Key result
Internet-based cardiac and pulmonary tele-auscultation demonstrated high intra-observer concordance (up to 93.9%) with traditional auscultation in patients with cardiac decompensation.
Why the study?
Does internet-based tele-auscultation provide comparable diagnostic accuracy to traditional auscultation in stable cardiac patients?
Observational (n=21)
No
Does internet-based tele-auscultation provide comparable diagnostic accuracy to traditional auscultation in stable cardiac patients?
A novel telemedicine platform for remote cardio-respiratory monitoring demonstrated high diagnostic concordance with traditional auscultation in a small cohort of stable cardiac patients.
Supports exploration of remote tele-auscultation in decompensated patients; leaves open validation in stable cohorts and prospective outcome trials.
We propose a medical electronic-computerized platform for diagnostic use, which allows doctors to carry out a complete cardio-respiratory control on remote patients in real time. In the context of telemedicine the proposed system can be considered as a really innovative product in which all the most advanced technologies of biomedical engineering converge to guarantee an efficient and reliable home assistance that allows the patient a highly better quality of life in terms of prophylaxis, treatment and reduction of discomfort connected to periodic patient controls and/or hospitalization. Moreover the system has been equipped to be employed also to real-time rescue in case of emergency without the necessity for data to be constantly monitored by a medical centre. In fact, when an emergency sign is detected through the real-time diagnosing system, it sends a warning message to people able to arrange for his/her rescue. A Global Positioning System (GPS) also provides the patient coordinates. The proposed system, in its version for diagnostic use, has been verified by the heart specialists of the Institute of Cardiology in the General Hospital (Polyclinic) of the University of Bari, Italy.
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Marani et al. (2010) conducted an observational in Cardiac decompensation (n=21). Internet-based Cardiac and Pulmonary tele-Auscultation (I-ACP) vs. Traditional auscultation (T-ACP) was evaluated on Intra-observer concordance for total reports between internet-based and traditional auscultation. Internet-based cardiac and pulmonary tele-auscultation demonstrated high intra-observer concordance (up to 93.9%) with traditional auscultation in patients with cardiac decompensation.
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