一种基于移动电话技术的新型远程监测系统，旨在用于慢性心力衰竭患者——可行性研究。

A new telemonitoring system intended for chronic heart failure patients using mobile telephone technology--feasibility study.

机构信息

Charité Universitätsmedizin Berlin, Campus Mitte, Department of Cardiology, Berlin, Germany.

出版信息

Int J Cardiol. 2011 Nov 17;153(1):55-8. doi: 10.1016/j.ijcard.2010.08.038. Epub 2010 Sep 18.

DOI:10.1016/j.ijcard.2010.08.038

PMID:20851481

Abstract

BACKGROUND

Remote monitoring is one modality of structured care in chronic heart failure. The purpose of this study was to evaluate the feasibility of a new wireless telemonitoring system via a mobile phone network.

METHODS

Portable home devices for electrocardiogram, blood pressure, body weight and self-assessment measurements were connected (via Bluetooth) to a personal digital assistant (PDA) that performs automated encrypted transmission via mobile phone. Two telemedical centres were set-up.

RESULTS

30 healthy volunteers were enrolled and followed for 26 days. A total of 4002 single measurements were taken, 133 ± 37 per person. No data was lost or incorrectly allocated. 880 of 937 (94%) of the ECG recordings had sufficient diagnostic quality for rhythm analysis and single beat measurements. 50 continuous ECG-streams (312 min) without disruption were performed. Total system availability was 96.6%, including that of the mobile phone network.

CONCLUSIONS

Mobile phone technology is suitable for continuous and secure medical data transmission. To evaluate the clinical use in chronic heart failure patients, a large multicentre randomized controlled trial (ClinicalTrials.gov Identifier: NCT00543881) was started.

摘要

背景

远程监护是慢性心力衰竭结构化护理的一种方式。本研究旨在评估一种新的通过移动电话网络的无线远程监护系统的可行性。

方法

用于心电图、血压、体重和自我评估测量的便携式家用设备通过蓝牙连接到个人数字助理（PDA），PDA 通过移动电话执行自动加密传输。建立了两个远程医疗中心。

结果

共纳入 30 名健康志愿者，随访 26 天。共进行了 4002 次单项测量，每人 133 ± 37 次。没有数据丢失或错误分配。937 次心电图记录中有 880 次（94%）具有足够的诊断质量，可用于节律分析和单次测量。连续进行了 50 次无中断的连续心电图监测（312 分钟）。移动电话网络的总系统可用性为 96.6%。