Continuous remote monitoring of COPD patients—justification and explanation of the requirements and a survey of the available technologies

Remote patient monitoring should reduce mortality rates, improve care, and reduce costs. We present an overview of the available technologies for the remote monitoring of chronic obstructive pulmonary disease (COPD) patients, together with the most important medical information regarding COPD in a l...

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Autores principales: Tomasic, Ivan, Tomasic, Nikica, Trobec, Roman, Krpan, Miroslav, Kelava, Tomislav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857273/
https://www.ncbi.nlm.nih.gov/pubmed/29504070
http://dx.doi.org/10.1007/s11517-018-1798-z
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author Tomasic, Ivan
Tomasic, Nikica
Trobec, Roman
Krpan, Miroslav
Kelava, Tomislav
author_facet Tomasic, Ivan
Tomasic, Nikica
Trobec, Roman
Krpan, Miroslav
Kelava, Tomislav
author_sort Tomasic, Ivan
collection PubMed
description Remote patient monitoring should reduce mortality rates, improve care, and reduce costs. We present an overview of the available technologies for the remote monitoring of chronic obstructive pulmonary disease (COPD) patients, together with the most important medical information regarding COPD in a language that is adapted for engineers. Our aim is to bridge the gap between the technical and medical worlds and to facilitate and motivate future research in the field. We also present a justification, motivation, and explanation of how to monitor the most important parameters for COPD patients, together with pointers for the challenges that remain. Additionally, we propose and justify the importance of electrocardiograms (ECGs) and the arterial carbon dioxide partial pressure (PaCO(2)) as two crucial physiological parameters that have not been used so far to any great extent in the monitoring of COPD patients. We cover four possibilities for the remote monitoring of COPD patients: continuous monitoring during normal daily activities for the prediction and early detection of exacerbations and life-threatening events, monitoring during the home treatment of mild exacerbations, monitoring oxygen therapy applications, and monitoring exercise. We also present and discuss the current approaches to decision support at remote locations and list the normal and pathological values/ranges for all the relevant physiological parameters. The paper concludes with our insights into the future developments and remaining challenges for improvements to continuous remote monitoring systems. [Figure: see text]
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spelling pubmed-58572732018-03-21 Continuous remote monitoring of COPD patients—justification and explanation of the requirements and a survey of the available technologies Tomasic, Ivan Tomasic, Nikica Trobec, Roman Krpan, Miroslav Kelava, Tomislav Med Biol Eng Comput Review Article Remote patient monitoring should reduce mortality rates, improve care, and reduce costs. We present an overview of the available technologies for the remote monitoring of chronic obstructive pulmonary disease (COPD) patients, together with the most important medical information regarding COPD in a language that is adapted for engineers. Our aim is to bridge the gap between the technical and medical worlds and to facilitate and motivate future research in the field. We also present a justification, motivation, and explanation of how to monitor the most important parameters for COPD patients, together with pointers for the challenges that remain. Additionally, we propose and justify the importance of electrocardiograms (ECGs) and the arterial carbon dioxide partial pressure (PaCO(2)) as two crucial physiological parameters that have not been used so far to any great extent in the monitoring of COPD patients. We cover four possibilities for the remote monitoring of COPD patients: continuous monitoring during normal daily activities for the prediction and early detection of exacerbations and life-threatening events, monitoring during the home treatment of mild exacerbations, monitoring oxygen therapy applications, and monitoring exercise. We also present and discuss the current approaches to decision support at remote locations and list the normal and pathological values/ranges for all the relevant physiological parameters. The paper concludes with our insights into the future developments and remaining challenges for improvements to continuous remote monitoring systems. [Figure: see text] Springer Berlin Heidelberg 2018-03-05 2018 /pmc/articles/PMC5857273/ /pubmed/29504070 http://dx.doi.org/10.1007/s11517-018-1798-z Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review Article
Tomasic, Ivan
Tomasic, Nikica
Trobec, Roman
Krpan, Miroslav
Kelava, Tomislav
Continuous remote monitoring of COPD patients—justification and explanation of the requirements and a survey of the available technologies
title Continuous remote monitoring of COPD patients—justification and explanation of the requirements and a survey of the available technologies
title_full Continuous remote monitoring of COPD patients—justification and explanation of the requirements and a survey of the available technologies
title_fullStr Continuous remote monitoring of COPD patients—justification and explanation of the requirements and a survey of the available technologies
title_full_unstemmed Continuous remote monitoring of COPD patients—justification and explanation of the requirements and a survey of the available technologies
title_short Continuous remote monitoring of COPD patients—justification and explanation of the requirements and a survey of the available technologies
title_sort continuous remote monitoring of copd patients—justification and explanation of the requirements and a survey of the available technologies
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857273/
https://www.ncbi.nlm.nih.gov/pubmed/29504070
http://dx.doi.org/10.1007/s11517-018-1798-z
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