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| Content Provider | IEEE Xplore Digital Library |
|---|---|
| Author | Celler, B.G. Sparks, R.S. |
| Copyright Year | 2013 |
| Abstract | The telemonitoring of vital signs from the home is an essential element of telehealth services for the management of patients with chronic conditions, such as congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), diabetes, or poorly controlled hypertension. Telehealth is now being deployed widely in both rural and urban settings, and in this paper, we discuss the contribution made by biomedical instrumentation, user interfaces, and automated risk stratification algorithms in developing a clinical diagnostic quality longitudinal health record at home. We identify technical challenges in the acquisition of high-quality biometric signals from unsupervised patients at home, identify new technical solutions and user interfaces, and propose new measurement modalities and signal processing techniques for increasing the quality and value of vital signs monitoring at home. We also discuss use of vital signs data for the automated risk stratification of patients, so that clinical resources can be targeted to those most at risk of unscheduled admission to hospital. New research is also proposed to integrate primary care, hospital, personal genomic, and telehealth electronic health records, and apply predictive analytics and data mining for enhancing clinical decision support. |
| Starting Page | 82 |
| Ending Page | 91 |
| Page Count | 10 |
| File Size | 564947 |
| File Format | |
| ISSN | 21682194 |
| Volume Number | 19 |
| Issue Number | 1 |
| Language | English |
| Publisher | Institute of Electrical and Electronics Engineers, Inc. (IEEE) |
| Publisher Date | 2015-01-01 |
| Publisher Place | U.S.A. |
| Access Restriction | One Nation One Subscription (ONOS) |
| Rights Holder | Institute of Electrical and Electronics Engineers, Inc. (IEEE) |
| Subject Keyword | Electrocardiography Monitoring Biomedical monitoring Diseases Medical diagnostic imaging Hospitals medical expert systems Telehealth vital signs biomedical instrumentation biomedical signal processing |
| Content Type | Text |
| Resource Type | Article |
| Subject | Health Information Management Health Informatics Electrical and Electronic Engineering Computer Science Applications Biotechnology |
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