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Continuous remote monitoring of COPD patients—justification and explanation of the requirements and a survey of the available technologies

Tomasic, Ivan; Tomasic, Nikica LU ; Trobec, Roman; Krpan, Miroslav and Kelava, Tomislav (2018) In Medical and Biological Engineering and Computing p.1-23
Abstract

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... (More)

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. [Figure not available: see fulltext.]

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Chronic obstructive pulmonary disease, COPD, Decision support in healthcare, eHealth, Patch ECG, Remote patient monitoring, Telehealth, Telehealthcare, Telemedicine, Transcutaneous measurement
in
Medical and Biological Engineering and Computing
pages
23 pages
publisher
Springer
external identifiers
  • scopus:85042753818
ISSN
0140-0118
DOI
language
English
LU publication?
yes
id
40862093-df76-436e-85d3-7b5b6d94908d
date added to LUP
2018-03-15 12:15:26
date last changed
2018-06-15 03:00:08
@article{40862093-df76-436e-85d3-7b5b6d94908d,
  abstract     = {<p>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 (PaCO<sub>2</sub>) 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. [Figure not available: see fulltext.]</p>},
  author       = {Tomasic, Ivan and Tomasic, Nikica and Trobec, Roman and Krpan, Miroslav and Kelava, Tomislav},
  issn         = {0140-0118},
  keyword      = {Chronic obstructive pulmonary disease,COPD,Decision support in healthcare,eHealth,Patch ECG,Remote patient monitoring,Telehealth,Telehealthcare,Telemedicine,Transcutaneous measurement},
  language     = {eng},
  month        = {03},
  pages        = {1--23},
  publisher    = {Springer},
  series       = {Medical and Biological Engineering and Computing},
  title        = {Continuous remote monitoring of COPD patients—justification and explanation of the requirements and a survey of the available technologies},
  url          = {http://dx.doi.org/},
  year         = {2018},
}