Remote Patient Monitoring (RPM) Task

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A Remote Patient Monitoring (RPM) Task is a patient monitoring task that is a remote monitoring task.

References

2019

  • Malasinghe, Lakmini P., Naeem Ramzan, and Keshav Dahal. “Remote patient monitoring: a comprehensive study." Journal of Ambient Intelligence and Humanized Computing 10, no. 1 (2019): 57-76.
    • ABSTRACT: Healthcare is a field that is rapidly developing in technology and services. A recent development in this area is remote monitoring of patients which has many advantages in a fast aging world population with increasing health complications. With relatively simple applications to monitor patients inside hospital rooms, the technology has developed to the extent that the patient can be allowed normal daily activities at home while still being monitored with the use of modern communication and sensor technologies. Sensors for monitoring essential vital signs such as electrocardiogram reading, heart rate, respiration rate, blood pressure, temperature, blood glucose levels and neural system activity are available today. Range of remote healthcare varies from monitoring chronically ill patients, elders, premature children to victims of accidents. These new technologies can monitor patients based on the illness or based on the situation. The technology varies from sensors attached to body to ambient sensors attached to the environment and new breakthroughs show contactless monitoring which requires only the patient to be present within a few meters from the sensor. Fall detection systems and applications to monitor chronical ill patients have already become familiar to many. This study provides a review of the recent advances in remote healthcare and monitoring in both with-contact and contactless methods. With the review, the authors discuss some issues available in most systems. The paper also includes some directions for future research.
    • Introduction: Remote healthcare is an emerging research field as the world moves towards remote monitoring, real-time and fast detection of illnesses. Remote healthcare has many categories, (e.g. telehealth, mobile health) all of which mean monitoring of patients outside hospital conditions by the means of technology. The advantages of remote monitoring of patients are: early and real-time detection of illnesses, ability to continuously monitor patients, prevention of worsening of illnesses and untimely deaths, cost reduction in hospitalizations, reduce the number of hospitalizations, obtain more accurate readings while permitting usual daily activities for patients, improve efficiency in healthcare services by utilizing communication technology, emergency medical care, service for patients with mobility issues, emergency care for traffic accidents and other injuries and usage of non-invasive medical interventions.

       Remote monitoring of patients target several sub-groups of patients, such as patients diagnosed with chronic illnesses, patients with mobility issues, or other disability, post-surgery patients, neonates and elderly patients. All these types of patients have conditions that are better to be monitored continuously. The aim of good healthcare is the ability to support ordinary life as much comfortable as possible to all patients. Most research follow the policy of allowing the mobility and activity freedom at home or personal environments which are beneficial for the patients rather than being confined into a high-cost hospital room. Therefore, whole systems are being built to support this concept with the use of different technologies. With the new remote health monitoring applications, elderly patients can engage in daily activities without support from a caretaker. So, these applications support activities like sitting, standing, using the bathroom, watching television, reading and sleeping, with least inconvenience to the user. Even if there are wearable sensors, these pose minimum effect to the activities. One such example is smart wrist-watch based sensors.

2017

  • Vegesna, Ashok, Melody Tran, Michele Angelaccio, and Steve Arcona. “Remote patient monitoring via non-invasive digital technologies: a systematic review." Telemedicine and e-Health 23, no. 1 (2017): 3-17.
    • Background: We conducted a systematic literature review to identify key trends associated with remote patient monitoring (RPM) via noninvasive digital technologies over the last decade. Materials and Methods:A search was conducted in EMBASE and Ovid MEDLINE. Citations were screened for relevance against predefined selection criteria based on the PICOTS (Population, Intervention, Comparator, Outcomes, Timeframe, and Study Design)format. We included studies published between January 1, 2005 and September 15, 2015 that used RPM via noninvasive digital technology (smartphones/personal digital assistants [PDAs], wearables, biosensors, computerized systems, or multiple components of the formerly mentioned) in evaluating health outcomes compared to standard of care or another technology. Studies were quality appraised according to Critical Appraisal Skills Programme. Results:Of 347 articles identified, 62 met the selection criteria. Most studies were randomized control trials with older adult populations, small sample sizes, and limited follow-up. There was a trend toward multicomponent interventions (n = 26), followed by smartphones/PDAs (n = 12), wearables (n = 11), biosensor devices (n = 7), and computerized systems (n = 6). Another key trend was the monitoring of chronic conditions, including respiratory (23%), weight management (17%), metabolic (18%), and cardiovascular diseases (16%). Although substantial diversity in health-related outcomes was noted, studies predominantly reported positive findings. Conclusions:This review will help decision makers develop a better understanding of the current landscape of peer-reviewed literature, demonstrating the utility of noninvasive RPM in various patient populations. Future research is needed to determine the effectiveness of RPM via noninvasive digital technologies in delivering patient healthcare benefits and the feasibility of large-scale implementation.
    • Introduction: Remote patient monitoring (RPM) has enhanced clinicians' ability to monitor and manage patients in nontraditional healthcare settings. RPM uses digital technologies to collect health data from individuals in one location, such as a patient's home, and electronically transmit the information to healthcare providers in a different location for assessment and recommendations.1–3 More specifically, noninvasive technologies are now commonly being integrated into disease management strategies to provide additional patient information, with the goal of improving healthcare decision-making.2,4–8
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