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Home Monitoring (home + monitoring)

Distribution by Scientific Domains
Medical Sciences80%

Selected Abstracts

Emergence of Electronic Home Monitoring in Chronic Heart Failure: Rationale, Feasibility, and Early Results With the HomMed SentryÔ-ObserverÔ System

CONGESTIVE HEART FAILURE, Issue 3 2000
Mandeep R. Mehra MD
Electronic home monitoring for chronic heart failure is emerging as an available option to add to our armamentarium as a vital part of the multidisciplinary care process. This investigation describes the early clinical results of a multicenter study which suggests that important trends in medical resource utilization may be attained by the use of this modality. [source]

Home Monitoring in Patients with Implantable Cardiac Devices: Is There a Potential Reduction of Stroke Risk?

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 11 2009
Results from a Computer Model Tested Through Monte Carlo Simulations
Introduction: Patients with pacemakers and implantable defibrillators (ICD) may experience asymptomatic atrial fibrillation (AF), detected with a delay depending on the in-person follow-up schedule. Home monitoring (HM) remote control with automatic alerts for AF may drive early anticoagulation, potentially reducing stroke risk. Methods and Results: A sample of 136 pacemaker (103) and ICD (33) patients with or without cardiac resynchronization therapy not taking anticoagulation at implant were monitored remotely with HM. Upon HM alerts for AF, patients were recalled to update therapy. Two-year data were entered in a computer Monte Carlo model, simulating 4,000 virtual subjects with the same AF and CHADS2 stroke risk distribution of our real population. Simulations reproduced a 2-year follow-up. Two thousand subjects were supposed to be followed with HM (HM group) and 2,000 with standard in-person follow-up (SF group) at 3, 6, 9, or 12 months. Two-year Kaplan-Meier cumulative probability of ,24-hour AF was 15.6% (95%CI 8.5,23.3%); the AF-related symptom rate was 27% and the median CHADS2 score was 2. As a result of simulations, stroke incidence in case of AF was 2.3 ± 1.1% in the HM group and 2.4 ± 1.1%, 2.5 ± 1.2%, 2.7 ± 1.2%, and 2.9 ± 1.3% in the SF group with 3-, 6-, 9-, and 12-month follow-up programs, with odds ratios of 0.97 (95%CI 0.93,1.01), 0.91 (0.88,0.95), 0.87 (0.84,0.90), and 0.82 (0.79,0.85) (HM better if odds ratios <1), respectively. Conclusions: Daily HM potentially reduces the stroke risk by 9% to 18% with respect to SF with intervisit intervals of 6 to 12 months. [source]

Emergence of Electronic Home Monitoring in Chronic Heart Failure: Rationale, Feasibility, and Early Results With the HomMed SentryÔ-ObserverÔ System

CONGESTIVE HEART FAILURE, Issue 3 2000
Mandeep R. Mehra MD
Electronic home monitoring for chronic heart failure is emerging as an available option to add to our armamentarium as a vital part of the multidisciplinary care process. This investigation describes the early clinical results of a multicenter study which suggests that important trends in medical resource utilization may be attained by the use of this modality. [source]

Network and service architecture for emerging services based on home sensor networks

BELL LABS TECHNICAL JOURNAL, Issue 2 2009
Harish Viswanathan
Sensor networks in the home can enable a variety of applications such as home monitoring and control, home security, home energy management, and home health care. Current state-of-the-art solutions typically target a single sensor application and do not take advantage of the established infrastructure of the broadband service provider, such as a telco operator or cable provider. In this paper, we propose an alternative solution that provides a comprehensive and scalable service platform for multiple parallel home sensor applications, even from third party providers. We highlight the advantages that a broadband service provider holds for providing these emerging high margin services, and derive a suitable end-to-end network architecture. We describe the functions of each of the main components and some of their interfaces, and pay particular attention to one of the key technological challenges: the commissioning and management of the home sensor network. In particular, we describe a laboratory implementation that demonstrates the feasibility of automatic commissioning and remote management of the sensor network. © 2009 Alcatel-Lucent. [source]