journal article Open Access Mar 29, 2021

Mobile Health in Remote Patient Monitoring for Chronic Diseases: Principles, Trends, and Challenges

Diagnostics Vol. 11 No. 4 pp. 607 · MDPI AG
View at Publisher Save 10.3390/diagnostics11040607
Abstract
Chronic diseases are becoming more widespread. Treatment and monitoring of these diseases require going to hospitals frequently, which increases the burdens of hospitals and patients. Presently, advancements in wearable sensors and communication protocol contribute to enriching the healthcare system in a way that will reshape healthcare services shortly. Remote patient monitoring (RPM) is the foremost of these advancements. RPM systems are based on the collection of patient vital signs extracted using invasive and noninvasive techniques, then sending them in real-time to physicians. These data may help physicians in taking the right decision at the right time. The main objective of this paper is to outline research directions on remote patient monitoring, explain the role of AI in building RPM systems, make an overview of the state of the art of RPM, its advantages, its challenges, and its probable future directions. For studying the literature, five databases have been chosen (i.e., science direct, IEEE-Explore, Springer, PubMed, and science.gov). We followed the (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) PRISMA, which is a standard methodology for systematic reviews and meta-analyses. A total of 56 articles are reviewed based on the combination of a set of selected search terms including RPM, data mining, clinical decision support system, electronic health record, cloud computing, internet of things, and wireless body area network. The result of this study approved the effectiveness of RPM in improving healthcare delivery, increase diagnosis speed, and reduce costs. To this end, we also present the chronic disease monitoring system as a case study to provide enhanced solutions for RPMs.
Topics

No keywords indexed for this article. Browse by subject →

References
182
[1]
Raghupathi, W., and Raghupathi, V. (2018). An Empirical Study of Chronic Diseases in the United States: A Visual Analytics Approach to Public Health. Int. J. Environ. Res. Public Health, 15. 10.3390/ijerph15030431
[2]
Waqialla, M., Alshammari, R., and Razzak, M.I. (2015, January 7–8). An ontology for remote monitoring of cardiac implantable electronic devices. Proceedings of the 2015 3rd International Conference on Computer, Communication, Control and Information Technology, Hooghly, India. 10.1109/i4ct.2015.7219633
[3]
Rahim, A., Forkan, M., and Khalil, I. (2016, January 14–19). A Probabilistic model for early prediction of abnormal clinical events using vital sign correlations in home-based monitoring. Proceedings of the 2016 IEEE International Conference on Pervasive Computing and Communications, Sydney, NSW, Australia. 10.1109/percom.2016.7456519
[4]
Zhanwei "Semi-automatic remote medicine monitoring system of mobile users" China Commun. (2015) 10.1109/cc.2015.7366236
[5]
Jackson Healthcare (2016). Physician Trends 2016 Report, Jackson Healthcare. 10.1201/b10307
[6]
Mazboori "The Effect of Remote Patient Monitoring on Patients with Spinal Cord Injury: A Mini-Review" Arch. Neurosci. (2019)
[7]
Deshmukh "A Survey Paper on Patient Health and Saline Level Monitoring System using IoT" IJERT (2019)
[8]
Remote Patient Monitoring via Non-Invasive Digital Technologies: A Systematic Review

Ashok Vegesna, Melody Tran, Michele Angelaccio et al.

Telemedicine and e-Health 2017 10.1089/tmj.2016.0051
[9]
Iraqi "A Survey of Healthcare Monitoring Systems for Chronically Ill Patients and Elderly" J. Med. Syst. (2019) 10.1007/s10916-019-1165-0
[10]
Gelogo "Internet of Things (IoT) Framework for u-healthcare System" Int. J. Smart Home (2015) 10.14257/ijsh.2015.9.11.31
[11]
Ismail, A., Abdlerazek, S., and El-Henawy, I.M. (2020). Development of Smart Healthcare System Based on Speech Recognition Using Support Vector Machine and Dynamic Time Warping. Sustainability, 12. 10.3390/su12062403
[12]
Jung "Advanced verification on WBAN and cloud computing for u-health environment" Multimed. Tools Appl. (2015) 10.1007/s11042-014-2095-y
[13]
Dhanashri, D., and Dhonde, S.B. (2017). A Survey of Cloud Based Healthcare Monitoring System for Hospital Management, Springer.
[14]
Alaa "ConfidentCare: A Clinical Decision Support System for Personalized Breast Cancer Screening" IEEE Trans. Multimed. (2016) 10.1109/tmm.2016.2589160
[15]
Zhang "An ontology-based approach to patient follow-up assessment for continuous and personalized chronic disease management" J. Biomed. Inform. (2017) 10.1016/j.jbi.2017.06.021
[16]
El-Sappagh, S., El-Masri, S., Elmogy, M., and Riad, A.M. (2015, January 19–20). A diabetes diagnostic domain ontology for CBR system from the conceptual model of SNOMED CT. Proceedings of the ICET 2nd International Conference on Engineering and Technology, Cairo, Egypt. 10.1109/icengtechnol.2014.7016783
[17]
Jha "Diabetes Detection and Care Applying CBR Techniques" Int. J. Soft Comput. Eng. (2013)
[18]
Sahoo, P.K., Thakkar, H.K., and Lee, M.Y. (2017). A cardiac early warning system with multi channel SCG and ECG monitoring for mobile health. Sensors, 17. 10.3390/s17040711
[19]
Rotariu, C., and Manta, V. (2012, January 9–12). Wireless system for remote monitoring of oxygen saturation and heart rate. Proceedings of the Federated Conference on Computer Science and Information Systems—FedCSIS 2012, Wrocław, Poland. 10.1109/ederc.2012.6532240
[20]
Sharma "Survey on Interoperability Issues in Development of Smart" Int. J. Adv. Res. Comput. Sci. (2018) 10.26483/ijarcs.v9i2.5743
[21]
Tripathi, G., Ahad, M.A., and Paiva, S. (2020). Sms: A secure healthcare model for smart cities. Electronics, 9. 10.3390/electronics9071135
[22]
Kovačević, T., Perković, T., and Čagalj, M. (2013, January 18–20). LIRA: A new key deployment scheme for wireless body area networks. Proceedings of the SoftCOM 2013: 21th International Conference on Software, Telecommunications and Computer Networks, Split, Croatia. 10.1109/softcom.2013.6671884
[23]
Tian, Y., Peng, Y., Peng, X., and Li, H. (2014). An attribute-based encryption scheme with revocation for fine-grained access control in wireless body area networks. Int. J. Distrib. Sens. Netw., 2014. 10.1155/2014/259798
[24]
Shou, Y., Guyennet, H., and Lehsaini, M. (2013). Distributed Computing and Networking, Springer.
[25]
Pathak, G., Gutierrez, J., and Rehman, S.U. (2020). Security in Low Powered Wide Area Networks: Opportunities for Software Defined Network-Supported Solutions. Electronics, 9. 10.3390/electronics9081195
[26]
Yang, Z., Zhou, Q., Lei, L., Zheng, K., and Xiang, W. (2016). An IoT-cloud Based Wearable ECG Monitoring System for Smart Healthcare. J. Med. Syst., 40. 10.1007/s10916-016-0644-9
[27]
Fong "Mobile cloud-computing-based healthcare service by Noncontact ECG monitoring" Sensors (2013) 10.3390/s131216451
[28]
Yang "IoT-based Remote Pain Monitoring System: From Device to Cloud Platform" IEEE J. Biomed. Health Inform. (2017) 10.1109/jbhi.2017.2776351
[29]
Li "The IoT-based heart disease monitoring system for pervasive healthcare service" Procedia Comput. Sci. (2017) 10.1016/j.procs.2017.08.265
[30]
Guan, K., Shao, M., and Wu, S. (2017). A remote health monitoring system for the elderly based on smart home gateway. J. Healthc. Eng., 2017. 10.1155/2017/5843504
[31]
Alam, M.A.U., Roy, N., Holmes, S., Gangopadhyay, A., and Galik, E. (2016, January 27–29). Automated Functional and Behavioral Health Assessment of Older Adults with Dementia. Proceedings of the 2016 IEEE First International Conference on Connected Health: Applications, Systems and Engineering Technologies (CHASE), Washington, DC, USA. 10.1109/chase.2016.16
[32]
Silva, V.J., Rodrigues, M.A.S., Barreto, R., and de Lucena, V.F. (2016, January 14–17). UbMed: A ubiquitous system for monitoring medication adherence. Proceedings of the 2016 IEEE 18th International Conference on e-Health Networking, Applications and Services (Healthcom), Munich, Germany. 10.1109/healthcom.2016.7749419
[33]
Hezarjaribi, N., Fallahzadeh, R., and Ghasemzadeh, H. (2016, January 14–18). A machine learning approach for medication adherence monitoring using body-worn sensors. Proceedings of the 2016 Design, Automation & Test in Europe Conference & Exhibition (DATE), Dresden, Germany. 10.3850/9783981537079_0883
[34]
Wang "An enhanced fall detection system for elderly person monitoring using consumer home networks" IEEE Trans. Consum. Electron. (2014) 10.1109/tce.2014.6780921
[35]
Zhang, L., Xing, B., Gao, Z., Wang, J., Sun, S., and Zhang, K. (May, January 27). Smart blood pressure monitoring system based on internet of things. Proceedings of the CHI’13: CHI Conference on Human Factors in Computing Systems, Paris, France.
[36]
Ballari, D., Manso-callejo, M.A., and Wachowicz, M. (2004). The Interoperability of Wireless Sensor Networks, Technical University of Madrid.
[37]
Brandt, P., Basten, T., Stuiik, S., Bui, V., de Clercq, P., Pires, L.F., and van Sinderen, M. (2013, January 15–19). Semantic interoperability in sensor applications making sense of sensor data. Proceedings of the 2013 IEEE Symposium on Computational Intelligence in Healthcare and e-health (CICARE), Singapore. 10.1109/cicare.2013.6583065
[38]
Mahmoud "A Real-time Framework for Patient Monitoring Systems based on a Wireless Body Area Network" Int. J. Comput. Appl. (2020)
[39]
El-rashidy, N., El-sappagh, S., Islam, S.M.R., El-bakry, M.H., and Abdelrazek, S. (2020). End-To-End Deep Learning Framework for Coronavirus (COVID-19) Detection and Monitoring. Electronics, 9. 10.3390/electronics9091439
[40]
Balasubramanian, V., and Stranieri, A. (2014, January 10–12). A scalable cloud Platform for Active healthcare monitoring applications. Proceedings of the IC3e 2014—2014 IEEE Conference on e-Learning, e-Management and e-Services, Melbourne, Australia. 10.1109/ic3e.2014.7081248
[41]
Ahir "Intelligent Traffic Control System for Smart Ambulance" IRJET (2018)
[42]
Rana "HealthCare Monitoring and Alerting System Using Cloud Computing" Int. J. Recent Innov. Trends Comput. Commun. (2015)
[43]
Risso "A cloud-based mobile system to improve respiratory therapy services at home" J. Biomed. Inform. (2016) 10.1016/j.jbi.2016.07.006
[44]
Paez, D.G., Aparicio, F., de Buenaga, M., and Rubio, M. (2013, January 3–5). Highly personalized health services using cloud and sensors. Proceedings of the 2013 Seventh International Conference on Innovative Mobile and Internet Services in Ubiquitous Computing (IMIS), Taichung, Taiwan. 10.1109/imis.2013.81
[45]
Hsu, T.C., Chang, C.H., Chu, W.C., Ho, S.Y., Hsueh, N.L., and Lee, W.B. (2013, January 29–30). Applying cloud computing technologies to Gerontology and Geriatrics Health Care System (GGHCS). Proceedings of the 2013 13th International Conference on Quality Software, Nanjing, China. 10.1109/qsic.2013.33
[46]
Hidalgo "VISIGNET: A wireless body area network with cloud data storage for the telemonitoring of vital signs" Health Technol. (2015) 10.1007/s12553-015-0108-0
[47]
Melillo, P., Orrico, A., Scala, P., Crispino, F., and Pecchia, L. (2015). Cloud-Based Smart Health Monitoring System for Automatic Cardiovascular and Fall Risk Assessment in Hypertensive Patients. J. Med. Syst., 39. 10.1007/s10916-015-0294-3
[48]
Rassias "Versatile Cloud Collaboration Services for Device-Transparent Medical Imaging Teleconsultations" Proc. IEEE Symp. Comput. Med. Syst. (2017)
[49]
Saechow, S., Kamolphiwong, S., and Chandeeying, V. (2014, January 15–18). Web-based teleconsultation for clinical diagnosis. Proceedings of the 13th International Conference on Electronics, Information, and Communication, ICEIC 2014, Kota Kinabalu, Malaysia. 10.1109/elinfocom.2014.6914423
[50]
Guo "Electronic health record innovations: Helping physicians—One less click at a time" Health Inf. Manag. J. (2017)

Showing 50 of 182 references

Cited By
223
Journal of Medical Internet Researc...
WIREs Data Mining and Knowledge Dis...
Frontiers in the Internet of Things