Browsing by Author "Volterrani, Maurizio"
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- ItemAssessment of prehospital chest pain using telecardiology.(2002-09-09) Scalvini, Simonetta; Zanelli, Emanuela; Conti, Claudia; Volterrani, Maurizio; Pollina, Riccardo; Giordano, Amerigo; Glisenti, Fulvio; ,Two hundred general practitioners were equipped with a portable electrocardiograph which could transmit a 12 lead electrocardiogram ECG via a telephone line A cardiologist was available 24 h a day for an interactive teleconsultation In a 13 month period there were 5073 calls to the telecardiology service and 952 subjects with chest pain were identified The telecardiology service allowed the general practitioners to manage 700 cases 74 themselves further diagnostic tests were requested for 162 patients 17 and 83 patients 9 were sent to the hospital emergency department In the last group a cardiological diagnosis was confirmed in 60 patients and refuted in 23 Seven patients in whom the telecardiology service failed to detect a cardiac problem were hospitalized in the subsequent 48 h The telecardiology service showed a sensitivity of 97 4 a specificity of 89 5 and a diagnostic accuracy of 86 9 for chest pain Telemedicine could be a useful tool in the diagnosis of chest pain in primary care
- ItemBoario Home Care Project: an Italian telemedicine experience.(2003-12-03) Scalvini, Simonetta; Volterrani, Maurizio; Giordano, Amerigo; Glisenti, FulvioThe use of telemedicine appears particularly promising in cardiovascular disease because the cost effectiveness ratio of an early tailored intervention in terms of life saving and functional recovery is demonstrated Boario Home Care project was born in 1998 with the aim of applying the new models of disease management and the new technology on the territory In the first phase the project was to realize a telematic network for the General Practitioners in a mountain territory In the second phase the project was extended to the regional and then national territory and the number of enrolled GPs increased In the third phase that is nowadays the structure of the Service Center has been implemented with new broad band technologies HDLS and with an innovative teleworking model has been adopted for the professional figures involved Four different types of services are now available General Practitioners Home Telenursing for chronic patients Tele diagnosis for palpitations and Call Center Services for hospitals In conclusion Boario Home Care project has reached its maturity and many results even if we can consider them preliminary in the field of Telemedicine Boario Home Care project won e health Awards with the honourable mention and it was presented at the eHealth 2003 ICT for Health in Brussels Belgium
- ItemIn COPD patients on prolonged mechanical ventilation heart rate variability during the T-piece trial is better after pressure support plus PEEP: a pilot physiological study.(2014-09-01) Vitacca, Michele; Scalvini, Simonetta; Volterrani, Maurizio; Clini, Enrico Maria; Paneroni, Mara; Giordano, Amerigo; Ambrosino, NicolinoTo evaluate heart rate variability HRV hemodynamics mechanics dyspnea and blood gases following different mechanical ventilation MV settings
- ItemIncidence of atrial fibrillation in an Italian population followed by their GPs through a telecardiology service.(2005-02-02) Scalvini, Simonetta; Piepoli, Massimo; Zanelli, Emanuela; Volterrani, Maurizio; Giordano, Amerigo; Glisenti, FulvioAtrial fibrillation AF is the most common sustained cardiac tachyarrhythmia and is often an occasional diagnosis in the absence of known cardiac disease The aim of this study is to describe an Italian patient population with AF followed by their General Practitioners GPs using a telecardiology service
- ItemA pilot study of nurse-led, home-based telecardiology for patients with chronic heart failure.(2004-04-07) Scalvini, Simonetta; Zanelli, Emanuela; Volterrani, Maurizio; Martinelli, Giovanna; Baratti, Doriana; Buscaya, Osvaldo; Baiardi, Paola; Glisenti, Fulvio; Giordano, AmerigoWe assessed the feasibility of home based telecardiology for patients with chronic heart failure CHF Seventy four CHF patients were enrolled into a programme of telephone follow up and single lead electrocardiography ECG monitoring The patients transmitted their ECG data by fixed telephone line to a receiving station where a nurse was available for an interactive teleconsultation Patients were followed up for a mean SD of 307 108 days 1467 calls were analysed 213 ad hoc consultations and 1254 scheduled consultations A total of 124 cardiovascular events were recorded Modifications to therapy were suggested in response to 119 calls hospital admissions were suggested for 13 patients further investigations for 7 and a consultation with the patient s general practitioner for 13 No action was taken after 1330 calls Twenty two ECG abnormalities were recorded In 63 patients receiving the beta blocker carvedilol the mean dosage increased from 36 to 42 mg In the previous year there were 1 8 hospitalizations per patient while in the follow up period there were 0 2 hospitalizations per patient Following up CHF patients using a nurse led telecardiology programme seems to be feasible and useful