Home telemonitoring for patients with severe respiratory illness: the Italian experience
Home telemonitoring for patients with severe respiratory illness: the Italian experience
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DOI：
10.1258/135763303321327902
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发表时间：
2003-01-01
影响因子：
4.7
通讯作者：
De Lorenzo, A
中科院分区：
文献类型：
--
作者：
Maiolo, C;Mohamed, EI;De Lorenzo, A
我们调查了严重呼吸系统疾病患者远程监护服务的可行性。在研究的第一阶段，患者接受了为期12个月的面对面医疗访问的观察和治疗。在研究的第二阶段，患者在家中接受了12个月的监测，在此期间，每周进行两次动脉血氧饱和度和心率的测定，数据通过正常的电话线自动传输到医院的处理中心。30例长期氧疗患者入组研究; 23例完成了12个月的家庭远程监护。与第一阶段相比，在研究的远程监护阶段，住院和急性家庭加重的数量分别减少了50%和55%。第二阶段患者的住院费用估计比第一阶段低约17%。在96%的病例中，患者对个人远程监护过程的质量表示满意。我们认为，远程医疗可以为严重呼吸道疾病患者提供高质量的家庭护理。
We investigated the feasibility of telemonitoring services for patients with severe respiratory illness. In the first phase of the study, patients were observed and treated using face-to-face medical visits for 12 months. In the second phase of the study, the patients were monitored at home for 12 months, during which time determinations of arterial oxygen saturation and heart rate were performed twice a week, and the data were automatically transmitted to the hospital's processing centre via a normal telephone line. Thirty patients on long-term oxygen therapy were enrolled in the study; 23 completed the 12 months of home telemonitoring. The numbers of hospital admissions and of acute home exacerbations during the telemonitoring phase of the study decreased by 50% and 55%, respectively, in comparison with the first phase. Estimates of hospitalization costs for the patients during the second phase were approximately 17% lower than those for the first phase. Patients were satisfied with the quality of the personal telemonitoring process in 96% of cases. We believe that telemedicine can enable the provision of high-quality home care for patients with severe respiratory illness.