Home Care Security (HOCAS): A Telemedicine Project to Monitor Patients with Heart Failure and Atrial Fibrillation under Anticoagulation at Home
Emmanuel Andrès *
Service de Médecine Interne, Diabète et Maladies métaboliques de la Clinique Médicale B, CHRU de Strasbourg, Strasbourg, France AND Centre de Recherche Pédagogique en Sciences de la Santé, Faculté de Médecine de Strasbourg, Université de Strasbourg (UdS), Strasbourg, France.
Samy Talha
Service de Physiologie et d’Explorations fonctionnelles, CHRU et Faculté de Médecine de Strasbourg, Université de Strasbourg (UdS), Strasbourg, France.
Mohamed Hajjam
Engineering and IT Company, Newel, Mulhouse, France.
Jawad Hajjam
Centre d'Expertise des TIC pour l'autonomie (CenTich) et Mutualité Française Anjou-Mayenne (MFAM), Angers, France.
Sylvie Ervé
Centre d'Expertise des TIC pour l'autonomie (CenTich) et Mutualité Française Anjou-Mayenne (MFAM), Angers, France.
Amir Hajjam
Laboratoire IRTES-SeT, Université de Technologie de Belfort-Montbéliard (UTBM), Belfort-Montbéliard, France.
*Author to whom correspondence should be addressed.
Abstract
Monitoring patients with heart failure, atrial fibrillation and under anticoagulant agent by using telemedicine systems is a potential means for optimizing the management of these patients. The HOCAS project is developing an “intelligent” communicative platform enabling the home monitoring of patients with heart failure, arrhythmias and anticoagulation drugs using non-invasive sensors, electronic pillbox to promote therapy adherence, a questionnaire to monitor patients’ hygiene and diet, a questionnaire to monitor patients’ therapy adherence together with additional contextual information and patients’ profile. As a result, this platform will assist health care professionals by providing an automated processing of these sensors’ transmitted data in order to detect and report signs of cardiac decompensation early or wrong adherence to therapy.
Keywords: Heart failure, atrial fibrillation, anticoagulant agent, telemedicine, home support, detecting signs of cardiac decompensation