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4 results on '"Carola-Maria Ernst"'

1. Inter-hospital cardiorespiratory telemonitoring of newborns and infants: a wellworking example of a hub and spoke network

Author

Cinzia Arzilli, Monica Annunziata, Carola-Maria Ernst, Marta Peruzzi, Chiara Macucci, Saverio Pochesci, and Niccolò Nassi

Subjects
Telemedicine network, Hub-and-spoke system, Apnoea of prematurity, Apparent life-threatening events, Pediatrics, RJ1-570
Abstract

Abstract Background Patients who experience cardiorespiratory events usually have to be moved to specialized centers to perform cardiorespiratory studies. To avoid the transfer of these patients to specialized centers, a network has been created based on an interchange system, where the recordings were uploaded in unspecialized centers (spokes) and downloaded by the Sleep Disorders Breathing (SDB) Center (hub) to be analyzed. Methods The inter-hospital network was established in November 2008. Initially only 3 non-tertiary hospitals in the Tuscany Region joined the network. Currently, 12 Tuscany hospitals are included. Results From November 2008 to December 2020, 625 recordings were collected belonging to 422 infants. No recurrent life-threatening episode or infant death occurred in the study population and none of the infants needed to be readmitted or be moved to a tertiary center, except infants who underwent home monitoring. The discharge diagnoses belong to the following categories: apnoea, respiratory problem of the newborn, syncope, gastroesophageal reflux, altered consciousness, transient loss of consciousness and cyanosis. Conclusions This study shows that the inter-hospital network is an efficient system that allows accurate and safe management of infants at risk for apnoea, bradycardia, and hypoxemia to remain in unspecialized centers, avoiding unnecessary transfers of patients and over – hospitalizations.

Published
2023
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2. Can we still do something-and what? - for a seemingly missing syndrome?: 'Yes we can'

Author

Raffaele Piumelli, Cinzia Arzilli, Niccolò Nassi, Marta Peruzzi, Carola-Maria Ernst, and Cristina Salvatori

Subjects
SIDS, SUDI, Diagnostic protocols, Incidence, Pediatrics, RJ1-570
Abstract

Abstract In this letter, the authors compare the incidence of SUDI and SIDS in the Tuscany Region to the incidence reported by Campi and Bonati in their paper “Can we still do something-and what?- for a seemingly missing syndrome?” that was recently published in this journal. The Tuscany data are directly gathered from the autopsies while the others from the death certificates that are often not reilable, thus causing an understimation of the phenomenon. The real picture of the extent of SIDS is crucial to evaluate the effectiveness of back to sleep campaigns.

Published
2019
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3. Inter-hospital cardiorespiratory telemonitoring of newborns and infants

Author

Cinzia Arzilli, Monica Annunziata, Carola Maria Ernst, Marta Peruzzi, Chiara Macucci, Saverio Pochesci, and Niccolò Nassi

Abstract

Cardiorespiratory monitoring is recommended for the assessment of symptomatic preterm newborns and infants with a clinical history of Apparent Life-Threatening Events (ALTE). Patients who experience cardiorespiratory events usually have to be moved to specialized centers to perform cardiorespiratory studies. To avoid the transfer of these patients to specialized centers, it has been created a network based on an interchange system where the recordings were uploaded in unspecialized centers (spokes) and downloaded by the Sleep Disorders Breathing (SDB) Center (hub) to be analyzed. From November 2008 to December 2020 cardiorespiratory recordings belonging to 422 patients were collected. This study shows that the inter-hospital network is an efficient system that allows accurate and safe management of infants at risk of apnoea, bradycardia, and hypoxemia also in unspecialized centers, avoiding unnecessary transfers of patients and over – hospitalizations.

Published
2022

4. Telemonitoring for infants at risk of apnoea, bradycardia and hypoxaemia: transmission of data improves the family compliance during home monitoring

Author

Giulia Liccioli, Giampaolo Donzelli, Raffaele Piumelli, Niccolò Nassi, and Carola Maria Ernst

Subjects
Male, Bradycardia, medicine.medical_specialty, Telemedicine, Apnea, Monitoring, Ambulatory, Health Informatics, law.invention, law, Humans, Telemetry, Medicine, Hypoxia, Intensive care medicine, Retrospective Studies, business.industry, Infant, Newborn, Infant, Cardiorespiratory fitness, Sudden infant death syndrome, Transmission (mechanics), Italy, Emergency medicine, Female, medicine.symptom, business
Abstract

We evaluated the compliance of families using telemonitoring and families using conventional home monitoring in infants at risk of apnoea, bradycardia and hypoxaemia. Families who used the telemedicine system could perform the remote data transmission from their home. Families who used the conventional system had to come to the regional centre to download the cardiorespiratory traces captured by the monitor. A total of 175 patients examined at the Regional Centre for Sudden Infant Death Syndrome (SIDS) in Florence were included in the 5-year study. Good compliance was defined as an average daily use of 10 hours or more; insufficient compliance was defined as an average daily use of less than 10 hours. The Centre analysed 612 data downloads, 339 from the telemedicine system and 273 from the conventional system. This represented a total of 105,061 hours of data during 12,862 days of home monitoring. The compliance of families who used the telemedicine system was significantly higher than that of families who used the conventional system. Of the 105 families who used the conventional system, 50 (48%) were good compliers. Of the 70 families who used the telemedicine system, 49 (70%) were good compliers. Telemedicine was associated with a significant improvement in the compliance of families using cardiorespiratory monitors.

Published
2012

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