AIT Austrian Institute of Technology GmbH, Graz, Austria.
Landesinstitut für Integrierte Versorgung Tirol, Innsbruck, Austria.
Stud Health Technol Inform. 2021 Oct 27;285:205-210. doi: 10.3233/SHTI210599.
The aim of this paper was to evaluate the effect of telemedical care of gestational diabetes mellitus (GDM) patients with the digital treatment pathway model DiabCare Tirol.
27 courses of patients with GDM, who were telemonitored through the integrated care program DiabCare Tirol in a diabetes outpatient clinic in Tyrol, Austria during the COVID-19 pandemic in 2020, were analyzed. In addition, randomized controlled trials (RCTs) on telemedicine interventions for GDM were researched, and their results were used for comparison with this disease management method. The patient outcome analysis was used to examine the effects of the integrated care program involving telemonitoring support and compared them to the results of RCTs in which participants were randomly assigned to one of two groups, either mobile monitored or standard treatment group.
The feasibility of the digital treatment pathway model was confirmed in practice, as the trend analysis of the 27 GDM patients involved showed significantly improved glycaemic control. Results of RCT studies tend to support the findings of DiabCare Tirol.
Benefits of telemonitoring with integrated care to support conventional therapy cannot be dismissed, especially in times of the pandemic. Continuous outcome research with larger patient numbers will be necessary to confirm the effectiveness of telemonitoring in a regular care setting.
本研究旨在评估通过数字化治疗途径模型 DiabCare Tirol 对妊娠期糖尿病(GDM)患者进行远程医疗护理的效果。
分析了 2020 年 COVID-19 大流行期间,奥地利蒂罗尔州一家糖尿病门诊通过综合护理计划 DiabCare Tirol 对 27 例 GDM 患者进行远程监测的情况。此外,还对远程医疗干预 GDM 的随机对照试验(RCT)进行了研究,并将其结果与这种疾病管理方法进行了比较。通过对参与远程监测支持的综合护理计划的患者进行结果分析,考察了该综合护理计划的效果,并将其与参与者随机分配到移动监测组或标准治疗组的 RCT 结果进行了比较。
实践证实了数字化治疗途径模型的可行性,27 例 GDM 患者的趋势分析显示,血糖控制明显改善。RCT 研究的结果倾向于支持 DiabCare Tirol 的发现。
不能忽视远程监测与综合护理相结合对常规治疗的益处,特别是在大流行期间。需要进行更多的患者数量的持续结果研究,以确认远程监测在常规护理环境中的有效性。