info:eu-repo/semantics/article
SiTe iC: A telemonitoring system for heart failure patients
Fecha
2020-09Registro en:
Yanicelli, Lucía María; Vegetti, Maria Marcela; Goy, Carla Belen; Martínez, Ernesto Carlos; Herrera de Olivera, Myriam Cristina; SiTe iC: A telemonitoring system for heart failure patients; Elsevier Ireland; International Journal of Medical Informatics; 141; 9-2020; 1-12
1386-5056
1872-8243
CONICET Digital
CONICET
Autor
Yanicelli, Lucía María
Vegetti, Maria Marcela
Goy, Carla Belen
Martínez, Ernesto Carlos
Herrera de Olivera, Myriam Cristina
Resumen
In the last years, multidisciplinary post-discharge treatment programs, such as telemonitoring, have been promoted as a strategy for Heart Failure (HF) management. However, the distinctive requirements that a telemonitoring system should have, have not been clearly identified. To this aim, the most relevant requirements for telemonitoring of HF patients are derived from evidence-based Clinical Practice Guidelines (CPGs) for HF management. The main objective of this work is to present a prototype of a telemonitoring system for HF patients, named SiTe iC, that has been developed based on the identified requirements, highlighting its design and evaluation. A first prototype of the system was designed and programmed. It consists of an mHealth app for HF patients, a website for physicians who monitor patients, and a server which runs an Application Programming Interface to allow communication between the app and the website. The system was thoroughly assessed through a clinical trial that demonstrates that telemonitoring using SiTe iC actually improves patients self-care when compared to usual care and it has the potential to avoid patient re-hospitalizations. This study demonstrated that the identified functional requirements for telemonitoring systems are relevant. In addition, thanks to SiTe iC, HF patients would take a more active role in their disease management by improving self-care.