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Home-Based Connected Devices Combined With Statistical Process Control for the Early Detection of Respiratory
Enora Le Roux1,2, Moreno Ursino1,3, Ivana Milovanovic1
1Inserm, Hôpital Universitaire Robert Debré, Assistance publique - Hôpitaux de Paris.Nord - Université Paris Cité, Paris, France.
Home monitoring using connected health devices showed potential for cystic fibrosis exacerbation management, though patient adherence and alert precision require improvement for personalized care.
Area of Science:
- Digital health interventions
- Respiratory medicine
- Patient-centered care
Background:
- Cystic fibrosis patients currently lack routine home monitoring for respiratory function.
- Exacerbations significantly impact patient health and quality of life.
Purpose of the Study:
- To assess the clinical validity of connected health devices for home monitoring of physiological parameters in cystic fibrosis.
- To evaluate the potential for personalized, patient-empowered exacerbation prevention.
Main Methods:
- A multicenter pilot study involving 36 cystic fibrosis patients.
- Utilized connected health devices to measure 5 physiological parameters.
- Employed statistical process control (CUSUM) for timely exacerbation alerts.
Main Results:
- 18 patients completed the 12-month study, with 6162 measures collected.
- Alert precision for detecting exacerbations was weak, potentially due to low patient compliance.
- A decrease in the median number of exacerbations was observed post-intervention.
Conclusions:
- Connected health devices and CUSUM alerts were not universally accepted due to measurement burden.
- The approach shows promise for early exacerbation identification and management with necessary adaptations.
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