MEDICA PREVIEW 2016
of hospitalisations among these patients was reduced by one-third. Telecardiology was used in the Intime study (REF) to treat heart patients with an implanted defibrillator. Participants in this study were found to have a significantly lower risk of death than patients without remote aftercare. With around 1,200,000 people in Germany suffering from heart failure and around 1,000 in-patient admissions every day, this disease is the most common reason for hospital stays in Germany so is just one area where telemedicine could offer huge healthcare cost benefits. “Many chronic diseases deteriorate with no noticeable symptoms until an emergency situation develops,” explained Professor Friedrich Köhler, head of the Centre for Cardiovascular Telemedicine at the Berlin Charité hospital. However, in most cases, it is possible to identify deterioration before reaching the emergency stage.
“Using telecardiology it is possible to
observe disease progression and intervene at an early stage. Patients under telemedical care can receive measuring devices for their homes. Alternatively, data from pre-existing telemedical therapeutic implants, such as implanted defibrillators, can be used for therapy management.” Diagnostic implants specifically developed for telemedical therapy management are now able to measure the pressure of the pulmonary arteries in the lung circulation of the patient. Based on these values, it is possible for a cardiologist
to individually adjust drug dosage, request the patient to attend a consultation, or order an immediate hospitalisation. “Thanks to this digital early warning system, we are now able to care for heart patients around the clock and spare them unnecessary GP visits or even hospital stays,” said Prof Köhler. Telemedicine technology allows patient treatments to be improved, particularly those living in rural regions or those who would find it difficult to travel to see a cardiologist. Prof Köhler emphasised that the aim is not to replace doctor visits. He said: “A sole
telemedical care is not allowed in Germany and would be undesirable from a medical point of view.”
Conclusion
As well as the many conferences, seminars, lectures and presentations that run throughout the event MEDICA 2016 is also expected to play host to around 5,000 exhibitors from more than 70 countries who will be introducing new products, services and processes for inpatient and outpatient care. With all this information in one place, the event offers a great opportunity for visitors to gain an insight into what the future in the healthcare sector might look like via the exhibitors’ many innovations, as well as the lectures and presentations, A preview of the many innovations and solutions highlighted at MEDICA is included in this issue of The Clinical Services Journal. For further information visit:
www.medica-tradefair.com
References
1. Abraham W.T., Adamson, P., Bourge, R., Aaron, M., Costanzo, M., Stevenson, L.Yadav, J. (2011). Wireless pulmonary artery haemodynamic monitoring in chronic heart failure: a randomised controlled trial. CHAMPION Trial Study Group. Lancet, Volume 377, 658-666.
2 G Hendricks et al. (2014) Implant-based multiparameter telemonitoring of patients with heart failure (IN-TIME): a randomised controlled trial. Lancet Volume 384, No. 9943, p583–590, 16.
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