MediReport and Withings join forces to improve patient follow-up after cardiac surgery
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Founded in 1995 by two interventional cardiologists (Serge Makowski and Fabrice Beverelli), MediReport develops medical software for cardiovascular monitoring for hospitals, including CardioReport, its cardiovascular information system, interfaced with the hospital environment for data collection at the hospital. ‘hospital.
The company markets its medical software “in more than 40 countries around the world and in more than 450 public and private hospitals,” Dr. Makowski told TICsanté at the end of March.
Created in 2008, Withings was sold to the Finnish group Nokia in 2016. Acquired in 2018 by one of its three co-founders, Eric Careel, the company, specializing in the development of smart health connected objects for the well-being of individuals, took the turn in health as soon as he returned to the French flag.
Launched in October 2019, its “B to B” division (business to business) and its Withings Med Pro Data and Withings Med Pro Care solutions for healthcare professionals, confirmed this ambition.
These two divisions were also intended to improve the remote monitoring of patients through the use of products from the Withings ecosystem and the analysis of the data collected, directly within the partner’s environment.
In the study conducted by MediReport and Withings, data from Withings Go smart health connected bracelets are collected by the CardioReport patient monitoring application, created by MediReport.
The prospective and single-center study focused on “a hundred” patients over 18 from the Ambroise-Paré clinic in Neuilly-sur-Seine (Hauts-de-Seine), scheduled for cardiac surgery.
They were fitted with a Withings activity tracker after their operation. The objective of the study was then to better understand the resumption of their postoperative physical activity and in the rehabilitation phase.
“The secondary objectives tended to assess the proper use of the monitoring system, the physical recovery of patients and the link between physical activity and extra-hospital morbidity, if applicable,” the two partners explained in a joint press release released on April 14.
Concretely, the CardioReport monitoring system connects to the Withings activity tracker -Withings Go- and collects patient activity data in real time.
This data is then accessible by the medical team in a dashboard as well as by the patient via the CardioReport monitoring application. It also allows the patient and his doctor to communicate and, from the data collected by the Withings tracker, it can send alerts to patients to notify them of insufficient physical activity.
If, despite the warning given, patients do not walk enough, they are invited to a medical consultation to prevent further hospitalization.
This study highlighted the possibilities of using so-called “general public” smart health connected objects in a medical setting, for patients as well as for healthcare professionals.
They can now have remote access in real time or near to precise health data to follow their patients and be reactive in the event of a problem, even outside the hospital environment.
“In a medical context, the combination of the Withings tracker and the patient monitoring application created by MediReport not only promotes and improves the quality of outpatient care but above all places the patient as an active player in their recovery” , argued the two partners in their press release.
“It makes sense. If we stimulate the patients, we will obtain better results but we could not say before having carried out this study”, explained to TICsanté Dr. Serge Makowski.
“Today, we know that patients can be followed with simple smart health connected objects and that they benefit from it. The data collected is transferred to the platform, then integrated into the patient’s database. Even if our smartphones already give us the number of steps we take, it is not clinical data “, he detailed
“Assuming that you are followed by the doctor who performed the surgery, he will see you once and there will be no long-term follow-up. You will be followed by your general practitioner who does not “This will not have your activity data. Here, the interest lies in the fact that this information is collected continuously and is shared with your doctor,” he continued.
“This information, once fed back into the system, will make it possible to better specify the type of care you need, depending on your profile and in particular the risk factors.”
The clinical study was the subject of a scientific publication in Plos One in December 2020.
She reports that “the program has been very well received by the patients”: 86% of them wished to participate, or about a hundred patients. “Compliance with the system in force and the study protocol was also good (94%).”
On discharge from hospital, the average number of daily steps taken by patients was 1,454, with a consistent increase reaching 5,801 steps on day 60 of the study.
“The maximum activity level, measured by the number of steps, was reached from the 30th day”, reveals the study.
“On day 60, it was established that the resumption of activity was more difficult for elderly patients with peripheral arterial disease and whose duration of intervention had been long (duration of prolonged extracorporeal circulation).”
The reference patients took about 6,000 daily steps two months after discharge from hospital and 85% of this activity was performed “in the first month”.
In addition, we note that the smart health connected bracelet was considered beneficial by 61% of patients, who felt that it had influenced their recovery, and 41% of them said that it had “changed their lifestyle” .
Finally, 77% of patients decided to continue wearing it and 4% considered it a constraint.
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