Experience of Using the WELCOME Remote Monitoring System on Patients with COPD and Comorbidities

Kaimakamis, Evangelos; Perantoni, Eleni; Serasli, Evangelia; Kilintzis, Vassilis; Chouvarda, Ioanna; Kayyali, Reem; Nabhani‐Gebara, Shereen; Chang, John; Siva, Roshan; Hibbert, R.; Philips, N.; Karamitros, Dimitris; Raptopoulos, Andreas; Frerichs, Inéz; Wacker, Josias; Maglaveras, Nicos

doi:10.1007/978-981-10-7419-6_17

Cited by 2 publications

(5 citation statements)

References 10 publications

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“…Performance/reliability and functional stability are vital QoS indicators. Systems with low performance/reliability and functional stability lead to low adoptions and acceptance by end-users of such systems [39]. Developers, testers, evaluators and device manufacturers need to address and solve such indicators.…”

Section: Challenges Recommendations and Future Directions Of Iomentioning

confidence: 99%

Internet of Things for In-Home Health Monitoring Systems: Current Advances, Challenges and Future Directions

Philip

Rodrigues

Wang

et al. 2021

IEEE J. Select. Areas Commun.

179

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Internet of Things has been one of the catalysts in revolutionizing conventional healthcare services. With the growing society, traditional healthcare systems reach their capacity in providing sufficient and high-quality services. The world is facing the aging population and the inherent need for assisted-living environments for senior citizens. There is also a commitment by national healthcare organizations to increase support for personalized, integrated care to prevent and manage chronic conditions. Many applications related to In-Home Health Monitoring have been introduced over the last few decades, thanks to the advances in mobile and Internet of Things technologies and services. Such advances include improvements in optimized network architecture, indoor networks coverage, increased device reliability and performance, ultra-low device cost, low device power consumption, and improved device and network security and privacy. Current studies of in-home health monitoring systems presented many benefits including improved safety, quality of life and reduction in hospitalization and cost. However, many challenges of such a paradigm shift still exist, that need to be addressed to support scale-up and wide uptake of such systems, including technology acceptance and adoption by patients, healthcare providers and policymakers. The aim of this paper is three folds: First, review of key factors that drove the adoption and growth of the IoT-based in-home remote monitoring; Second, present the latest advances of IoT based in-home remote monitoring system architecture and key building blocks; Third, discuss future outlook and our recommendations of the in-home remote monitoring applications going forward.

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Section: Challenges Recommendations and Future Directions Of Iomentioning

confidence: 99%

Internet of Things for In-Home Health Monitoring Systems: Current Advances, Challenges and Future Directions

Philip

Rodrigues

Wang

et al. 2021

IEEE J. Select. Areas Commun.

179

View full text Add to dashboard Cite

show abstract

“…Eleven of the included studies were assessed using the JBI critical appraisal tools. Five studies 22 , 24 , 27 – 29 were considered to have a low risk of bias (scoring 83% or 89%); one study 30 had a low-to-moderate risk of bias (score of 80%); and five studies 21 , 23 , 31 – 33 had a moderate risk of bias (scoring 60% or 67%). Item-level quality assessment scores are reported in Supplementary Appendix C .…”

Section: Resultsmentioning

confidence: 99%

“…Two studies described the same CDS system resulting in 11 unique CDS systems from 12 studies. 28 , 30 Four of the 12 studies focused on electronic order sets. 21 , 22 , 24 , 31 Most CDS systems were delivered as part of a clinical information system, such as an electronic health/medical record ( n = 7), and half were in their pre-implementation stage (i.e.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 12 studies, the purpose of five CDS systems was to detect exacerbations in COPD patients, 27 – 30 , 32 with others focused on patient management and discharge ( n = 4), 21 , 23 , 24 , 33 physician prescribing ( n = 2) 22 , 31 and COPD diagnosis ( n = 1). 34 Most CDS systems were designed for use in hospital settings ( n = 7) and the remainder ( n = 5) for hospital-in-the-home settings.…”

Section: Resultsmentioning

confidence: 99%

“… 34 Most CDS systems were designed for use in hospital settings ( n = 7) and the remainder ( n = 5) for hospital-in-the-home settings. 27 – 30 , 32 The reported user roles that the CDS system reached or planned to reach included various physician groups 23 , 29 , 33 , 34 that were described as respirologists, 24 general internists, 24 family physician hospitalists, 24 residents, 34 house staff, 23 internal medicine faculty, 21 family medicine faculty 23 and doctors and 28 , 30 , 31 other clinician groups 27 , 32 such as respiratory therapists, 22 pharmacists, 22 and nurses 22 , 31 , 32 and patients . 32 Most studies ( n = 10/12) were conducted at a single site.…”

Section: Resultsmentioning

confidence: 99%

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Clinical decision support systems for chronic obstructive pulmonary disease (COPD) in hospitals: A systematic review

Bamgboje-Ayodele,

Borg,

McPhail

et al. 2023

DIGITAL HEALTH

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Objectives To synthesise the literature on clinical decision support (CDS) systems for chronic obstructive pulmonary disease (COPD). We aimed to (1) describe existing COPD CDS systems that have been designed, developed or are being used in practice, (2) describe the impact of COPD CDS systems on outcomes and (3) identify barriers and facilitators to implementation of COPD CDS systems. Methods Five databases were searched to identify relevant studies. All studies in English that described clinician-facing COPD CDS systems designed for, or implemented in, hospitals and hospital-in-the-home settings were included. A qualitative narrative synthesis was undertaken, guided by the RE-AIM framework ( Reach, Effectiveness, Adoption, Implementation and Maintenance). Results Twelve studies reporting the use of CDS in hospital ( n = 7) and hospital-in-the-home ( n = 5) settings were included. Implementation efforts to reach target users were scantly reported, and low-to-medium adoption rates were observed. The reported effectiveness of the CDS systems was mixed. Only one study reported facilitators to the implementation of CDS systems, none reported on barriers to the implementation of CDS systems, and none reported any information on successful strategies to maintain implementation of CDS systems. Conclusion The use of CDS systems in the management of patients with COPD in hospital-related settings is an important emerging field of research. Evidence suggests that the field has largely focused on systems targeted at physicians, often with incomplete descriptions and limited evaluations. Many opportunities to optimise and evaluate the implementation and use of COPD CDS systems in hospital settings remain, including robust evaluation of their impact on patient, clinician and health service outcomes.

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Experience of Using the WELCOME Remote Monitoring System on Patients with COPD and Comorbidities

Cited by 2 publications

References 10 publications

Internet of Things for In-Home Health Monitoring Systems: Current Advances, Challenges and Future Directions

Internet of Things for In-Home Health Monitoring Systems: Current Advances, Challenges and Future Directions

Clinical decision support systems for chronic obstructive pulmonary disease (COPD) in hospitals: A systematic review

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