IEEE J Biomed Health Inform - Home telemonitoring of vital signs--technical challenges and future directions.

Tópicos

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Resumo

The telemonitoring of vital signs from the home is an essential element of telehealth services for the management of patients with chronic conditions, such as congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), diabetes, or poorly controlled hypertension. Telehealth is now being deployed widely in both rural and urban settings, and in this paper, we discuss the contribution made by biomedical instrumentation, user interfaces, and automated risk stratification algorithms in developing a clinical diagnostic quality longitudinal health record at home. We identify technical challenges in the acquisition of high-quality biometric signals from unsupervised patients at home, identify new technical solutions and user interfaces, and propose new measurement modalities and signal processing techniques for increasing the quality and value of vital signs monitoring at home. We also discuss use of vital signs data for the automated risk stratification of patients, so that clinical resources can be targeted to those most at risk of unscheduled admission to hospital. New research is also proposed to integrate primary care, hospital, personal genomic, and telehealth electronic health records, and apply predictive analytics and data mining for enhancing clinical decision support.

Resumo Limpo

telemonitor vital sign home essenti element telehealth servic manag patient chronic condit congest heart failur chf chronic obstruct pulmonari diseas copd diabet poor control hypertens telehealth now deploy wide rural urban set paper discuss contribut made biomed instrument user interfac autom risk stratif algorithm develop clinic diagnost qualiti longitudin health record home identifi technic challeng acquisit highqual biometr signal unsupervis patient home identifi new technic solut user interfac propos new measur modal signal process techniqu increas qualiti valu vital sign monitor home also discuss use vital sign data autom risk stratif patient clinic resourc can target risk unschedul admiss hospit new research also propos integr primari care hospit person genom telehealth electron health record appli predict analyt data mine enhanc clinic decis support

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