e-Health vs COVID-19: home patient telemonitoring to maintain TIA continuum of care

Furlanis, Giovanni; Ajčević, Miloš; Naccarato, Marcello; Caruso, Paola; Scali, Ilario; Lugnan, Carlo; Stella, Alex Buoite; Manganotti, Paolo

doi:10.1007/s10072-020-04524-0

Cited by 11 publications

(9 citation statements)

References 5 publications

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“…Telemonitoring solutions supported by IoT and smart technologies may guarantee patients home care in the post-acute phase [ 17 ], which is crucial in restricted mobility scenarios such as the COVID-19 pandemic [ 29 ]. Despite advances in prevention and treatment, ischemic stroke is still one of the leading causes of death and the first cause of adult disability worldwide [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Telemonitoring and teleassistance solutions carried out through smart wearable technologies may assure patients' safety in the post-acute phase outside the hospital, which became even more important against the background of the COVID-19 emergency [ 17 ] in the way patients access the healthcare system [ 3 , 18 ]. Vital sign sensors have been used extensively to monitor physiological effects, differently from the most part of the studies and interventions in which single-parameter devices are used [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

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e-Health solution for home patient telemonitoring in early post-acute TIA/Minor stroke during COVID-19 pandemic

Ajčević

Furlanis

Naccarato

et al. 2021

International Journal of Medical Informatics

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

e-Health solution for home patient telemonitoring in early post-acute TIA/Minor stroke during COVID-19 pandemic

Ajčević

Furlanis

Naccarato

et al. 2021

International Journal of Medical Informatics

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“…During the COVID-19 outbreak, it has been successfully used, for example, with neurological patients. 44 This system has been demonstrated to be accessible and reliable. 45 In its basic form, it can at least transmit basic life parameters, which is essential to escalate the level of care.…”

Section: Discussionmentioning

confidence: 99%

Effects of SARS-CoV-2 pandemic on follow-up and pharmacological treatment of chronic diseases in undocumented migrants

Fiorini

Franchi

Corrao

et al. 2021

BMJNPH

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BackgroundAll over the world, the COVID-19 pandemic, not unlikely other epidemics, has hit harder people in low socioeconomic conditions.In Western countries, undocumented migrants are a growing component of this disadvantaged segment of the population.Their health conditions are frequently burdened by a number of chronic conditions, and they experience many difficulties in accessing public health services. Frequently, the only medical assistance they can get is provided by non-governmental organisations.MethodsWe studied the medical records (including pharmacological treatments) of all patients attending the outpatient clinics of Opera San Francesco (OSF; a big charity in Milano, Italy), in the first 5 months of 2020. These comprise the outbreak of the pandemic and the lockdown period. The 1914 patients (1814 undocumented migrants and 100 Italians) seen during the lockdown were compared with those seen in the same period of 2019 and with those seen in the preceding months of 2020. We especially focused on three chronic conditions: cardiovascular diseases, diabetes and psychiatric disorders.ResultsThe number of consultations during the first 5 months of 2020 was much smaller than that of the same period of 2019. During the lockdown, we found 4048 consultations for 1914 patients, while they were 8051 in the same period of 2019 and 5681 in the first 2 months of 2020.The quantity of medicines dispensed by OSF showed a marked decrease in the period of the study and mainly during the lockdown.The decrease in consultations and dispensation of medicines was most evident for psychiatric patients and almost not existent for patients with diabetes. Female patients suffered a more pronounced reduction.ConclusionsWestern countries need strategies to better assist the very poor during epidemics.Differences among different groups of disadvantaged persons should be taken into account when designing recovery plans.

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“…To reduce the risk of heat-related symptoms in patients with neurological disease, a novel protocol is proposed using teleassistance and telemonitoring programs with the support of wearable devices, as described in detail elsewhere (Furlanis et al 2020 ). The protocol includes monitoring a trifecta of physiological parameters (heart rate, respiratory rate, and blood pressure) in addition to skin temperature, which have been more successful in determining whether people are suffering fever compared to models using only one physiological parameter (Sun et al 2017 ; Jensen et al 2019 ; Negishi et al 2020 ; Buoite Stella et al 2020a ).…”

Section: Heat Symptoms Prevention Protocol For Neurologically Impairementioning

confidence: 99%

Heat risk exacerbation potential for neurology patients during the COVID-19 pandemic and related isolation

et al. 2020

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COVID-19 may increase the risk of heat-related symptoms during hot weather since vulnerable populations, including the elderly and those with neurological disabilities, must continue to self-isolate, often indoors. Within the chronic neurological patient population, indoor conditions in summer months present a hazard because of impaired and/or altered thermoregulation, including poor hydration status due to both autonomic and behavioral dysfunction(s). To address this increased risk, telemedicine protocols should include an assessment of the patient’s environmental parameters, and when combined with physiological data from wearable devices, identify those with neurological diseases who are at higher risk of heat illness. Personalized medicine during times of self-isolation must be encouraged, and using smart technology in ambient assisted living solutions, including e-health to monitor physiological parameters are highly recommended, not only during extreme weather conditions but also during times of increased isolation and vulnerability.

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e-Health vs COVID-19: home patient telemonitoring to maintain TIA continuum of care

Cited by 11 publications

References 5 publications

e-Health solution for home patient telemonitoring in early post-acute TIA/Minor stroke during COVID-19 pandemic

e-Health solution for home patient telemonitoring in early post-acute TIA/Minor stroke during COVID-19 pandemic

Effects of SARS-CoV-2 pandemic on follow-up and pharmacological treatment of chronic diseases in undocumented migrants

Heat risk exacerbation potential for neurology patients during the COVID-19 pandemic and related isolation

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