Tele-monitoring of ventilator-dependent patients: a European Respiratory Society Statement
Tele-monitoring of ventilator-dependent patients: a European Respiratory Society Statement
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DOI：
10.1183/13993003.01721-2015
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发表时间：
2016-09-01
影响因子：
24.3
通讯作者：
Vagheggini, Guido
中科院分区：
文献类型：
--
作者：
Ambrosino, Nicolino;Vitacca, Michele;Vagheggini, Guido
据估计，欧洲呼吸机依赖者的流行率为每10万人6.6人。这些复杂病人的数量和费用不断增加，使得现有的卫生组织在很大程度上无法满足他们的需求。因此，他们的负担主要落在家庭身上。降低医疗费用和提高安全性的需要促使了家庭呼吸辅助远程监测的发展。欧洲呼吸学会特别工作组就这些患者远程监测的适应症、随访、设备、设施、法律和经济问题，发表了一份基于普遍接受的临床标准的文献研究声明。许多远程健康监测系统可用，确保安全性、可行性、有效性、可持续性和灵活性，以满足不同患者的需求。与远程监控相关的法律问题仍然存在争议。各国和欧盟（EU）政府应该为远程医疗制定指导方针和伦理、法律、监管、技术和行政标准。这种新方法的经济优势，如果有的话，必须与家庭护理的“黄金标准”进行比较，而家庭护理在不同的欧洲国家之间和每个欧洲国家内部都是非常不同的。在考虑远程监测在这些患者的管理方面的真正改善之前，还需要进行更多的研究。
The estimated prevalence of ventilator-dependent individuals in Europe is 6.6 per 100 000 people. The increasing number and costs of these complex patients make present health organisations largely insufficient to face their needs. As a consequence, their burden lays mostly over families. The need to reduce healthcare costs and to increase safety has prompted the development of tele-monitoring for home ventilatory assistance.A European Respiratory Society Task Force produced a literature research based statement on commonly accepted clinical criteria for indications, follow-up, equipment, facilities, legal and economic issues of tele-monitoring of these patients.Many remote health monitoring systems are available, ensuring safety, feasibility, effectiveness, sustainability and flexibility to face different patients' needs. The legal problems associated with tele-monitoring are still controversial. National and European Union (EU) governments should develop guidelines and ethical, legal, regulatory, technical, administrative standards for remote medicine. The economic advantages, if any, of this new approach must be compared to a "gold standard" of home care that is very variable among different European countries and within each European country.Much more research is needed before considering tele-monitoring a real improvement in the management of these patients.