Web Application For Display And Analysis Of
Clinical Data From A Home Telemonitoring
Platform
Author(s)
A. Tura, P. Santini, D. Longo & L. Quareni
Abstract
We designed and developed a home telemonitoring instrument, and related Web
application for management of clinical data. The instrument directly measures
important physiological parameters (blood oxygen saturation, pulse rate, and
respiratory parameters related to the use of pulmonary ventilators). The
instrument also connects to external instruments (spirometer, capnometer, noninvasive
blood pressure measuring device), thus collecting the corresponding
clinical parameters. The instrument has a flexible architecture, which allows
insertion of the necessary boards only, depending on the parameters that need to
be measured and the external instruments to be interfaced for each patient. The
measured and collected data are transmitted to a Web server, through direct
connection to a local Internet POP (thanks to the TCP/IP protocol implemented
at the instrument firmware level), thus avoiding long distance calls possibly
occurring in traditional modem-to-modem configurations. Transmitted data are
made available for consultation through a Web application from the health
professionals, wherever they are (if an Internet connection is available). The
advantage of using a Web application instead of a traditional one is that all
installation problems are avoided, and the latest application version is
immediately available for all the users. Within the Web application, the clinical
data can be displayed and analyzed both in numeric and graphic format. It is also
possible to mark some portions of data with proper indicators: for instance, for
saturation curves all the desaturation events can be marked manually or after
identification through an automatic algorithm. Furthermore, the Web application
allows possible definition of a new instrument setup, which can be transmitted to
the instrument thanks to the bidirectional connection with the Web server. The
system is under test on fifteen patients with amyotrophic lateral sclerosis and
respiratory problems. In future, the system could also be used for telemonitoring
of different categories of patients with chronic pathologies.
Keywords: Internet, telemedicine, telecare, e-health, chronic pathologies.
Keywords
Internet, telemedicine, telecare, e-health, chronic pathologies.
Related Book
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