Management of treatment-related infectious complications in high-risk hemato-oncological patients via telemedicine

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F22%3AE0109610" target="_blank" >RIV/00843989:_____/22:E0109610 - isvavai.cz</a>

Alternative codes found

RIV/61988987:17110/22:A2302FVX

Result on the web

<a href="https://www.dovepress.com/management-of-treatment-related-infectious-complications-in-high-risk--peer-reviewed-fulltext-article-CMAR" target="_blank" >https://www.dovepress.com/management-of-treatment-related-infectious-complications-in-high-risk--peer-reviewed-fulltext-article-CMAR</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.2147/CMAR.S348923" target="_blank" >10.2147/CMAR.S348923</a>

Result language

angličtina

Original language name

Management of treatment-related infectious complications in high-risk hemato-oncological patients via telemedicine

Original language description

Background: Infectious complications, especially febrile neutropenia, in hemato-oncological patients are associated with considerable morbidity, mortality and expenses. Remote monitoring of physiological functions and thus early detection of adverse events via telemedicine could improve the safety of these high-risk patients and save financial resources by shortening the time-to-antibiotics. Methods: Patients undergoing active cancer treatment in high risk of acquiring severe infection are selected and enrolled in this project. Each patient receives a digital blood pressure monitor, an infrared thermometer and a mobile hub (cell phone). In the comfort of their homes, patients measure their blood pressure/pulse and body temperature regularly or whenever they feel unwell. The obtained data are encrypted and forwarded via the mobile hub to the password-protected portal. The values registered outside the set-up range trigger the alarms, which are immediately sent to the designated physician who can check the portal in real-time from any device with an Internet connection, contact the patient, if need be, and initiate the anti-infective therapy almost instantly after the first symptoms occur. Results: Fifty hemato-oncological patients were recruited between March 1, 2018 and August 1, 2020. Two hundred ninety-seven alarms of body temperature were registered and checked by the physician and patients were contacted in 18.5% of the cases (55/297). Among these 55 events, 13 required medical assistance, which makes it approximately one-quarter of all conducted telephone interventions (23.4%) and neither septic shock nor death due to treatment-related toxicity occurred. Conclusion: Telemedicine seems like a useful tool to improve the safety of high risk hemato-oncological patients when treatment-related infectious complications are concerned.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30205 - Hematology

Project

<a href="/en/project/EF17_049%2F0008452" target="_blank" >EF17_049/0008452: SMART technologies to improve the quality of life in cities and regions</a><br>

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Cancer management and research

ISSN

1179-1322

e-ISSN

1179-1322

Volume of the periodical

14

Issue of the periodical within the volume

may 4

Country of publishing house

NZ - NEW ZEALAND

Number of pages

7

Pages from-to

1655-1661

UT code for WoS article

000797538500011

EID of the result in the Scopus database

2-s2.0-85130768188