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首页> 外文期刊>Journal of Global Health >Fighting the COVID-19 pandemic using the technology-based second-line in Italy and Lombardy: The urgent need of home-based remote monitoring systems to avoid the collapse of the hospital-centred first line
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Fighting the COVID-19 pandemic using the technology-based second-line in Italy and Lombardy: The urgent need of home-based remote monitoring systems to avoid the collapse of the hospital-centred first line

机译：在意大利和伦巴第将Covid-19大流行使用基于技术的第二行 - 基于家庭的远程监控系统的迫切需要，以避免住院中心的第一行崩溃

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The Italian health system is quickly empowering the capacity of specific COVID-19 hospital admission (creating new COVID-19 emergency centres-hubs and new intensive care beds in the al- ready existing hospitals) showing a great response in the first-line hos- pital-based treatment. The major aim of this brief viewpoint is to under- line the underestimated role of second line home-based treatment (for positive or suspected patients isolated at home) that could avoid to over- whelm the first line, taking into account the contribution of the necessary social limitations-containment campaign. Particularly the condition of acute respiratory failure could be promptly detected for COV- ID-19 patients in home isolation without not necessary and potentially dangerous hospital accesses and checks, but using easy-to-use (also for elderly patients and caregivers), comfortable, low-cost, reliable remote monitoring devices, such as connected pulse oximeters that can send real-time vital signs and other key biomedical parameters (especially respiration and blood oxygen levels, body temperature and other parameters) to a hospital-based big data server-repository, where Artificial Intelligence algo- rithms-based interpretation systems can elaborate these clinical records alerting the physicians only when it is necessary (not too early and not too late) to evaluate if moving a patient from a second to a first line. The experience of biomedical engineering and informatics, strong in chronic care management, could functionally help clinicians in managing many patients and citizens during this strong and long pandem- ic. It is not possible to postpone the implementation of large remote monitoring programs providing dig- ital devices centrally controlled. We hope that Italian and International scientific and clinical community could promptly introduce and strengthen this already available option. Further local actions are prompt- ly needed, above all in Lombardy where the recent decades have seen the weakening of the patient-cen- tered medical home for the benefit of the hospital-centred approach, not enough in case of epidemic.
机译：意大利卫生系统正在迅速赋予特定的Covid-19住院入学能力（在现有医院创建新的Covid-19急诊中心和新的重症监护室）在一线熟练中显示出极大的回应基于重病的待遇。本简要观点的主要目的是在第二线家庭疗法的低估（用于家庭中分离的患者或疑似患者）来解释，这可能避免在第一线上过度，考虑到贡献必要的社会限制 - 遏制运动。特别是急性呼吸衰竭的条件可以在家庭隔离中迅速检测到急性呼吸衰竭，而无需无需和潜在危险的医院访问和检查，但使用易于使用（也适用于老年患者和照顾者），舒适，低成本，可靠的远程监控设备，如连接脉冲血氧计，可以将实时生物标志和其他关键生物医学参数（特别是呼吸和血氧水平，体温等参数）发送到基于医院的大数据服务器 - 储存库，其中人工智能算法的基于rithms的解释系统可以阐述这些临床记录，仅在必要时提醒医生（不太早，而不是太晚），以评估患者从第二次移动到第一线。生物医学工程和信息学的经验强劲，在慢性护理管理中，可以在这个强大而长的Pandem-IC期间在管理许多患者和公民的临床医生方面可以帮助临床医生。不可能推迟执行用于集中控制的Dig-Ital设备的大型远程监控程序的实现。我们希望意大利和国际科学和临床社区迅速介绍和加强这已经可用的选择。最新的当地行动是迅速的，最重要的是伦巴第近几十年来削弱了患者所需医疗房屋的弱化，以便在陷入困境的情况下不够。

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