-for-the-routine-review-of-people-with-obstructive-sleep-apnoea-hypopnoea-syndrome-a-systematic-review
#14
Phyllis Murphie, Stuart Little, Brian McKinstry, Hilary Pinnock
Introduction Telehealth has the potential to offer more convenient care and reduce travel. We aimed to systematically review studies that assessed the effectiveness of teleconsultation plus telemonitoring in the review of people with obstructive sleep apnoea hypopnoea syndrome receiving continuous positive airway pressure therapy versus face-to-face care. Methods Following Cochrane methodology, we searched 10 electronic databases (November 2015), trial registries, and reference lists of included studies, for trials testing interventions that combined remote consultations with telemonitoring of usage/continuous positive airway pressure data...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28978949/comparative-effectiveness-of-telemedicine-strategies-on-type-2-diabetes-management-a-systematic-review-and-network-meta-analysis
#15
Shaun Wen Huey Lee, Carina Ka Yee Chan, Siew Siang Chua, Nathorn Chaiyakunapruk
The effects of telemedicine strategies on the management of diabetes is not clear. This study aimed to investigate the impact of different telemedicine strategies on glycaemic control management of type 2 diabetes patients. A search was performed in 6 databases from inception until September 2016 for randomized controlled studies that examined the use of telemedicine in adults with type 2 diabetes. Studies were independently extracted and classified according to the following telemedicine strategies: teleeducation, telemonitoring, telecase-management, telementoring and teleconsultation...
October 4, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28971426/utilizing-a-homecare-platform-for-remote-monitoring-of-patients-with-idiopathic-pulmonary-fibrosis
#16
Christos Panagopoulos, Foteini Malli, Andreas Menychtas, Efstathia-Petrina Smyrli, Aikaterini Georgountzou, Zoe Daniil, Konstantinos I Gourgoulianis, Panayiotis Tsanakas, Ilias Maglogiannis
Homecare and home telemonitoring are a focal point of emerging healthcare schemes, with proven benefits for both patients, caregivers and providers, including reduction of healthcare costs and improved patients' quality of life, especially in the case of chronic disease management. Studies have evaluated solutions for remote monitoring of chronic patients based on technologies that allow daily symptom and vital signs monitoring, tailored to the needs of specific diseases. In this work, we present an affordable home telemonitoring system for patients with idiopathic pulmonary fibrosis (IPF), based on an application for mobile devices and Bluetooth-enabled sensors for pulse oximetry and blood pressure measurements...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28967584/telemedicine-for-facio-scapulo-humeral-muscular-dystrophy-a-multidisciplinary-approach-to-improve-quality-of-life-and-reduce-hospitalization-rate
#17
Simona Portaro, Rocco Salvatore Calabrò, Placido Bramanti, Giuseppe Silvestri, Michele Torrisi, Valeria Conti-Nibali, Santina Caliri, Christian Lunetta, Bernardo Alagna, Antonino Naro, Alessia Bramanti
BACKGROUND: Facio-Scapulo-Humeral Muscular Dystrophy (FSHD) is an autosomal dominant inherited disorder characterized by a variable and asymmetric involvement of facial, trunk, upper and lower extremity muscles. Although respiratory weakness is a relatively unknown feature of FSHD, it is not rare. Telemedicine has been used in a variety of health care fields, but only recently, with the advent of sophisticated technology, its interest among health professionals became evident, even in such diseases...
September 21, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/28954715/effectiveness-of-telemonitoring-in-obstetrics-scoping-review
#18
Dorien Lanssens, Thijs Vandenberk, Inge M Thijs, Lars Grieten, Wilfried Gyselaers
BACKGROUND: Despite reported positive results of telemonitoring effectiveness in various health care domains, this new technology is rarely used in prenatal care. A few isolated investigations were performed in the past years but with conflicting results. OBJECTIVE: The aim of this review was to (1) assess whether telemonitoring adds any substantial benefit to this patient population and (2) identify research gaps in this area to suggest goals for future research...
September 27, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28939459/comparative-effectiveness-of-telemonitoring-versus-usual-care-for-heart-failure-a-systematic-review-and-meta-analysis
#19
Ji Eun Yun, Jeong-Eun Park, Hyun-Young Park, Hae-Young Lee, Dong-Ah Park
BACKGROUND: This study aimed to evaluate the effectiveness of telemonitoring (TM) in the management of patients with heart failure (HF). METHODS AND RESULTS: We searched Ovid-Medline, Ovid-Embase, and the Cochrane Library for randomized controlled trials published through May 2016. Outcomes of interest included clinical effectiveness (mortality, hospitalization, and emergency department visits) and patient-reported outcomes. TM was defined as the transmission of individual biologic data, such as weight, blood pressure, and heart rate...
September 20, 2017: Journal of Cardiac Failure
https://www.readbyqxmd.com/read/28887294/impact-of-at-home-telemonitoring-on-health-services-expenditure-and-hospital-admissions-in-patients-with-chronic-conditions-before-and-after-control-intervention-analysis
#20
Branko Celler, Marlien Varnfield, Surya Nepal, Ross Sparks, Jane Li, Rajiv Jayasena
BACKGROUND: Telemonitoring is becoming increasingly important for the management of patients with chronic conditions, especially in countries with large distances such as Australia. However, despite large national investments in health information technology, little policy work has been undertaken in Australia in deploying telehealth in the home as a solution to the increasing demands and costs of managing chronic disease. OBJECTIVE: The objective of this trial was to evaluate the impact of introducing at-home telemonitoring to patients living with chronic conditions on health care expenditure, number of admissions to hospital, and length of stay (LOS)...
September 8, 2017: JMIR Medical Informatics
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