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Page 1: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

An open architecture for the comprehensive follow-up of patients at home.

Jesús María Rodríguez Presedo

Page 2: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

An extensible, open-source platform to

gradually transfer the medical care from hospitals to the patient’s home

Our vision…

Page 3: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

At home, patients are guided to perform the protocolized medical

actions at the appropriate time

Page 4: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

Agenda

Page 5: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

Quality of life tests

Page 6: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

Weight evolution

Page 7: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

Blood Pressure control

Page 8: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

Therapy administration

Page 9: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

ECG Monitoring

Page 10: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

Real time heartbeat detection

Automatic detection of the

ECG characteristic waves

and peaks

(i.e., QRS complex, P and T waves)

Page 11: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

Dynamic ECG Beat Clustering

[Real-time Context-based Dynamic ECG Beat Clustering] D. Castro, P. Félix and J. Presedo.

• Real time morphological

families detection

• Temporal morphology

evolution

• Arrhythmia detection

assistance

Page 12: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

Ischemia episodes detection

Oxygen saturation falls detection

[Fuzzy modelling of the expert’s knowledge in ECG-based ischaemia detection. 1996] J. Presedo, J. Vila, S. Barro, F. Palacios, R. Ruiz, A. Taddei and M. Emdin.

Heart Rate 68 bpm

Page 13: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

Physicians web-based tool

Page 14: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

Module for COPD is being tested in “Program of Domiciliary assitance”

Road so far…

• Reduction of the average duration of the hospital stay

• Reduction of hospitalizations

[ Heart rate variability in patients with severe chronic obstructive pulmonary disease in a home care program. 2013 ] C. Zamarron, M.J. Lado, T. Teijeiro, E. Morete, X.A. Vila, and P. Felix.

Page 15: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

Clinical trial

USC Universidad de Santiago de

Compostela

IDIS Instituto de Investigación Sanitaria

de Santiago de Compostela

Platform is being tested in a clinical trial with Heart failure patients

Road so far…

Page 16: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

Future …

Page 17: Jesús Maria Presedo / eHealth&mHealth: ServandoPlatform, an open architecture for the comprehensive follow-up of patients at home

Future …

Thank you very much for your attention