Purificación Ros, Spain
Hospital Universitario Puerta de Hierro-Majadahonda Department of Pediatric EndocrinologyPresenter of 1 Presentation
INTEGRATED CARE PROGRAM (INCAP) FOR TYPE 1 DIABETES PATIENTS WITH CONTINUOUS SUBCUTANEOUS INSULIN INFUSION SYSTEM (CSII), IMPROVED BY DIGITAL TECHNOLOGIES
Abstract
Background and Aims
T1D is a complex chronic disease, and requires high level of self-management education to prevent long term complications. Even though there have been different telematics approaches to support diabetes management, none of them have been well integrated into the health care system to date. The aim of this work is to build INCAP solution: to develop a Remote Monitoring Support Centre (CSSR) to optimize the medical outcome of patients based on personal progression and a digital educational program to improve self-management and adherence.
Methods
The algorithm implemented in CSSR uses clustering techniques to classify the data extracted from CSII. A colour code was used for triage (emergency patients in red, alert patients in yellow and stable patients in green). Moreover, a mobile application for patients has been developed including self-management contents and professional support. We included 51 patients (28 children-CH-;23 adults-A-) with T1D treated with CSII.
Results
Preliminary results (4 months of follow-up) from CSSR deployment show a total of 164 remote follow-ups (100CH vs 64A), clustering 49% emergency patients (56%CH vs 38%A), 19% alert patients (17%CH vs 23%A) and 32% stable patients (27%CH vs 39%A). Comparing with baseline follow-up, downloads in red have decreased 12% (from 61% to 49%) and those classified in green have increased 9% (from 23% to 32%).Besides, 5 out of 28 pediatric in-office visits were cancelled or postponed.
Conclusions
The deployment and implementation of the INCAP solution points direct impact on the efficiency of in-office follow-up, as well as on the reduction of the number of unnecessary follow-ups.