医学
心室辅助装置
医疗急救
心力衰竭
回廊的
医疗保健
重症监护医学
外科
心脏病学
经济增长
经济
作者
Nils Reiss,Thomas Schmidt,Frerk Müller-von Aschwege,Wolfgang Thronicke,Jan-Dirk Hoffmann,Jenny Inge Röbesaat,E. Deniz,Andreas Hein,Heiko Krumm,Franz-Josef Stewing,Detlev Willemsen,Jan D. Schmitto,C. Feldmann
出处
期刊:PubMed
日期:2017-01-01
卷期号:236: 267-274
被引量:5
摘要
Long-term survival after left ventricular assist device (LVAD) implantation in heart failure patients is mainly determined by a sophisticated after-care. Ambulatory visits only take place every 12 weeks. In case of life-threatening complications (pump thrombosis, driveline infection) this might lead to delayed diagnosis and delayed intervention. It is the intention of the international project Medolution (Medical care evolution) to develop new approaches in order to create best structures for telemonitoring of LVAD patients. In the very early period of the project a questionnaire was sent to 180 LVAD patients to evaluate the need and acceptance of telemonitoring. Thereafter, a graphical user interface (GUI) mockup was developed as one of the first steps to improve the continuous contact between the LVAD patient and the physician. As a final goal the Medolution project aims to bundle all relevant informations from different data sources into one platform in order to provide the physician a comprehensive overview of a patient's situation. In the systems background a big data analysis should run permanently and should try to detect abnormalities and correlations as well. At crucial events, a notification system should inform the physician and should provide the causing data via a decision support system. With this new system we are expecting early detection and prevention of common and partially life-threatening complications, less readmissions to the hospital, an increase in quality of life for the patients and less costs for the health care system as well.
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