Continuous remote monitoring of COPD patients-justification and explanation of the requirements and a survey of the available technologies.
Remote patient monitoring should reduce mortality rates, improve care, and reduce costs. We present an overview of the available technologies for the remote monitoring of chronic obstructive pulmonary disease (COPD) patients, together with the most important medical information regarding COPD in a l...
| Publicado en: | Medical & Biological Engineering & Computing Vol. 56; no. 4; pp. 547 - 570 |
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| Autores principales: | , , , , |
| Formato: | pictorial review tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128549174&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128549174 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01400118 PO0 jtl: Medical & Biological Engineering & Computing issn: 01400118 maglogo: N pubinfo: dt: Apr2018 vid: 56 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 128549174 128549174 NLM29504070 128549174 10.1007/s11517-018-1798-z NLM29504070 128549174 ppf: 547 ppct: 23 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Continuous remote monitoring of COPD patients-justification and explanation of the requirements and a survey of the available technologies. aug: au: Tomasic, Ivan Tomasic, Nikica Trobec, Roman Krpan, Miroslav Kelava, Tomislav affil: Division of Intelligent Future Technologies, Mälardalen University, Högskoleplan 1, 72123, Västerås, Sweden sug: subj: Monitoring, Physiologic Telemedicine Pulmonary Disease, Chronic Obstructive Diagnosis Electrocardiography Methods Funding Source ab: Remote patient monitoring should reduce mortality rates, improve care, and reduce costs. We present an overview of the available technologies for the remote monitoring of chronic obstructive pulmonary disease (COPD) patients, together with the most important medical information regarding COPD in a language that is adapted for engineers. Our aim is to bridge the gap between the technical and medical worlds and to facilitate and motivate future research in the field. We also present a justification, motivation, and explanation of how to monitor the most important parameters for COPD patients, together with pointers for the challenges that remain. Additionally, we propose and justify the importance of electrocardiograms (ECGs) and the arterial carbon dioxide partial pressure (PaCO2) as two crucial physiological parameters that have not been used so far to any great extent in the monitoring of COPD patients. We cover four possibilities for the remote monitoring of COPD patients: continuous monitoring during normal daily activities for the prediction and early detection of exacerbations and life-threatening events, monitoring during the home treatment of mild exacerbations, monitoring oxygen therapy applications, and monitoring exercise. We also present and discuss the current approaches to decision support at remote locations and list the normal and pathological values/ranges for all the relevant physiological parameters. The paper concludes with our insights into the future developments and remaining challenges for improvements to continuous remote monitoring systems. Graphical abstract ᅟ. pubtype: Academic Journal doctype: pictorial review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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