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Santini, M., Jönsson, A., Strandqvist, W., Cederblad, G., Nyström, M., Alirezaie, M., . . . Kristoffersson, A. (2019). Designing an Extensible Domain-Specific Web Corpus for “Layfication”: A Case Study in eCare at Home. In: Maya Dimitrova and Hiroaki Wagatsuma (Ed.), Cyber-Physical Systems for Social Applications: (pp. 98-155). Hershey, PA, USA: IGI Global
Öppna denna publikation i ny flik eller fönster >>Designing an Extensible Domain-Specific Web Corpus for “Layfication”: A Case Study in eCare at Home
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2019 (Engelska)Ingår i: Cyber-Physical Systems for Social Applications / [ed] Maya Dimitrova and Hiroaki Wagatsuma, Hershey, PA, USA: IGI Global, 2019, s. 98-155Kapitel i bok, del av antologi (Refereegranskat)
Abstract [en]

In the era of data-driven science, corpus-based language technology is an essential part of cyber physical systems. In this chapter, the authors describe the design and the development of an extensible domain-specific web corpus to be used in a distributed social application for the care of the elderly at home. The domain of interest is the medical field of chronic diseases. The corpus is conceived as a flexible and extensible textual resource, where additional documents and additional languages will be appended over time. The main purpose of the corpus is to be used for building and training language technology applications for the “layfication” of the specialized medical jargon. “Layfication” refers to the automatic identification of more intuitive linguistic expressions that can help laypeople (e.g., patients, family caregivers, and home care aides) understand medical terms, which often appear opaque. Exploratory experiments are presented and discussed.

Ort, förlag, år, upplaga, sidor
Hershey, PA, USA: IGI Global, 2019
Nationell ämneskategori
Språkteknologi (språkvetenskaplig databehandling)
Forskningsämne
Datavetenskap
Identifikatorer
urn:nbn:se:liu:diva-156964 (URN)10.4018/978-1-5225-7879-6.ch006 (DOI)9781522593454 (ISBN)9781522578802 (ISBN)
Projekt
E-care@home
Forskningsfinansiär
KK-stiftelsen, 20140217
Tillgänglig från: 2019-05-17 Skapad: 2019-05-17 Senast uppdaterad: 2019-05-17Bibliografiskt granskad
Lyth, J., Lind, L., Karlsson, D., Persson, L. H. & Wiréhn, A.-B. (2018). Can a telemonitoring system lead to decreased hospital admissions in elderly patients?. In: : . Paper presented at ERS International Congress 2018, Paris, France, 15-19 September, 2018.
Öppna denna publikation i ny flik eller fönster >>Can a telemonitoring system lead to decreased hospital admissions in elderly patients?
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2018 (Engelska)Konferensbidrag, Muntlig presentation med publicerat abstract (Refereegranskat)
Abstract [en]

Background: Populations of elderly patients with chronic obstructive pulmonary disease (COPD) or heart failure (HF) are growing. To prevent exacerbations leading to inpatient care, a 4 year (2013-2017) telehealth intervention non-randomized single-centre clinical study was performed. We hypothesized that the patients, grouped by advanced COPD or HF, would exhibit decreased need of hospital admissions.

Objective: To study hospital admissions in patients with COPD or HF using a telemonitoring system, the Health Diary.

Methods: A telemonitoring system, the Health Diary, based on digital pen technology, was employed. Patients with COPD or HF treated at the University Hospital in Linköping were included if they had at least 2 hospital admissions the previous year. Data on hospital admissions was obtained from the administrative healthcare database. Expected number of hospital admissions for the study year was calculated using 5-year data for a group of patients with matching diagnosis and history of hospital admissions and was compared to the actual value in the intervention group using Poisson regression.

Results: Together with the included patients, 159 HF and 136 COPD non-intervention patients was used to calculate the expected values for hospital admissions. For the 58 included HF patients, the average number of hospital admissions of 0.81 was 32.8 percent (p=0.04) lower than expected. For the 36 included COPD patients, the average number of hospital admissions of 1.44 was 37.0 percent (p=0.02) lower than expected.

Conclusions: Use of the telemonitoring system, the Health Diary, decreases hospital admissions in elderly with COPD and HF.

Nationell ämneskategori
Lungmedicin och allergi
Identifikatorer
urn:nbn:se:liu:diva-153784 (URN)10.1183/13993003.congress-2018.PA1998 (DOI)
Konferens
ERS International Congress 2018, Paris, France, 15-19 September, 2018
Tillgänglig från: 2019-01-10 Skapad: 2019-01-10 Senast uppdaterad: 2019-01-17Bibliografiskt granskad
Lind, L., Lyth, J., Karlsson, D. M. G., Wiréhn, A.-B. & Persson, L. (2018). COPD patients require more health care than heart failure patients. In: ERS International Congress 2018: . Paper presented at ERS International Congress 2018, Paris, France, 15-19 September, 2018.
Öppna denna publikation i ny flik eller fönster >>COPD patients require more health care than heart failure patients
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2018 (Engelska)Ingår i: ERS International Congress 2018, 2018Konferensbidrag, Muntlig presentation med publicerat abstract (Refereegranskat)
Abstract [en]

Background: Populations of elderly patients with advanced stages of chronic obstructive pulmonary disease (COPD) or heart failure (HF) are growing, urging the need for specialized health care in the patients’ home. A 4 year (2013-2017) telehealth intervention single-centre clinical study has been completed. We hypothesized that the two groups of patients, advanced COPD or HF, would exhibit differences regarding exacerbations and the need of health care.

Objective: To study exacerbations of COPD or HF, and patients’ need of health care.

Methods: A telemonitoring system, the Health Diary, which is based on digital pen technology, was employed. Patients with at least 2 hospital admissions the previous year were included. Responsible nurses and physicians at a specialized home care unit at a university hospital checked all daily patient reports. Physicians identified exacerbations using information provided through the telemonitoring system and patient contacts. Consumed health care was assessed as the number of patient contacts (home visits or telephone consultations).

Results: Totally, 94 patients with advanced disease were enrolled (36 COPD and 58 HF patients) of which 53 patients (19 COPD and 34 HF patients) completed the 1-yr study period. The major reason for not completing the study was death (13 COPD, 15 HF patients). Average numbers of exacerbations were 3.1 and 0.8 and patient contacts were 94 and 67 per COPD and HF patient, respectively.

Conclusions: Compared to HF patients, COPD patients exhibit exacerbations more frequently and demand much more home health care. This difference of health care consumption is mainly due to disease characteristics.

Nationell ämneskategori
Lungmedicin och allergi
Identifikatorer
urn:nbn:se:liu:diva-153785 (URN)10.1183/13993003.congress-2018.PA743 (DOI)
Konferens
ERS International Congress 2018, Paris, France, 15-19 September, 2018
Tillgänglig från: 2019-01-10 Skapad: 2019-01-10 Senast uppdaterad: 2019-01-17
Nyström, M., Örman, H., Lind, L., Sundvall, E., Shahsavar, N. & Karlsson, D. (2016). Det krävs en riktad satsning på e-hälsa. Dagens medicin (18), pp. 22
Öppna denna publikation i ny flik eller fönster >>Det krävs en riktad satsning på e-hälsa
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2016 (Svenska)Ingår i: Dagens medicin, ISSN 1104-7488, nr 18, s. 22-Artikel i tidskrift, Dagstidning (Övrig (populärvetenskap, debatt, mm)) Published
Ort, förlag, år, upplaga, sidor
Stockholm: , 2016
Nyckelord
e-hälsa, vision, forskning
Nationell ämneskategori
Annan data- och informationsvetenskap
Identifikatorer
urn:nbn:se:liu:diva-127704 (URN)
Tillgänglig från: 2016-05-09 Skapad: 2016-05-09 Senast uppdaterad: 2018-01-10
Loutfi, A., Jönsson, A., Karlsson, L., Lind, L., Linden, M., Pecora, F. & Voigt, T. (2016). Ecare@Home: A Distributed Research Environment on Semantic Interoperability. In: Mobyen Uddid Ahmed, Shahina Begum, Wasim Raad (Ed.), Mobyen Uddin Ahmed; Shahina Begum; Wasim Raad (Ed.), Internet of Things Technologies for HealthCare: Third International Conference, HealthyIoT 2016, Västerås, Sweden, October 18-19, 2016, Revised Selected Papers. Paper presented at Third International Conference, HealthyIoT 2016, Västerås, Sweden, October 18-19, 2016 (pp. 3-8). Springer
Öppna denna publikation i ny flik eller fönster >>Ecare@Home: A Distributed Research Environment on Semantic Interoperability
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2016 (Engelska)Ingår i: Internet of Things Technologies for HealthCare: Third International Conference, HealthyIoT 2016, Västerås, Sweden, October 18-19, 2016, Revised Selected Papers / [ed] Mobyen Uddin Ahmed; Shahina Begum; Wasim Raad, Springer, 2016, s. 3-8Konferensbidrag, Publicerat paper (Refereegranskat)
Abstract [en]

This paper presents the motivation and challenges to developing semantic interoperability for an internet of things network that is used in the context of home based care. The paper describes a research environment which examines these challenges and illustrates the motivation through a scenario whereby a network of devices in the home is used to provide high-level information about elderly patients by leveraging from techniques in context awareness, automated reasoning, and configuration planning.

Ort, förlag, år, upplaga, sidor
Springer, 2016
Serie
Institute for Computer Sciences, Social Informatics and Telecommunications Engineering. Lecture Notes, ISSN 1867-8211, E-ISSN 1867-822X
Nyckelord
Semantic interoperability, Configuration planning, Health and care, Internet of Things
Nationell ämneskategori
Annan medicinteknik
Identifikatorer
urn:nbn:se:liu:diva-141052 (URN)10.1007/978-3-319-51234-1_1 (DOI)978-3-319-51233-4 (ISBN)978-3-319-51234-1 (ISBN)
Konferens
Third International Conference, HealthyIoT 2016, Västerås, Sweden, October 18-19, 2016
Tillgänglig från: 2017-09-21 Skapad: 2017-09-21 Senast uppdaterad: 2019-07-02Bibliografiskt granskad
Karlsson, D. & Lind, L. (2015). Archetype Representation of PROMs. In: R. Cornet et al. (Ed.), Digital Healthcare Empowering Europeans: Proceedings of MIE2015. Paper presented at 26th Medical Informatics Europe Conference (MIE2015), Madrid, Spain, May 27-29, 2015 (pp. 980-980). Amsterdam: IOS Press, 210
Öppna denna publikation i ny flik eller fönster >>Archetype Representation of PROMs
2015 (Engelska)Ingår i: Digital Healthcare Empowering Europeans: Proceedings of MIE2015 / [ed] R. Cornet et al., Amsterdam: IOS Press, 2015, Vol. 210, s. 980-980Konferensbidrag, Poster (med eller utan abstract) (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Amsterdam: IOS Press, 2015
Serie
Studies in health technology and informatics, ISSN 0926-9630, E-ISSN 1879-8365 ; 210
Nyckelord
Home Care Services, Hospital-Based; Medical Records Systems, Computerized; Health Records, Personal
Nationell ämneskategori
Data- och informationsvetenskap
Identifikatorer
urn:nbn:se:liu:diva-128904 (URN)10.3233/978-1-61499-512-8-980 (DOI)9781614995111 (ISBN)9781614995128 (ISBN)
Konferens
26th Medical Informatics Europe Conference (MIE2015), Madrid, Spain, May 27-29, 2015
Tillgänglig från: 2016-06-07 Skapad: 2016-06-07 Senast uppdaterad: 2018-02-07Bibliografiskt granskad
Lind, L., Carlgren, G., Mudra, J., Synnergren, H., Hilding, N., Karlsson, d., . . . Persson, H. L. (2015). Preliminary results of a telemonitoring study: COPD and heart failure patients exhibit great difference in their need of health care. In: Marc Humbert (Ed.), European Respiratory Journal: Official Scientific Journal of ERS. Paper presented at ERS International Congress, ERS2015, Amsterdam, Netherlands, 26-30 September 2015 (pp. PA2790-PA2790). European Respiratory Society, 46/suppl 59
Öppna denna publikation i ny flik eller fönster >>Preliminary results of a telemonitoring study: COPD and heart failure patients exhibit great difference in their need of health care
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2015 (Engelska)Ingår i: European Respiratory Journal: Official Scientific Journal of ERS / [ed] Marc Humbert, European Respiratory Society , 2015, Vol. 46/suppl 59, s. PA2790-PA2790Konferensbidrag, Poster (med eller utan abstract) (Övrigt vetenskapligt)
Abstract [en]

Background: Growing populations of elderly patients with advanced stages of COPD or heart failure (HF) urge the need for specialized health care in the patients' home. A telemonitoring study has been initiated including patients using digital pens. Health care was provided by the specialized home care unit at a university hospital. Through an IT system the staff checked all daily patient reports. We hypothesized that the two groups of patients, advanced COPD or HF, would exhibit differences regarding exacerbations and the need of health care.

Objective: To study exacerbations of COPD or HF, and patient health care consumption.

Methods: A tele-monitoring system, the Health diary, which is based on digital pen technology, was employed. Exacerbations were identified using information provided through the telemonitoring system. Consumed health care was assessed as the number of patient contacts (home visits or telephone consultations).

Results: Presently, 33 patients with advanced disease are enrolled (13 COPD and 20 HF patients) of which 11 patients (6 COPD and 5 HF patients) have completed the 1-yr study period or have died during the study period (2 COPD and 4 HF patients). Exacerbations were 2.8 and 0.8 and patient contacts were 96 and 42 per COPD and HF patient, respectively. While HF patients were significantly older than COPD patients, the two groups demonstrated no difference regarding gender distribution and comorbidity.

Conclusions: COPD patients exhibit exacerbations more frequently and demand much more home health care than patients with HF do. It seems that this difference of health care consumption is mainly due to disease characteristics.

Ort, förlag, år, upplaga, sidor
European Respiratory Society, 2015
Serie
The European Respiratory Journal, ISSN 0903-1936
Nationell ämneskategori
Annan medicinteknik
Identifikatorer
urn:nbn:se:liu:diva-128905 (URN)10.1183/13993003.congress-2015.PA2790 (DOI)
Konferens
ERS International Congress, ERS2015, Amsterdam, Netherlands, 26-30 September 2015
Projekt
eHälsodagboken
Tillgänglig från: 2016-06-07 Skapad: 2016-06-07 Senast uppdaterad: 2018-03-26Bibliografiskt granskad
Lind, L. & Karlsson, D. (2014). Telehealth for “the Digital Illiterate”: Elderly Heart Failure Patients’ Experiences. In: Lovis, C., Séroussi, B., Hasman, A., Pape-Haugaard, L., Saka, O., Andersen, S.K. (Ed.), eHealth – For Continuity of Care: Proceedings of MIE2014. Paper presented at 25th European Medical Informatics Conference (MIE2014), Istanbul, Turkey, August 31 - September 3, 2014 (pp. 353-357). Amsterdam, Netherlands: IOS Press, 205
Öppna denna publikation i ny flik eller fönster >>Telehealth for “the Digital Illiterate”: Elderly Heart Failure Patients’ Experiences
2014 (Engelska)Ingår i: eHealth – For Continuity of Care: Proceedings of MIE2014 / [ed] Lovis, C., Séroussi, B., Hasman, A., Pape-Haugaard, L., Saka, O., Andersen, S.K., Amsterdam, Netherlands: IOS Press, 2014, Vol. 205, s. 353-357Konferensbidrag, Publicerat paper (Refereegranskat)
Abstract [en]

Telehealth solutions should be available also for elderly patients with nointerest in using, or capacity to use, computers and smartphones. Fourteen elderly,severely ill heart failure patients in home care participated in a telehealth study andused digital pens for daily reporting of their health state—a technology never usedbefore by this patient group. After the study seven patients and two spouses wereinterviewed face-to-face. A qualitative content analysis of the interview materialwas performed. The informants had no experience of computers or the Internet andno interest in learning. Still, patients found the digital pen and the health diaryform easy to use, thus effortlessly adopting to changes in care provision. Theyexperienced an improved contact with the caregivers and had a sense of increasedsecurity despite a multimorbid state. Our study shows that, given that technologiesare tailored to specific patient groups, even “the digital illiterate” may use theInternet.

Ort, förlag, år, upplaga, sidor
Amsterdam, Netherlands: IOS Press, 2014
Serie
Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365
Nyckelord
Telemedicine, digital pen, heart failure, home care services
Nationell ämneskategori
Annan medicinteknik
Identifikatorer
urn:nbn:se:liu:diva-128902 (URN)10.3233/978-1-61499-432-9-353 (DOI)25160205 (PubMedID)978-1-61499-431-2 (ISBN)978-1-61499-432-9 (ISBN)
Konferens
25th European Medical Informatics Conference (MIE2014), Istanbul, Turkey, August 31 - September 3, 2014
Projekt
Hälsodagboken
Tillgänglig från: 2016-06-07 Skapad: 2016-06-07 Senast uppdaterad: 2018-01-29Bibliografiskt granskad
Lind, L. & Karlsson, D. (2013). Digital pen-based telemonitoring of elderly heart failure patients. Studies in Health Technology and Informatics, 192, 1062-1062
Öppna denna publikation i ny flik eller fönster >>Digital pen-based telemonitoring of elderly heart failure patients
2013 (Engelska)Ingår i: Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365, Vol. 192, s. 1062-1062Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Considering that a majority of elderlies are non-users of computers and Internet we developed a telemonitoring system for elderly heart failure (HF) home care patients based on digital pen technology - a technology never used before by this patient group. We implemented the system in clinical use in a 13 months long study. Fourteen patients (mean/median age 84 years) with severe HF participated. They accepted the technology and performed daily reports of their health state using the digital pen and a Health Diary form. Via the system the clinicians detected all HF-related deteriorations at an early stage and thereby prevented hospital re-admissions for all patients during the study, implying improved symptom control and large cost savings.

Ort, förlag, år, upplaga, sidor
IOS Press, 2013
Nationell ämneskategori
Medicin och hälsovetenskap Teknik och teknologier
Identifikatorer
urn:nbn:se:liu:diva-100784 (URN)10.3233/978-1-61499-289-9-1062 (DOI)000341021700330 ()23920836 (PubMedID)
Tillgänglig från: 2013-11-12 Skapad: 2013-11-12 Senast uppdaterad: 2017-12-06
Lind, L. & Karlsson, D. (2013). Electronic patient-reported symptom assessment in palliative end-of-life home care. Health Systems, 2(3), 171-180
Öppna denna publikation i ny flik eller fönster >>Electronic patient-reported symptom assessment in palliative end-of-life home care
2013 (Engelska)Ingår i: Health Systems, ISSN 2047-6965, E-ISSN 2047-6973, Vol. 2, nr 3, s. 171-180Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Good symptom control in palliative end-of-life home care requires adequateaccess to patients’ symptom assessments. The aim of the study was to investigatethe feasibility of an electronic symptom assessment reporting system tosupport symptom control. A randomised controlled study was performedduring April 2008–December 2009. The intervention consisted of a networkeddigital-pen-based information system. The primary outcome measure chosenwas the time span from the patient’s reporting of a symptom to the careproviders’ noticing this assessment. Patients with at least moderately severesymptoms were invited to participate in the study. Eighteen (11 intervention,seven control) patients from four home care centres participated, submittinga total of 330 symptom assessments. There was a significantly shorter mediantime span from reporting to noticing for assessments in the intervention group.The system used allowed both frequent and regular symptom reporting frompatients that can contribute to more correct and prompt medical decisions inpalliative end-of-life home care. Trial registration number: ISRCTN09750271.Health Systems (2013) 2, 171–180. doi:10.1057/hs.2013.4;published online 17 May 2013; corrected online 4 June 2013

Ort, förlag, år, upplaga, sidor
Palgrave Macmillan, 2013
Nyckelord
palliative care; hospice care; signs and symptoms; information systems; telemedicine; homecare services, hospital-based
Nationell ämneskategori
Teknik och teknologier Medicinteknik
Identifikatorer
urn:nbn:se:liu:diva-108100 (URN)10.1057/hs.2013.4 (DOI)
Tillgänglig från: 2014-06-25 Skapad: 2014-06-25 Senast uppdaterad: 2017-12-05Bibliografiskt granskad
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