Mobile phone-based surveillance of cardiac patients at home

Mobile phone-based surveillance of cardiac patients at home
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DOI:
10.1258/135763306777889046
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发表时间:
2006-01-01
影响因子:
4.7
通讯作者:
Fruhwald, F. M.
Fruhwald, F. M.
中科院分区:
医学3区
文献类型:
--
作者:
Scherr, D.;Zweiker, R.;Fruhwald, F. M.

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我们测试的可靠性,可接受性和可行性的家庭监护系统的心脏病人。每位参与者都配备了一部移动的手机、一台自动血压仪和一台数字体重秤。总共对20例患者(14例慢性心力衰竭患者,6例高血压患者;平均年龄50岁,标准差[SD] 14)进行了90天的监测。他们被要求每天测量血压、脉搏和体重,并利用移动的手机中的无线互联网技术将数据与药物剂量一起传输到远程监护服务器。当报告的数据超出预定义的限值时,负责医生会收到电子邮件警报。患者对系统的依从性较高。在1735天的累积监测期内,有2040次数据传输会话,平均每例患者102次(SD 43)。成功数据传输的平均百分比为83%(SD 22)。远程监护系统的稳定性为98%,这意味着患者数据传输几乎总是可能的。医生安全网络服务器的可访问性超过99%。基于网络的家庭监测系统是可靠的,易于处理的病人和医疗保健专业人员。它可能是一个有用的工具,为患者的心力衰竭以及高血压患者。
We tested the reliability, acceptability and feasibility of a home-monitoring system for cardiac patients. Each participant was equipped with a mobile phone, an automatic blood pressure device and a digital weight scale. In total, 20 patients (14 patients with chronic heart failure, six patients with hypertension; mean age 50 years, standard deviation [SD] 14) were monitored for 90 days each. They were asked to measure their blood pressure, pulse and body weight every day, and to transfer the data together with the dosage of medication to the telemonitoring server using wireless Internet technology in the mobile phone. The physician in charge received email alerts when reported data fell outside pre-defined limits. The patients' compliance with the system was high. During a cumulative monitoring period of 1735 days, there were 2040 data transfer sessions, a mean of 102 per patient (SD 43). The mean percentage of successful data transfers was 83% (SD 22). The stability of the telemonitoring system was 98%, meaning that patient data transfer was almost always possible. The accessibility of the secure web server for physicians was above 99%. The web-based home-monitoring system was reliable and easy to handle for both patients and health care professionals. It may be a useful tool for patients with heart failure as well as hypertensive patients.