The Experts below are selected from a list of 324 Experts worldwide ranked by ideXlab platform
C F Poets - One of the best experts on this subject based on the ideXlab platform.
-
[Home Monitoring of infants at risk of sudden infant death: suggestions for reconsideration of current practice].
Wiener klinische Wochenschrift, 2000Co-Authors: C F PoetsAbstract:Considering the decreasing incidence of sudden infant death syndrome (SIDS) and the yet unproven efficacy of Home Monitoring, current indications for Home Monitoring should be reconsidered. Documented Monitoring still appears to be necessary in infants with apparent life-threatening events (ALTE) and in siblings of two or more SIDS victims. Home Monitoring is also indicated in infants on Home oxygen/ventilation or with specific respiratory control disorders, but is usually not indicated in asymptomatic preterm infants or in those with a single SIDS sibling, a mother indulging in drug abuse, or increased parental anxiety. The risk of SIDS in these groups is lower than that in infants of mothers who are heavy smokers, who are nowhere regarded as candidates for Home Monitoring. If Monitoring is considered necessary, new generation pulse oximeters with low false alarm rates are probably the safest technical option because they sound the alarm comparatively early, yet do not give too many false alarms. Home monitor recommendations should be revisited, taking the above issues into account.
-
Home Monitoring in infants at risk of sudden infant death: Suggestions to reconsider current practice
Wiener Klinische Wochenschrift, 2000Co-Authors: C F PoetsAbstract:Considering the decreasing incidence of sudden infant death syndrome (SIDS) and the yet unproven efficacy of Home Monitoring, current indications for Home Monitoring should be reconsidered. Documented Monitoring still appears to be necessary in infants with apparent life-threatening events (ALTE) and in siblings of two or more SIDS victims. Home Monitoring is also indicated in infants on Home oxygen/ventilation or with specific respiratory control disorders, but is usually not indicated in asymptomatic preterm infants or in those with a single SIDS sibling, a mother indulging in drug abuse, or increased parental anxiety. The risk of SIDS in these groups is lower than that in infants of mothers who are heavy smokers, who are nowhere regarded as candidates for Home Monitoring. If Monitoring is considered necessary, new generation pulse oximeters with low false alarm rates are probably the safest technical option because they sound the alarm comparatively early, yet do not give too many false alarms. Home monitor recommendations should be revisited, taking the above issues into account.
Marshall I. Hertz - One of the best experts on this subject based on the ideXlab platform.
-
Home Monitoring for lung transplant candidates
Progress in Transplantation, 2020Co-Authors: Beth D. Mullan, Stanley M. Finkelstein, Mariah Snyder, Bruce R. Lindgren, Marshall I. HertzAbstract:Home Monitoring by lung transplant recipients has been effective for early detection of clinical problems. This study used an electronic diary for Home Monitoring by lung transplant candidates to improve communication between candidates and the transplant team. Candidates were randomized into control (52 subjects following standard telephone reporting procedures) and intervention (67 subjects using an electronic diary to record and transmit a range of health-related measures) groups. Outcome measures were Monitoring adherence and level of communication (for monitor acceptability and utilization), hospital length of stay after transplantation and survival at 4 months (for clinical effectiveness). Subjects used the diary without difficulty and with good adherence. Subjects and coordinator contacts were similar between groups; intervention group subjects were positive regarding contact based on diary use. There were no significant differences in clinical outcomes between groups. Changing diary questions migh...
-
AMIA - Adherence to Home-Monitoring and its impact on survival in post-lung transplantation patients
AMIA ... Annual Symposium proceedings. AMIA Symposium, 2008Co-Authors: Hojung J. Yoon, Marshall I. Hertz, Stanley M. FinkelsteinAbstract:A Home-Monitoring program can be an important part of the follow-up care after lung transplantation surgery. We report mortality data from the Home-Monitoring program at University of Minnesota. The data from 246 lung recipients who participated in the Home-Monitoring program from 1992 to 2002 were analyzed. Subjects’ first year adherence rates were correlated with survival using a Cox proportional hazards model. The analysis showed a hazard ratio of 0.744, (95% CI 0.338–1.635). Kaplan-Meier survival analysis comparing the high adherence group (adherence rate > 75%) and the lower adherence group (adherence rate
-
Cost analysis of Home Monitoring in lung transplant recipients
International Journal of Technology Assessment in Health Care, 2007Co-Authors: Terrence J. Adam, Stanley M. Finkelstein, Stephen T. Parente, Marshall I. HertzAbstract:Objectives: The University of Minnesota has maintained a Home Monitoring program for over 10 years for lung and heart-lung transplant patients. A cost analysis was completed to assess the impact of Home Monitoring on the cost of post-transplant medical care. Methods: Clinical information gathered with the Monitoring system includes spirometry, vital signs, and symptom data. To estimate the impact of this system on medical costs, we completed a retrospective analysis of the effects of Home Monitoring on the cost of post-lung transplant medical care. The cost analysis used multivariate linear regression with inpatient, outpatient, and total medical care costs as the dependent variables. The independent variables for the regression include Home Monitoring adherence, underlying disease, ambulatory diagnostic group mapping variables, transplant type, and patient demographics. Results: The multivariate regression of the overall cost results predicts a 52.4 percent reduction in total costs with 100 percent patient adherence; this rate includes a 72.24 percent reduction in inpatient costs and a 46.6 percent increase in outpatient costs. The actual first year average patient adherence was 74 percent. Conclusions: Adherence to Home Monitoring increases outpatient costs and reduces inpatient costs and provides an overall cost savings. The break-even point for patient adherence was 25.28 percent, where the net savings covered the cost of Home Monitoring. This is well within the actual first year adherence rates (74 percent) for subjects in the lung transplant Home Monitoring program, providing a net savings with adherence to Home Monitoring.
-
Decision support for the triage of lung transplant recipients on the basis of Home-Monitoring spirometry and symptom reporting
Heart & Lung, 2005Co-Authors: Stanley M. Finkelstein, Mariah Snyder, Bruce R. Lindgren, Anthony Scudiero, Marshall I. HertzAbstract:Purpose The objective of this study was to develop and evaluate a computerized rule-based decision support algorithm for nursing triage of potential acute bronchopulmonary events in lung transplant recipients on the basis of Home Monitoring of spirometry and symptoms. Methods The algorithm automatically separates recipients into 2 groups: those who are stable or improving and those who should be “watched” further because of their potential for developing bronchopulmonary events according to their weekly Home-Monitoring measurements. A total of 155 recipients (82 females and 73 males) contributed 1944 weekly records for the training (420), testing (786), and prospective evaluation (738) data sets. Weekly records contained daily values of forced expiratory volume at 1 second and respiratory symptoms, which were the inputs for the triage rules. Results Sensitivity and specificity were greater than 90% for the prospective evaluation comparing the computer decision support system with the manual nurse review of the same Home-Monitoring reports. Conclusions Algorithm performance in identifying lung recipients who should be placed on a “watch” list for the potential to develop acute bronchopulmonary events is comparable to the standard human clinical review of the same weekly Home-Monitoring data
Stanley M. Finkelstein - One of the best experts on this subject based on the ideXlab platform.
-
Home Monitoring for lung transplant candidates
Progress in Transplantation, 2020Co-Authors: Beth D. Mullan, Stanley M. Finkelstein, Mariah Snyder, Bruce R. Lindgren, Marshall I. HertzAbstract:Home Monitoring by lung transplant recipients has been effective for early detection of clinical problems. This study used an electronic diary for Home Monitoring by lung transplant candidates to improve communication between candidates and the transplant team. Candidates were randomized into control (52 subjects following standard telephone reporting procedures) and intervention (67 subjects using an electronic diary to record and transmit a range of health-related measures) groups. Outcome measures were Monitoring adherence and level of communication (for monitor acceptability and utilization), hospital length of stay after transplantation and survival at 4 months (for clinical effectiveness). Subjects used the diary without difficulty and with good adherence. Subjects and coordinator contacts were similar between groups; intervention group subjects were positive regarding contact based on diary use. There were no significant differences in clinical outcomes between groups. Changing diary questions migh...
-
AMIA - Adherence to Home-Monitoring and its impact on survival in post-lung transplantation patients
AMIA ... Annual Symposium proceedings. AMIA Symposium, 2008Co-Authors: Hojung J. Yoon, Marshall I. Hertz, Stanley M. FinkelsteinAbstract:A Home-Monitoring program can be an important part of the follow-up care after lung transplantation surgery. We report mortality data from the Home-Monitoring program at University of Minnesota. The data from 246 lung recipients who participated in the Home-Monitoring program from 1992 to 2002 were analyzed. Subjects’ first year adherence rates were correlated with survival using a Cox proportional hazards model. The analysis showed a hazard ratio of 0.744, (95% CI 0.338–1.635). Kaplan-Meier survival analysis comparing the high adherence group (adherence rate > 75%) and the lower adherence group (adherence rate
-
Cost analysis of Home Monitoring in lung transplant recipients
International Journal of Technology Assessment in Health Care, 2007Co-Authors: Terrence J. Adam, Stanley M. Finkelstein, Stephen T. Parente, Marshall I. HertzAbstract:Objectives: The University of Minnesota has maintained a Home Monitoring program for over 10 years for lung and heart-lung transplant patients. A cost analysis was completed to assess the impact of Home Monitoring on the cost of post-transplant medical care. Methods: Clinical information gathered with the Monitoring system includes spirometry, vital signs, and symptom data. To estimate the impact of this system on medical costs, we completed a retrospective analysis of the effects of Home Monitoring on the cost of post-lung transplant medical care. The cost analysis used multivariate linear regression with inpatient, outpatient, and total medical care costs as the dependent variables. The independent variables for the regression include Home Monitoring adherence, underlying disease, ambulatory diagnostic group mapping variables, transplant type, and patient demographics. Results: The multivariate regression of the overall cost results predicts a 52.4 percent reduction in total costs with 100 percent patient adherence; this rate includes a 72.24 percent reduction in inpatient costs and a 46.6 percent increase in outpatient costs. The actual first year average patient adherence was 74 percent. Conclusions: Adherence to Home Monitoring increases outpatient costs and reduces inpatient costs and provides an overall cost savings. The break-even point for patient adherence was 25.28 percent, where the net savings covered the cost of Home Monitoring. This is well within the actual first year adherence rates (74 percent) for subjects in the lung transplant Home Monitoring program, providing a net savings with adherence to Home Monitoring.
-
Decision support for the triage of lung transplant recipients on the basis of Home-Monitoring spirometry and symptom reporting
Heart & Lung, 2005Co-Authors: Stanley M. Finkelstein, Mariah Snyder, Bruce R. Lindgren, Anthony Scudiero, Marshall I. HertzAbstract:Purpose The objective of this study was to develop and evaluate a computerized rule-based decision support algorithm for nursing triage of potential acute bronchopulmonary events in lung transplant recipients on the basis of Home Monitoring of spirometry and symptoms. Methods The algorithm automatically separates recipients into 2 groups: those who are stable or improving and those who should be “watched” further because of their potential for developing bronchopulmonary events according to their weekly Home-Monitoring measurements. A total of 155 recipients (82 females and 73 males) contributed 1944 weekly records for the training (420), testing (786), and prospective evaluation (738) data sets. Weekly records contained daily values of forced expiratory volume at 1 second and respiratory symptoms, which were the inputs for the triage rules. Results Sensitivity and specificity were greater than 90% for the prospective evaluation comparing the computer decision support system with the manual nurse review of the same Home-Monitoring reports. Conclusions Algorithm performance in identifying lung recipients who should be placed on a “watch” list for the potential to develop acute bronchopulmonary events is comparable to the standard human clinical review of the same weekly Home-Monitoring data
-
Facilitators and Barriers to Adherence With Home Monitoring Using Electronic Spirometry
AACN Advanced Critical Care, 2001Co-Authors: Navid Sabati, Bruce R. Lindgren, Mariah Snyder, Cheryl Edin-stibbe, Stanley M. FinkelsteinAbstract:Adherence with prescribed therapies is a key factor in maintaining health in persons with chronic illnesses. The purpose of this descriptive study (which is one segment of a larger study being conducted to develop decision rules for early detection of infection or rejection in posttransplant patients) is to explore facilitators and barriers to adherence with Home Monitoring. Use of latent analysis revealed that the facilitators to adherence were health promotion, commitment to research, and following advice. Barriers to adherence were poor health status, laziness, and time conflict. Health professionals can use this information to plan strategies to promote adherence to Home Monitoring.
Gregg C Fonarow - One of the best experts on this subject based on the ideXlab platform.
-
Home Monitoring for heart failure management
Journal of the American College of Cardiology, 2012Co-Authors: Gregg C FonarowAbstract:With a prevalence of 5.8 million in the United States alone, heart failure (HF) is a common syndrome associated with substantial morbidity, mortality, and healthcare expenditures. Close to 1 million HF hospitalizations occur annually in the United States, with the majority of these resulting from worsening congestion in patients previously diagnosed with HF. An estimated $37.2 billion is spent each year on HF in the United States. These statistics emphasize the need to develop and implement more effective strategies to assess, monitor, and treat HF. It has also become increasingly apparent that interventions geared toward identifying and Monitoring subclinical congestion would be of value in the Home management of chronic HF. Earlier identification and treatment of congestion together with improved care coordination, management of comorbid conditions, and enhanced patient self-management may help to prevent hospitalizations in patients with chronic HF. Such Home Monitoring extends from the promotion of self-care and Home visitations to telemedicine and remote Monitoring of external or implantable devices. This paper discusses the challenges in Monitoring patients with HF, reviews clinical trials testing different Monitoring strategies in HF, and highlights ongoing investigations into the optimal approaches to Home Monitoring for HF.
Nikolaos S. Voros - One of the best experts on this subject based on the ideXlab platform.
-
MobiHealth - A framework for heterogeneous Home Monitoring WSN networks
2014Co-Authors: Ch. P. Antonopoulos, G. Touliatos, Ch. Panagiotou, Th. Panagiotakopoulos, S. Koubias, Achilles Kameas, Nikolaos S. VorosAbstract:During the last years Home Monitoring has emerged as a prominent research and development area able to offer significant services to a wide variety of application scenarios. Without a doubt, factors of critical importance that propelled respective interest include advancements in ICT areas such as wireless sensor networks (WSNs), hardware design and adequate sensors' circuitry implementation. However, most of the existing solutions focus on the use of specific and even custom technologies which result into systems of limited usefulness, flexibility and extensibility unable to cover all aspects of Home Monitoring. Aiming to address such inefficiencies this paper presents the design and implementation of the ADVENT Home Monitoring system embracing heterogeneity in various aspects. At the same time it is of paramount importance for the system to be well accepted by all users regardless to their technological or educational background. Therefore, considerable effort has been devoted so as to present the underlying heterogeneous system in a homogenous, user friendly and attractive way to the end user. Furthermore, a critical goal is to present a continuously extending system able to adopt new ICT advancement and thus be versatile in order to cover different and diverse user required services and applications.
-
A framework for heterogeneous Home Monitoring WSN networks
2014 4th International Conference on Wireless Mobile Communication and Healthcare - Transforming Healthcare Through Innovations in Mobile and Wireless, 2014Co-Authors: Ch. P. Antonopoulos, G. Touliatos, Ch. Panagiotou, Th. Panagiotakopoulos, S. Koubias, Achilles Kameas, Nikolaos S. VorosAbstract:During the last years Home Monitoring has emerged as a prominent research and development area able to offer significant services to a wide variety of application scenarios. Without a doubt, factors of critical importance that propelled respective interest include advancements in ICT areas such as wireless sensor networks (WSNs), hardware design and adequate sensors' circuitry implementation. However, most of the existing solutions focus on the use of specific and even custom technologies which result into systems of limited usefulness, flexibility and extensibility unable to cover all aspects of Home Monitoring. Aiming to address such inefficiencies this paper presents the design and implementation of the ADVENT Home Monitoring system embracing heterogeneity in various aspects. At the same time it is of paramount importance for the system to be well accepted by all users regardless to their technological or educational background. Therefore, considerable effort has been devoted so as to present the underlying heterogeneous system in a homogenous, user friendly and attractive way to the end user. Furthermore, a critical goal is to present a continuously extending system able to adopt new ICT advancement and thus be versatile in order to cover different and diverse user required services and applications.