Simonetta ScalviniFondazione Salvatore Maugeri, Telemedicine Service, Lumezzane (BS),
Italy
Clinical ResultsClinical Results
Bruxelles, 16tn June 2011
16th June 20112
Baseline characteristics of patients
TELEMACO(2007-2010)
NRS(2006 – 2009)
No of patientsAge, years (mean ± SD)
13069 ± 13
80271 ± 11
Female (%) 33 (25%) 226 (28%)
Onset of symptoms < 6 months (% patients)
Onset of symptoms > 6 months (% patients)
81 (62%)48 (37%)
292 (36%)507 (63%)
NYHA Class IINYHA Class III-IV
17 (13%)113 (82%)
0 (0%)802 (100%)
Patients with 0 – 1 co-morbidity (% patients)
Patients with ≥ 2 co-morbidities104 (80%)26 (20%)
408 (63%)294 (37%)
Patients with ≥ 2 admissions in 6 months before (% patients)
40 (31%) 208 (26%)
Home Base TelemanagmentHome Base Telemanagmentin Chronic Heart failure (CHF)in Chronic Heart failure (CHF)
Home Base TelemanagmentHome Base Telemanagmentin CHF: clinical resultsin CHF: clinical results
3
Telephone calls and Telephone calls and actions takenactions taken
TELEMACO(2007-2010)
NRS(2006 – 2009)
for week for HBT period for week for HBTperiod
No of scheduled calls/patient 1.198 30.9 1.393 23.1
No of unscheduled calls/patient
0.084 1.7 0.094 1.4
No of ECG transmissions/patient
1.083 28.2 1.363 22.3
No of changes in therapy/patient
0.199 4.6 0.211 3.7
No of ED suggested 0.014 0.2 0.030 0.3Clinical eventsClinical events TELEMACO
(2007-2010)NRS
(2006 – 2009)
Cardiovascular (including HF) readmission 0.27 ± 0.62 0.34 ±0.63
Non Cardiovascular readmission 0.15 ± 0.45 0.15 ± 0.44
16th June 2011
OutcomeOutcome T0 T1 p
Ejection Fraction (%)
31.8 ± 11 40.2 ± 11.3 0.000
Walking Test 351 ± 127 363 ± 166 0.052
Minnesota QoL 42.5 ± 20.0 23.5 ± 18.6 0.000
16th June 20114
Baseline characteristics of patients
TELEMACO(2007-2010)
No of patientsAge, years (mean ± SD)
39372 ± 8
Female (%) 84 (21%)
Diagnosis 58 % in clinical stable conditions
Therapy46 % in oxygen-therapy for 24H
27 % in oxygen-therapy only over night or under-stress
Functional exams 55 % with FEV1 < 50%
Smoke history - Smokers - No smokers-- Ex smokers
62 (37%)39 (16%)282 (10%)
BMI:- Under weight- Normal weight- Over weight- Obese
15 (4%)121 (31%)142 (36%)104 (26%)
Home Base TelemanagmentHome Base Telemanagmentin Chronic Obstructive Pulmonary Disease (COPD)in Chronic Obstructive Pulmonary Disease (COPD)
severe or very severe COPD (III - IV GOLD class )
516th June 2011
Home Base TelemanagmentHome Base Telemanagmentin COPD: resultsin COPD: results
Telephone calls and Telephone calls and actions takenactions taken
TELEMACO(2007-2010)
for week for HBT period
No of scheduled calls/patient 1.07 ± 0.74
25.6 ± 7.6
No of unscheduled calls/patient
0.05 ±0.26 0.7 ±1.2
No of SpO2 transmissions/patient
1.0 ± 0.77 23.6 ± 8.2
No of changes in therapy/patient
0.110 2.58
No of ED suggested 0.017 0.074Clinical eventsClinical events TELEMACO
(2007-2010)
Pulmonary readmission (per patient for HBT period)
70 (0.18)
Non Pulmonary readmission (per patient for HBT period)
47 (0.12)
OutcomeOutcome Coupled value
T1-T0 p
San George Questionnaire:- Symptoms- Activity- Impact
323323322323
-2.384-2.736-4.016-2.984
0.0170.0060.0000.003
Second opinion for GPs: ResultsSecond opinion for GPs: Results
Total No of Total No of teleconsultationteleconsultation
TELEMACO(2007-2010)
At patient’s home 489 (10%)
Patients’ follow up 2828 (58%)
Patients’ new symptoms 1890 (39%)
Patient’s age (y)Sex (male)
62 ± 201935 (45%)
7
Second opinion for GPs: resultsSecond opinion for GPs: results
After the second opinion, GPs change their decisions in After the second opinion, GPs change their decisions in the 87% of the patientsthe 87% of the patients
Second opinion on cranium TC Second opinion on cranium TC scan: resultsscan: results
Total No of Total No of teleconsultationteleconsultation
TELEMACO(2009-2010)
Stroke Cranial Trauma
6879
Patients mean age (y)Male
67 ±1775 (51%)
To send in other hospital (before teleconsultation)After teleconsultation
78 (53%)19 (18%)
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