Web-based monitoring of asthma severity: A new approach to ambulatory management

Joseph Finkelstein; Manuel R. Cabrera; George Hripcsak

doi:10.1109/ITAB.1998.674695

Web-based monitoring of asthma severity: A new approach to ambulatory management

Joseph Finkelstein, Manuel R. Cabrera, George Hripcsak

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

16 Scopus citations

Abstract

We developed a Web based system for ambulatory monitoring of pulmonary function and tested it in a home setting in 14 asthma patients. The system uses a portable spirometer for patient self testing and a palmtop computer that transmits the results from patients' homes to a hospital information system via phone or wireless network. The results are immediately available to physicians on a Web site, accessible via an Internet Web browser from any location. The system provides daily monitoring of 29 indices of Forced Vital Capacity test (FVC), the flow-volume loop and symptom scores. It generates alerts based on changes in data trends and exchanges messages between patients and physicians. All patients successfully uploaded their FVC data including the flow-volume loop and symptom scores from their homes to our central repository. The flow-volume loop and FVC parameters provided a more accurate assessment of the patients' asthma, and uncovered previously unrecognized nocturnal asthma and small airway obstruction. We believe our approach will be useful for asthma management on a day-To-day basis and in clinical research.

Original language	English
Title of host publication	Proceedings - 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998
Editors	Evangelia Micheli-Tzanakou, Swamy Laxminarayan
Publisher	Institute of Electrical and Electronics Engineers Inc.
Pages	139-143
Number of pages	5
ISBN (Print)	0780349733, 9780780349735
DOIs	https://doi.org/10.1109/ITAB.1998.674695
State	Published - 1998
Externally published	Yes
Event	2nd IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998 - Washington, United States Duration: 16 May 1998 → 17 May 1998

Publication series

Name	Proceedings - 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998

Conference

Conference	2nd IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998
Country/Territory	United States
City	Washington
Period	16/05/98 → 17/05/98

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10.1109/ITAB.1998.674695

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Finkelstein, J., Cabrera, M. R., & Hripcsak, G. (1998). Web-based monitoring of asthma severity: A new approach to ambulatory management. In E. Micheli-Tzanakou, & S. Laxminarayan (Eds.), Proceedings - 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998 (pp. 139-143). Article 674695 (Proceedings - 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998). Institute of Electrical and Electronics Engineers Inc.. https://doi.org/10.1109/ITAB.1998.674695

Finkelstein, Joseph ; Cabrera, Manuel R. ; Hripcsak, George. / Web-based monitoring of asthma severity : A new approach to ambulatory management. Proceedings - 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998. editor / Evangelia Micheli-Tzanakou ; Swamy Laxminarayan. Institute of Electrical and Electronics Engineers Inc., 1998. pp. 139-143 (Proceedings - 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998).

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abstract = "We developed a Web based system for ambulatory monitoring of pulmonary function and tested it in a home setting in 14 asthma patients. The system uses a portable spirometer for patient self testing and a palmtop computer that transmits the results from patients' homes to a hospital information system via phone or wireless network. The results are immediately available to physicians on a Web site, accessible via an Internet Web browser from any location. The system provides daily monitoring of 29 indices of Forced Vital Capacity test (FVC), the flow-volume loop and symptom scores. It generates alerts based on changes in data trends and exchanges messages between patients and physicians. All patients successfully uploaded their FVC data including the flow-volume loop and symptom scores from their homes to our central repository. The flow-volume loop and FVC parameters provided a more accurate assessment of the patients' asthma, and uncovered previously unrecognized nocturnal asthma and small airway obstruction. We believe our approach will be useful for asthma management on a day-To-day basis and in clinical research.",

author = "Joseph Finkelstein and Cabrera, {Manuel R.} and George Hripcsak",

note = "Publisher Copyright: {\textcopyright} 1998 IEEE.; 2nd IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998 ; Conference date: 16-05-1998 Through 17-05-1998",

year = "1998",

doi = "10.1109/ITAB.1998.674695",

language = "English",

isbn = "0780349733",

series = "Proceedings - 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998",

publisher = "Institute of Electrical and Electronics Engineers Inc.",

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Finkelstein, J, Cabrera, MR & Hripcsak, G 1998, Web-based monitoring of asthma severity: A new approach to ambulatory management. in E Micheli-Tzanakou & S Laxminarayan (eds), Proceedings - 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998., 674695, Proceedings - 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998, Institute of Electrical and Electronics Engineers Inc., pp. 139-143, 2nd IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998, Washington, United States, 16/05/98. https://doi.org/10.1109/ITAB.1998.674695

Web-based monitoring of asthma severity: A new approach to ambulatory management. / Finkelstein, Joseph; Cabrera, Manuel R.; Hripcsak, George.
Proceedings - 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998. ed. / Evangelia Micheli-Tzanakou; Swamy Laxminarayan. Institute of Electrical and Electronics Engineers Inc., 1998. p. 139-143 674695 (Proceedings - 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

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AB - We developed a Web based system for ambulatory monitoring of pulmonary function and tested it in a home setting in 14 asthma patients. The system uses a portable spirometer for patient self testing and a palmtop computer that transmits the results from patients' homes to a hospital information system via phone or wireless network. The results are immediately available to physicians on a Web site, accessible via an Internet Web browser from any location. The system provides daily monitoring of 29 indices of Forced Vital Capacity test (FVC), the flow-volume loop and symptom scores. It generates alerts based on changes in data trends and exchanges messages between patients and physicians. All patients successfully uploaded their FVC data including the flow-volume loop and symptom scores from their homes to our central repository. The flow-volume loop and FVC parameters provided a more accurate assessment of the patients' asthma, and uncovered previously unrecognized nocturnal asthma and small airway obstruction. We believe our approach will be useful for asthma management on a day-To-day basis and in clinical research.

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Finkelstein J, Cabrera MR, Hripcsak G. Web-based monitoring of asthma severity: A new approach to ambulatory management. In Micheli-Tzanakou E, Laxminarayan S, editors, Proceedings - 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998. Institute of Electrical and Electronics Engineers Inc. 1998. p. 139-143. 674695. (Proceedings - 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB 1998). doi: 10.1109/ITAB.1998.674695

Web-based monitoring of asthma severity: A new approach to ambulatory management

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