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ElDeRly-friEndly Alarm handling and MonitorING

By The DREAMING Consortium

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  1. 1. Project outline ElDeRly-friEndly Alarm handling and MonitorING Salon Avante 2010
  2. 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. 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. 4. <ul><li>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) ‏ </li></ul><ul><li>Project start date: 1 st of May 2008 </li></ul><ul><li>Project duration: 36 months </li></ul><ul><li>Total budget: 5.540.000 Euros </li></ul><ul><li>EU contribution: 2.770.000 Euros </li></ul><ul><li>6 real life trials in Denmark, Estonia, Germany, Italy, Spain and Sweden </li></ul>DREAMING in a nutshell
  5. 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. 6. <ul><li>Quality of life indicators </li></ul><ul><li>Clinical indicators </li></ul><ul><li>User satisfaction indicators </li></ul><ul><li>Economical indicators </li></ul>Evaluation
  7. 7. <ul><li>Monitoring and Alarm Handling Services </li></ul><ul><li>eInclusion Services </li></ul><ul><li>Non-technology based services </li></ul>Services
  8. 8. OBJECTIVE <ul><li>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. </li></ul><ul><li>Comprehensive care: OMS criteria. Meeting the physical, psychological and social aspects of patients. </li></ul><ul><li>USE CASE: elderly fragile +65 </li></ul><ul><li>Definition: </li></ul><ul><li>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 </li></ul><ul><li>Functional criteria: elderly with none independency for doing daily life activities </li></ul><ul><li>Socio-demographical: aged more than 80 with difficulties for receiving help (living alone) ‏ </li></ul>
  9. 9. METHODOLOGY: Patient’s recruitment <ul><ul><li>2 areas: Barbastro and Monzón (30% of Barbastro sector population) ‏ </li></ul></ul><ul><ul><li>960 Clinical Shared Records from January to August 2009 of Emergency Unit </li></ul></ul><ul><ul><li>Consensus between primary health care centres </li></ul></ul>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. 10. METHODOLOGY <ul><li>Spain DEMOGRAPHIC PROFILE </li></ul><ul><ul><li>Treatment group: </li></ul></ul>Control group: <ul><li>PATHOLOGICAL PROFILE </li></ul><ul><ul><li>homogenous distribution </li></ul></ul>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. 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. 12. <ul><li>SENSOR KITS TO BE DEPLOYED </li></ul><ul><ul><li>Blood pressure and pulse rate meter for all patients </li></ul></ul>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. 13. INITIAL EVALUATION <ul><li>Differential features with regards to other pilot sites </li></ul><ul><li>All patients (test and control group): </li></ul><ul><li>(SF-36) to measure patient health and well-being. </li></ul><ul><li>(HADS) to measure anxiety and hospital depression . </li></ul><ul><li>Philadelphia indicator to measure lifestyle satisfaction. </li></ul><ul><li>Pfeiffer questionnaire in order to measure the degree of cognitive impairment. </li></ul><ul><li>Lawton-Brody scale and Barthel index to measure the degree of dependence. </li></ul>
  14. 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. 15. EXPECTED RESULTS <ul><li>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? </li></ul><ul><li>New service protocol, if applicable </li></ul><ul><li>New service implementation guide </li></ul>
  16. 16. ElDeRly-friEndly Alarm handling and MonitorING