Reiss Nils, Wegner Kirby Kristin, Hoffmann Jan-Dirk, Schulte Eistrup Sebastian, Boeken Udo, Morshuis Michiel, Schmidt Thomas
Schüchtermann-Klinik Bad Rothenfelde, Bad Rothenfelde, Germany.
Universitätsklinik Düsseldorf, Düsseldorf, Germany.
Stud Health Technol Inform. 2019;260:146-153.
E-health, especially telemedicine, has undergone a remarkably dynamic development over the last decade. Most experience is currently in the field of telemedical care for heart failure (HF) patients. However, HF patients with an implanted left-ventricular assist device (LVAD) have been more or less excluded from consistent telemonitoring until now. The majority of complications associated with LVAD therapy occur during the post-implantation phase. Effective outpatient management is therefore the key to improving long-term outcome of LVAD patients. Thereby, implementation of a telemedicine center for close monitoring could play an important role, e.g. through early detection of complications. This study provides insights into structural, staff and spatial requirements for a telemedicine center to monitor the special group of LVAD patients, based on comprehensive literature research and expert interviews.
在过去十年中，电子健康，尤其是远程医疗，经历了显著的动态发展。目前，大部分经验来自于心力衰竭（HF）患者的远程医疗护理领域。然而，迄今为止，植入左心室辅助装置（LVAD）的HF患者在很大程度上被排除在持续的远程监测之外。与LVAD治疗相关的大多数并发症发生在植入后阶段。因此，有效的门诊管理是改善LVAD患者长期预后的关键。在此过程中，建立一个用于密切监测的远程医疗中心可能会发挥重要作用，例如通过早期发现并发症。本研究基于全面的文献研究和专家访谈，深入探讨了远程医疗中心监测LVAD患者这一特殊群体的结构、人员和空间要求。
