Early experience in using telemonitoring for the management of chronic disease in primary care

Journal of Telemedicine and Telecare
Joanna FursseGenevieve Findlay

Abstract

We have investigated the use of telemonitoring in three long-term conditions: chronic heart failure (CHF), type 2 diabetes and essential hypertension. Participants were provided with a home telemonitoring unit for a 12-week period and entered physiological data each day. The data were sent automatically via the participant's telephone line to a server and could be viewed via a web browser. An intervention algorithm was developed to improve the accuracy with which patients requiring intervention were recognized compared to existing systems based on a simple threshold. Thirty patients completed the 12-week trial. One patient dropped out, giving data on 29 patients (mean age 70 years, 17 women). The algorithm prompted a clinical intervention in 11 patients (38%). The average time that elapsed before the first intervention was 47 days (SD 21). Primarily the interventions (72%) resulted in changes to medication and health advice. The results suggest that four weeks is sufficient time in which to recognize the need to intervene clinically and that in 12 weeks it is possible to effect a change towards a target.

References

Dec 25, 2003·Diabetes Care·UNKNOWN American Diabetes Association
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Jun 15, 2007·Journal of Telemedicine and Telecare·James BarlowRichard Curry

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Citations

Sep 30, 2010·Critical Care : the Official Journal of the Critical Care Forum·Vishal NangaliaGary B Smith
Jul 7, 2017·Gerontology & Geriatric Medicine·Sumayya AttaallahFaith Pratt Hopp
Aug 11, 2017·IEEE Transactions on Bio-medical Engineering·Malcolm ClarkeHulya Gokalp
May 17, 2018·Research in Gerontological Nursing·Suyong JeongJeongeun Kim
Sep 8, 2010·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Azza AbuDaggaMajd Alwan
Nov 1, 2015·The Cochrane Database of Systematic Reviews·Sally C InglisJohn G F Cleland
May 12, 2011·The Journal of Cardiovascular Nursing·Kavita Radhakrishnan, Cynthia Jacelon
Sep 25, 2014·Computers, Informatics, Nursing : CIN·Ting-Ting LeeMary Etta Mills

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