At present, cardiovascular disease accounts for more than 40% of the deaths of residents from diseases, higher than tumors and other diseases, and is the first cause of death for residents in China, and the disease prevalence is still on the rise. Norris also pointed out that 72% of patients had obvious discomfort before the onset of cardiac arrest. The application of remote ECG monitoring in home care for the elderly can timely capture the abnormal ECG of cardiovascular patients before the onset of the disease, give early warning, win time for timely treatment by doctors, and effectively reduce the incidence of cardiovascular events, disability and mortality.
1.Home based elderly care medical services
Home based elderly care medical services mainly include chronic disease intervention and hierarchical management, two-way referral, psychological and spiritual consolation, etc., providing patients with regular physical examination, medical and health care consulting, treatment and rehabilitation of chronic diseases, and timely rescue of sudden diseases. A complete set of home medical services can reduce the economic burden of chronic patients, speed up the turnover of hospital beds, and reduce the waste of medical and health resources.
Due to the shortage of professional medical service personnel, the residential areas of the elderly at home are relatively scattered, bringing many challenges to the medical services provided for the elderly at home. With the development of information technology, mobile technology can provide more services for the elderly, and wearable monitoring devices can be used to monitor the vital signs of the elderly in real time.
2.Remote ECG monitoring
1) Remote ECG monitoring
On the basis of conventional ECG, the remote ECG monitoring technology uses modern communication technology, computer technology, IOT and other technologies to transmit human ECG information to the remote ECG monitoring platform through wireless network. It is a telemedicine mode that provides patients with ECG analysis, diagnosis and processing through real-time analysis of remote ECG monitoring platform and guidance of ECG experts.
2)Remote ECG monitoring equipment
The remote ECG monitoring equipment includes wireless network multi parameter monitor and single channel home ECG monitor, which can transmit the patient’s ECG information to the monitoring system remotely and in real time through wireless network.
Wireless network multi parameter monitor can collect ECG, respiration, pulse and other parameters in real time; Support real-time display of ECG and respiratory waveform, physiological parameter values and monitor operation status; Support remote pressure measurement and timed pressure measurement; Support multiple modes of monitoring; Support real-time alarm of abnormal data such as bradycardia, myocardial ischemia, cardiac arrest and malignant arrhythmia; Support GPRS, WIFI, Bluetooth and other wireless transmission methods. The equipment is miniaturized and equipped with touch screen, which is easy to operate and carry.
Plus1Health single channel home ECG monitor is easy to operate and wear. It can quickly collect the ECG data of the elderly at home and upload it to the remote ECG monitoring system in a timely manner. The biggest advantage is that it can accurately and timely capture the abnormal ECG data of patients at the time of onset. It is especially suitable for patients with transient arrhythmia, transient chest distress and palpitation symptoms to conduct home monitoring. At the same time, it supports the terminal applet to view data and reports.
3) Remote ECG monitoring system
The remote ECG monitoring system adopts IOT technology, mobile communication technology and wireless transmission technology to achieve a vertical closed system of real-time monitoring, automatic early warning, active intervention and hierarchical diagnosis and treatment through wearable ECG monitoring equipment.
(1) ECG data communication system: ECG data communication system is responsible for the access authentication of ECG monitoring equipment and ECG monitoring system networking.
(2) ECG data storage system: ECG data storage system is responsible for the storage, query, access and other management operations of the system database. The system adopts cloud platform storage technology and can be composed of several devices to achieve load balancing. Through the superposition of server modules, it is convenient to expand the system capacity and facilitate the medical expansion of the system.
(3) ECG intelligent monitoring system: ECG intelligent monitoring system is mainly responsible for real-time analysis and judgment of received ECG data, automatically finding abnormal data, and sending out signal alarm.
3.Application mode of remote ECG monitoring
Remote ECG monitoring mainly provides ECG monitoring services for patients with myocardial infarction, arrhythmia, myocardial ischemia, cardiogenic syncope, pacemaker installation, and patients with chest tightness, chest pain, blackness, syncope, transient dizziness, transient palpitation, etc.
The remote ECG monitoring system can automatically analyze the ECG data monitored at home, timely capture the abnormal data of patients, and issue early warning prompts.
The application of remote ECG monitoring system has built a bridge between the hospital and the family, enabling the elderly at home to enjoy high-quality medical services in the community service center and at home. It plays a very important role in the follow-up treatment and management of preoperative and postoperative rehabilitation patients. It is convenient for the elderly to seek medical treatment, greatly liberating patients to release more medical resources, helping to alleviate the problem of difficult and expensive medical treatment. At the same time, with the help of telemedicine technology, it reduces the tiredness and expenses of the elderly during their journey to go out for medical treatment, saves medical expenses and reduces medical risks. In addition, remote ECG monitoring can detect the abnormal situation of the elderly at home in advance, and patients can go to the hospital passively to actively intervene, so that the elderly at home can get better medical services, cultivate the elderly’s awareness of self-health management, reduce the incidence of serious diseases, and improve the quality of life of the elderly.
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