Quels sont les meilleurs dispositifs de surveillance à distance des patients pour les professionnels de la santé ? (2024)

Some top remote patient monitoring devices for healthcare professionals include wearable fitness trackers (e.g., Fitbit, Apple Watch), blood pressure monitors (e.g., Omron), blood glucose monitors (e.g., Dexcom), pulse oximeters (e.g., Masimo), smart scales (e.g., Withings), and telehealth platforms (e.g., Amwell).

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The top remote patient monitoring (RPM) devices for healthcare professionals include:1.Pulse oximeters that measure oxygen saturation levels, heart rate, & pulse2.Blood pressure monitors that allow patients to track their blood pressure at home3.Continuous glucose monitors (CGMs)4.Wearable fitness trackers that provide a holistic view of patients' physical activity, heart rate, sleep patterns, & more to healthcare providers5.Smart thermometers that offer a convenient & accurate way to monitor body temperatureThese RPM devices revolutionize healthcare delivery by enabling continuous monitoring of patients, improving self-care, enhancing communication between patients & providers, & providing valuable data for timely interventions.

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Healthcare workers use different remote patient monitoring devices. Such as Fitbit, Apple Watch, Garmin track heart rate, activity, sleep, giving insights into physical health. Blood pressure monitors like Omron Evolv, Withings BPM Connect let patients check BP at home, sending data to doctors. Remote ECG monitors like AliveCor KardiaMobile, iRhythm ZioPatch record heart rhythm, aiding heart condition management. Telehealth platforms like Amwell, Teladoc, and Doxy.me allow remote consultations, sharing information and vital signs without in-person meetings. Device choice depends on patient needs, provider comfort, ensuring adherence to data security, privacy rules.

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Glucose monitors give a minimally invasive look into a persons blood glucose levels. They are easy to use for most people and give pretty accurate readings. Most monitors are easy to take along with people on the go as well. These are useful and convenient.

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Furthermore, remote glucose monitoring devices can provide valuable insights into long-term trends and patterns in blood sugar levels, helping patients and healthcare providers identify potential triggers or factors contributing to fluctuations in glucose levels. By analyzing historical data collected by the monitor, patients can gain a better understanding of how their lifestyle choices, medication regimen, and other factors impact their blood sugar levels over time. This information empowers patients to make informed decisions about their diabetes management and enables healthcare providers to tailor treatment plans more effectively to meet individual patient needs.

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Moreover, remote blood pressure cuffs offer convenience and flexibility for patients, allowing them to monitor their blood pressure from the comfort of their own homes, without the need for frequent visits to healthcare facilities. This reduces the burden on patients and caregivers and promotes adherence to recommended monitoring protocols, leading to more consistent and accurate data collection. Additionally, remote blood pressure monitoring can improve patient engagement and self-management by providing patients with timely feedback and educational resources to help them understand and manage their condition more effectively.

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The remote monitoring potential for blood pressure cuffs has significantly expanded over the recent years. First, I always recommend automatic bicep cuffs. Wrist cuffs are less reliable and should only be used in situations where bicep cuffs are not feasible. Patients can be encouraged to keep a daily log of their blood pressure to provide to their HCP. Additionally, brands like Withings are developing bluetooth-capable cuffs that sync with applications such as Apple Health where data can also be shared electronically with HCPs, allowing for real-time monitoring. These are great, less invasive options that some cumbersome devices that patients may be discharged with from the hospital (think of things like home ECG monitoring).

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Furthermore, remote ECG monitors offer continuous monitoring capabilities, allowing healthcare providers to capture and analyze heart rhythm data over extended periods, beyond what is possible with traditional in-office ECG tests. This continuous monitoring can help healthcare professionals identify transient or intermittent arrhythmias that may not be detected during a brief office visit, providing a more comprehensive assessment of the patient's cardiac health. Additionally, remote ECG monitors can be particularly beneficial for patients with known or suspected heart conditions who require ongoing monitoring and surveillance, such as those with a history of atrial fibrillation or those recovering from a cardiac event.

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Moreover, pulse oximeters are portable and easy to use, making them suitable for both clinical and home monitoring settings. Patients with respiratory conditions, such as COPD, can use pulse oximeters to track their oxygen saturation levels regularly, enabling early detection of potential respiratory exacerbations or complications. By monitoring oxygen saturation levels at home, patients can take proactive measures, such as adjusting medication dosages or seeking medical attention, to prevent worsening of their condition and avoid hospitalizations.

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I would always recommend that pulse oximeters be available to geriatric patients as well as to parents of newborns. Both of these populations are at higher risk of poor outcomes due to respiratory infections such as RSV. Many adults feel fine with sub-optimal oxygen saturation and would never think to check this. For parents, this is an easy, non-invasive way of assessing their infant for potentially compromised respiratory function that will also provide numbers that are easy to communicate to their pediatrician or urgent care provider for someone that may have low health literacy.

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Smart scales are a great way to track weight progress both for active individuals as well as those with weight concerns. This is also applicable to unique health conditions such as heart failure where shifts in weight may be indicative of fluid retention. Smart scales track weight and provide easy to read graphics to see progress. I always recommend to my patients to take some of the non-weight data with a grain of salt. The muscle/fat % data can be variable, and these should not be used as a replacement for clinical evaluation of body composition.

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While it's not technically in the remote monitoring category, the arena of remote whole blood collection is an emerging segment for consideration. The devices themselves don't have the internal technology for analysis, BUT they do allow layperson blood draws in the home that can then be assessed by an in-home analyzer or at a local lab. Forward-thinking biotech sponsors have already adopted this approach in DCTs, but I see applications for point of care use in a broader market.

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Technological literacy should also be a consideration with these smart tracking devices. For example, CGM sensors may take dexterity and strength for proper application and adhesion. Also, many of these devices require bluetooth connection to a smart phone in order to push the data to the cloud. Some options, like the Freestyle Libre, have ways around that - you can push the data to the cloud by plugging it into a desktop computer and using the related program. Some individuals may not benefit from technology they cannot use comfortably.

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