Telemedical system "pulmotel-2010" for monitoring patients with chronic pulmonary diseases

• Autorzy: Polak A. G. , Głomb G. , Guszkowski T. , Jabłoński I. , Kasprzak B. , Pękala J. , Stępień A. F. , Świerczyński Z. , Mroczka J.
• Języki publikacji: EN

Abstrakty

EN

Telemedicine is one of the most innovative and promising applications of technology in contemporary medicine. Telemedical systems, a sort of distributed measurement systems, are used for continuous or periodic monitoring of human vital signals in the environment of living. This approach has several advantages in comparison to traditional medical care: e.g. patients experience fewer hospitalizations, emergency room visits, lost time from work, the costs of treatment are reduced, and the quality of life is improved. Currently, chronic respiratory diseases comprise one of the most serious public health problems. Simultaneously patients suffering from these diseases are well suitable for home monitoring. This paper describes the design and technical realization of a telemedical system that has been developed as a platform suitable for monitoring patients with chronic pulmonary diseases and fitted to Polish conditions. The paper focuses on the system's architecture, included medical tests, adopted hardware and software, and preliminary internal evaluation. The performed tests demonstrated good overall performance of the system. At present further work goes on to put it into practice.

Słowa kluczowe

EN

telemedicine; distributed measurement system; web services; spirometry; interrupter technique

• Wydawca: Komitet Metrologii i Aparatury Naukowej PAN
• Czasopismo: Metrology and Measurement Systems
• Rocznik: 2010
• Tom: Vol. 17, nr 4
• Strony: 537--547
• Opis fizyczny: Bibliogr. 37 poz., rys.

Twórcy

autor

Polak A. G.

autor

Głomb G.

autor

Guszkowski T.

autor

Jabłoński I.

autor

Kasprzak B.

autor

Pękala J.

autor

Stępień A. F.

autor

Świerczyński Z.

autor

Mroczka J.

• Wroclaw University of Technology, Chair of Electronic and Photonic Metrology, B. Prusa 53/55, 50-317 Wroclaw, Poland,

Bibliografia

• [1] Barszcz, T. (2008). Proposal of architecture of distributed vibration monitoring system with flexible architecture and remote access support. Metrol. Meas. Syst., 15(2), 177-194.
• [2] Pattichis, C.S., Kyriacou, E., Voskarides, S., Pattichis, M.S., Istepanian, R., Schizas, C.N. (2002). Wireless telemedicine systems: an overview. IEEE Anten. Propag. Mag., 44, 143-153.
• [3] Meystre, S. (2005). The current state of telemonitoring: a comment on the literature. Telemed. J. E Health, 11, 63-69.
• [4] Zieliński, K., Duplaga, M., Ingram, D. (2006). Information Technology Solutions for Healthcare. London: Springer-Verlag.
• [5] Gibson, P.G. (2002). Outpatient monitoring of asthma. Curr. Opin. Allergy Clin. Immunol., 2, 161-166.
• [6] Vitacca, M., Bianchi, L., Guerra, A., Fracchia, C., Spanevello, A., Balbi, B., Scalvini, S. (2009). Teleassistance in chronic respiratory failure patients: a randomised clinical trial. Eur. Respir. J., 33, 411-418.
• [7] Bruderman, I., Abboud, S. (1997). Telespirometry: novel system for home monitoring of asthmatic patients. Telemed. J., 3, 127-133.
• [8] Finkelstein, J., O’Connor, G., Friedmann, R.H. (2001). Development and implementation of the home asthma telemonitoring (HAT) system to facilitate asthma self-care. Stud. Health Technol. Inform., 84, 810-814.
• [9] Gruber, H.-G., Wolf, B., Reiher, M. (2009). Innovation barriers for telemonitoring. Dössel, O., Schlegel, W.C. (eds). World Congress on Medical Physics and Biomedical Engineering, IFMBE Proceedings, Berlin: Springer, 25/V, 48-50.
• [10] Pławiak-Mowna, A. (2009). Pacemaker patient home monitoring and education in telemedicine environment. PAK, 7, 528-530. (in Polish).
• [11] Rabe, K.F., Hurd, S., Anzueto, A., et. al. (2007). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am. J. Respir. Crit. Care Med., 176, 532-555.
• [12] Barua, P., O’Mahony, M.S. (2005). Overcoming gaps in the management of asthma in older patients: new insights. Drugs Aging, 22, 1029-1059.
• [13] Finkelstein, J., Cabrera, M.R., Hripcsak, G. (2000). Internet-based home asthma telemonitoring: can patients handle the technology?. Chest, 117, 148-155.
• [14] Van den Bemt, L., Schermer, T., Smeele, I., Bischoff, E., Jacobs, A., Grol, R., Van Weel, C. (2008) Monitoring of patients with COPD: a review of current guideline’ recommendations. Respir. Med., 102, 633-641.
• [15] Morlion, B., Knoop, C., Paiva, M., Estenne, M. (2002). Internet-based home monitoring of pulmonary function after lung transplantation. Am. J. Respir. Crit. Care Med., 165, 694-697.
• [16] Pieczkiewicz, D.S., Finkelstein, S.M., Hertz, M.I. (2007). Design and evaluation of a web-based interactive visualization system for lung transplant home monitoring data. AMIA Annu. Symp. Proc., 11, 598-602.
• [17] Pangarakis, S.J., Harrington, K., Lindquist, R., Peden-McAlpine, C., Finkelstein, S. (2008). Electronic feedback messages for home spirometry lung transplant recipients. Heart Lung, 37, 299-307.
• [18] Celli, B.R. (2000). The importance of spirometry in COPD and asthma: effect on approach to management. Chest, 117, 15S-19S.
• [19] Tura, A., Santini, P., Longo, D., Quareni, L. (2007). A telemedicine instrument for home monitoring of patients with chronic respiratory diseases. Ann. Ist. Super. Sanita, 43, 101-109.
• [20] De Toledo, P., Jiménez, S., Del Pozo, F. (2002). A telemedicine system to support a new model for care of chronically ill patients. J. Telemed. Telecare, 8(2), 17-19.
• [21] Polak, A.G., Głomb, G., Guszkowski, T., Jabłoński, I., Kasprzak, B., Pękala, J., Stępień, A.F., Świerczyński, Z., Mroczka, J. (2009). Development of a telemedical system for monitoring patients with chronic respiratory diseases. Dössel, O., Schlegel, W.C. (eds.). World Congress on Medical Physics and Biomedical Engineering. IFMBE Proceedings. Berlin: Springer, 25/V, 51-54.
• [22] Polak, A.G., Wysoczański, D., Mroczka, J. (2006). A multi-method approach to measurement of respiratory system mechanics. Metrol. Meas. Syst., 13(1), 3-17.
• [23] Polskie Towarzystwo Chorób Płuc: Zalecenia Polskiego Towarzystwa Chorób Płuc dotyczące wykonywania badań spirometrycznych. (2006). Pneumonologia i Alergologia Polska, 74(1). (in Polish)
• [24] Miller, M.R., Hankinson, J., Brusasco, V., Burgos, F., Casaburi, R., Coates, A., Crapo, R., Enright, P., Van der Grinten, C.P., Gustafsson, P., Jensen, R., Johnson, D.C., MacIntyre, N., McKay, R., Navajas, D., Pedersen, O.F., Pellegrino, R., Viegi, G., Wanger, J. (2005). ATS/ERS Task Force: Standardisation of spirometry. Eur. Respir. J., 26, 319-338.
• [25] Quanjer, P.H., Tammeling, G.J., Cotes, J.E., Pedersen, O.F., Peslin, R., Yernault, J.C. (1993). Lung volume and forced ventilatory flows. Report Working Party Standardization of Lung Function Tests, European Community for Steel and Coal. Official Statement of the European Respiratory Society. Eur. Respir. J., 6 (16), 5-40.
• [26] Hankinson, J.L., Crapo, R.O., Jensen, R.L. (2003). Spirometric reference values for the 6-s FVC maneuver. Chest, 124, 1805-1811.
• [27] ATS. Standardization of Spirometry, 1994 Update. (1995). Am. J. Respir. Crit. Care Med., 152, 1107-1136.
• [28] Von Neergaard, J., Wirz, K. (1927). Die Messung der Strömungswiderstände in den Atemwegen des Menschen, insbesondere bei Asthma und Emphysem. Z. Klin. Med., 51-82.
• [29] Jabłoński, I., Mroczka, J. (2006). Computer-aided evaluation of a new interrupter algorithm in respiratory mechanics measurement. Biocybern. Biomed. Eng., 26, 33-47.
• [30] Polak, A.G., Jabłoński, I., Mroczka, J. (August 12-14, 2009). Measurement of respiratory input impedance using the interrupter technique - a model study. In Proceedings of the 7th IFAC Symposium on Modelling and Control in Biomedical Systems. Aalborg, Denmark, 133-138.
• [31] Frey, U., Schibler, A., Kraemer, R. (1995). Pressure oscillations after flow interruption in relation to lung mechanics. Respir. Physiol., 102, 225-237.
• [32] Jackson, A.C., Lutchen, K.R. (1991). Physiological basis for resonant frequencies in respiratory system impedances in dogs. J. Appl. Physiol., 70, 1051-1058.
• [33] Frey, U., Kraemer, R. (1997). Oscillatory pressure transients after flow interruption during bronchial challenge test in children. Eur. Respir. J., 10, 75-81.
• [34] Frey, U., Silverman, M., Kraemer, R., Jackson, A.C. (1998). High-frequency respiratory input impedance measurements in infants assessed by the high speed interrupter technique. Eur. Respir. J., 12, 148-158.
• [35] Morlion, B., Polak, A.G. (2005). Simulation of lung function evolution after heart-lung transplantation using a numerical model. IEEE Trans. Biomed. Eng., 52, 1180-1187.
• [36] Jabłoński, I., Głomb, G., Guszkowski, T., Kasprzak, B., Pękala, J., Polak, A.G., Stępień, A.F., Świerczyński, Z., Mroczka, J. (August 31 - September 4, 2010). Internal validation of a telemedical system for monitoring patients with chronic respiratory diseases. 32nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society. Buenos Aires, Argentina.
• [37] Jabłoński, I., Mroczka, J. (2009). A forward model of the respiratory system during airflow interruption. Metrol. Meas. Syst., (16)2, 219-232.