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DREAMING

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ElDeRly-friEndly Alarm handling and MonitorING …

ElDeRly-friEndly Alarm handling and MonitorING

By The DREAMING Consortium

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  • 1. Project outline ElDeRly-friEndly Alarm handling and MonitorING Salon Avante 2010
  • 2. DREAMING - A long way to get here Conception and fine-tuning of the idea Pilots The way to DREAMING MATURITY OFTHE SOLUTION 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Development of the solution Commercialisation
  • 3. DREAMING - A long way to get here Smart clothes Traditional biosensors Integration biosensors-environmental sensors Wearable sensors Implantable sensors The way to DREAMING 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Domotic Positioning, navigation Behaviour analysis TECHNOLOGIES
  • 4.
    • DREAMING is one of the very first Pilot B projects funded under the new European Union CIP-PSP (Competitiveness and Innovation Programme – Policy Support Programme) ‏
    • Project start date: 1 st of May 2008
    • Project duration: 36 months
    • Total budget: 5.540.000 Euros
    • EU contribution: 2.770.000 Euros
    • 6 real life trials in Denmark, Estonia, Germany, Italy, Spain and Sweden
    DREAMING in a nutshell
  • 5. The DREAMING Consortium Tesan-Televita Srl Italy A.S.S. n. 1 Triestina Italy AGE - European Older People’s Platform Belgium Region Syddanmark Denmark Pflegewerk Management GmbH Germany East-Tallinn Central Hospital Estonia Servicio Aragonés de la Salud Spain Health Information Management SA Belgium TeleMedicina Rizzoli S.p.A. Italy TB-Solutions Spain Municipality of Heby Sweden County Council of Uppsala Sweden Municipality of Langeland Denmark
  • 6.
    • Quality of life indicators
    • Clinical indicators
    • User satisfaction indicators
    • Economical indicators
    Evaluation
  • 7.
    • Monitoring and Alarm Handling Services
    • eInclusion Services
    • Non-technology based services
    Services
  • 8. OBJECTIVE
    • EVALUATE a new health service in order to OFFER comprehensive assistance to chronic patients at home, WITH THE HELP of new information technology and communications.
    • Comprehensive care: OMS criteria. Meeting the physical, psychological and social aspects of patients.
    • USE CASE: elderly fragile +65
    • Definition:
    • Medical criteria: pluripathology, poly-pharmacy, recent hospitalization (admission in the last year), readmissions (2 or > in the last year ), falls (1 or more in the last 6 months), diseases as dementia, neoplasia, stroke, heart failure, depression
    • Functional criteria: elderly with none independency for doing daily life activities
    • Socio-demographical: aged more than 80 with difficulties for receiving help (living alone) ‏
  • 9. METHODOLOGY: Patient’s recruitment
      • 2 areas: Barbastro and Monzón (30% of Barbastro sector population) ‏
      • 960 Clinical Shared Records from January to August 2009 of Emergency Unit
      • Consensus between primary health care centres
    assessed for eligibility N = 160 Randomized N = 80 Excluded: 80 N=3 other reasons N=12 refused N=65 not meeting inclusion criteria allocated to treatment group N = 40 allocated to control group N = 40
  • 10. METHODOLOGY
    • Spain DEMOGRAPHIC PROFILE
      • Treatment group:
    Control group:
    • PATHOLOGICAL PROFILE
      • homogenous distribution
    Mean age 75,77 Male 25 Female 15 More frequent age range 75-79 Mean age 75,6 Male 24 Female 16 More frequent age range 75-79 Disease Diabetes Mellitus Chronic Heart Failure Chronic Obstructive Pulmonary Disease History of myocardial infarction History of Stroke Patients TG 16 11 11 14 5 Patients CG 16 12 11 11 4 TOTAL 32 23 22 25 9
  • 11. Key Components Vital Monitors In-Touch Base Unit HIS Mambo 2.5 HOME SWEET HOME Portal Domotic Monitors/Smart Home Components Security/ Movement Climate/Energy Management Door locking /unlocking Lightning control ello! Video Communication
  • 12.
    • SENSOR KITS TO BE DEPLOYED
      • Blood pressure and pulse rate meter for all patients
    METHODOLOGY Sensors Patients Glucometers 17 ECG 17 Pulse oxymeter 23 Weight scale 10 Movement Detector 6 Sensors Patients 2 sensors 19 3 sensors 11 4 sensors 8 all 5 sensors 2
  • 13. INITIAL EVALUATION
    • Differential features with regards to other pilot sites
    • All patients (test and control group):
    • (SF-36) to measure patient health and well-being.
    • (HADS) to measure anxiety and hospital depression .
    • Philadelphia indicator to measure lifestyle satisfaction.
    • Pfeiffer questionnaire in order to measure the degree of cognitive impairment.
    • Lawton-Brody scale and Barthel index to measure the degree of dependence.
  • 14. 061 Emergency Call Specialized Healthcare Fragile elderly included in the project DREAMING TEAM (Emergency Unit) ‏ Monitoring and permanent communication Primary healthcare of Health Care Centre CONTACT CENTRE: Operation
  • 15. EXPECTED RESULTS
    • Is it interesting from a clinical point of view; quality of life; economic and patients tele-monitoring at home, for professionals, patients and the public health system?
    • New service protocol, if applicable
    • New service implementation guide
  • 16. ElDeRly-friEndly Alarm handling and MonitorING

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