Generic placeholder image

Current Aging Science


ISSN (Print): 1874-6098
ISSN (Online): 1874-6128

Review Article

Focus on the Different Projects of Telemedicine Centered on the Elderly In France

Author(s): Abrar A. Zulfiqar*, Amir Hajjam and Emmanuel Andrès

Volume 11, Issue 4, 2018

Page: [202 - 215] Pages: 14

DOI: 10.2174/1874609812666190304115426


Telemedicine is now in vogue, allowing computer and communication tools to be deployed in different fields of health, such as Cardiology, Dermatology, areas in which it has received interest, and in international studies. As the population ages, older people are increasingly concerned about this innovative practice. This is a narrative review of both the literature and Internet pertaining to telemedicine projects within the field of geriatric subjects in France. Since the beginning of the 2000’s, several telemedicine projects and trials focused on chronic heart failure have been developed in the elderly, and also in the field of dermatology. The potential contribution of second-generation telemedicine projects in terms of mortality, morbidity, and the number of hospitalizations avoided is currently under study. Their impact in terms of health economics is likewise being investigated, taking into account that the economic and social benefits brought up by telemedicine solutions were previously validated by the original telemedicine projects. We take a look at telemedicine projects in France concerning the elderly.

Keywords: Telemedicine, elderly, France, cardiology, dermatology, mortality.

Graphical Abstract
OCDE. Panorama de la santé 2015: les indicateurs de l’OCDE. Paris: Editions OCDE; 2015.
DRESS. « 728000 résidents en établissements d’hébergements pour personnes âgées en 2015. Premiers résultats de l’enquête EHPA 2015 »; Etudes et résultats, n° 1015, juillet. 2017.
Morley JE, Rolland Y, Tolson D, et al. The time has come to enhance nursing home care. Arch Gerontol Geriatr 2011; 53(1): 1-2.
HAS-ANESM. How to reduce the unplanned hospitalization of EHPAD residents? Methodological note and documentary synthesis Key points course organization, July 2015, 97p.
Salles N. Télémédecine en EHPAD The keys to launch Experience sharing, oct 2017, 168p
High Committee for the Future of Medicare (HCAAM) Medicare and loss of autonomy. Report of June 23. 2011.
Fur-Musquer É, Delamarre-Damier F, Sonnic A, et al. Are there any predictive factors for unphased hospitalization of EHPAD residents? Geriatr Psychol Neuropsy-chiatr Old 2012; 10(2): 137-42.
Young Y, Barhydt NR, Broderick S, et al. Factors associated with potentially preventable hospitalization in nursing home residents in New York state: A survey of directors of nursing. J Am Geriatr Soc 2010; 58: 901-7.
Bouchon JP. 1+2+3 Or how to try to be effective in geriatrics. Rev Prat 1984; 34: 888.
Martínez-González NA, Berchtold P, Ullman K, et al. Integrated care programmes for adults with chronic conditions: A meta-review. Int J Qual Health Care 2014; 26(5): 561-70.
Barralon P. Classification and merging of actimetric data for medical telemonitoring Joseph Fourier University, Grenoble 2005 (PhD project).
Telehealth: A new asset at the service of our well-being. A fiveyear eco-responsible plan for the deployment of telehealth in France. 2009 (Report submitted to Mrs. Rose-lyne Bachelot- Narquin, Minister of Health and Sports by Mr. Pierre Lasbordes, Member of Parliament for Essonne.
Ahmed BA, Hajjam A, Talha S, et al. E-care: Ontological evolution and improvement of knowledge for the follow-up of heart failure. MT 2014; 20(2): 79-86.
Minutolo A, Sannino G, Esposito M, et al. A rule-based mHealth system for cardiac monitoring. In: 2010 IEEE EMBS Conference on Biomedical Engineering & Sciences, Kuala Lumpur 2010.
Franco C, Demongeot J, Villemazet C, et al. Behavioral telemonitoring of the elderly at home: Detection of nycthemeral rhythms drifts from location data. In: 24th International Conference on Advanced Information Networking and Applications Workshops 2010; (p. 759-766)..
Franco C, Demongeot J, Fouquet Y, et al. Perspectives in home TeleHealthCare system: Daily routine nycthemeral rhythm monitoring from location data. In: International Conference on Complex, Intelligent and Software Intensive Systems. 2010; p. 611-7.
Edirippulige S, Martin-Khan M, Beattie E, et al. A systematic review of telemedicine services for residents in long term care facilities. J Telemed Telecare 2013; 19(3): 127-32.
Biannic C, Coutance G, Calus J, et al. Educational home follow-up by telemedicine in cases of cardiac insufficiency. Randomised, multicentric study from the Basse-Normandie region. Preliminary results. Eur Telemed Res 2012; 1: 40-8.
Chaudhry SI, Barton B, Mattera J, et al. Randomized trial of telemonitoring to improve heart failure outcomes (Tele-HF): Study design. J Card Fail 2007; 13: 709-14.
Rich MW, Freedland KE. Effect of DRGs on three-month readmission rate of geriatric patients with congestive heart failure. Am J Public Health 1988; 78: 680-2.
Cleland JG, Louis AA, Rigby AS, et al. Noninvasive home telemonitoring for patients with heart failure at high risk of recurrent admission and death: The Trans-European Network-Home-Care Management System (TEN-HMS) study. J Am Coll Cardiol 2005; 45: 1654-64.
Inglis SC, Clark RA, Dierckx R, et al. Structured telephone support or non-invasive telemonitoring for patients with heart failure. Cochrane Database Syst Rev 2015; 31: CD007228.
Gudanis F, Nogues S, Houguet U, et al. Distribution and alert management in the SEDIC study: A randomized study of educational telemedicine in the inadequate cardiac elderly patient. 6th European Congress of ANTEL, Paris November 2013.
Coutance G, Belin A, Targat-Biannic C, et al. Characteristics of non-responder patients in educational telemedicine in the SEDIC study: a randomized trial of educational telemedicine in elderly heart failure patients. 6th European Congress of ANTEL, Paris November. 2013.
Dary P. Remote monitoring in heart failure: Feasibility and results of a limited 14-day follow-up of 83 patients. Eur Telemed Res 2014; 3: 125-32.
Goldberg LR, Piette JD, Walsh MN, et al. Randomized trial of a daily electronic home monitoring system in patients with advanced heart failure: The Weight Monitoring in Heart Failure (WHARF) trial. Am Heart J 2003; 146: 705-12.
Andrès E, Talha S, Benyahia A, et al. Experimentation of an e-platform to detect situations at risk of cardiac impairment (platform E-care) in an internal medicine unit. Rev Med Interne 2016; 37: 587-93.
Jourdain P, Desnos M, Jullière Y. Establishment of an Interactive Patient Health Platform (PIMPS) based on home-based selfmeasurement of a bi-omarter in chronic ambulatory heart failure. 6th European Congress of ANTEL, Paris November. 2013.
Bendelac H, Pathak A, Molinier L, et al. Optimization of ambulatory monitoring of patients with heart failure using telecardiology (OSICAT). Eur Res Telemed 2014; 3: 161-7.
Eschalier R, D’Agrosa-Boiteux MC, Mannenq PH, et al. Cardiauvergne: Heart failure home management and remote monitoring system. Eur Res Telemed 2014; 3(4): 169-76.
Dary P. Telemonitoring of atrial fibrillation: Feasibility study and results on 200 patients. Eur Res Telemed 2013; 2: 113-20.
Kacet S. ECOST: Safety of implantable cardioverter defibrillator follow-up using remote monitoring: A randomized controlled trial. ESC Congress. 2011 Hot Line II.
Mabo P. Remote follow-up of patients implanted with an ICD. The prospective randomized EVATEL study. ESC Congress. 2011 Hot Line II.
Varma N, Epstein AE, Irimpen A, et al. Efficacy and safety of automatic remote monitoring for implantable cardioverter-defibrillator follow-up: The Lumos-T safety reduces routine office device follow-up (TRUST) trial. Circulation 2010; 122: 325-32.
Mabo P, Victor F, Bazin P, et al. A randomized trial of long-term remote monitoring of pacemaker recipients (the COMPAS trial). Eur Heart J 2012; 33(9): 1105-11.
Amara W, Montagnier C, Cheggour S, et al. Early detection and treatment of atrial arrhythmias alleviates the arrhythmic burden in paced patients: The SETAM study. Pacing Clin Electrophysiol 2017; 40(5): 527-36.
Salles N, Baudon MP, Caubet C, et al. Telemedecine consultations for the elderly with chronic wounds, especially pressure sores. Eur Telemed Res 2013; 2: 93-100.
Bonnans V, Droz-Bartholet L, Garcia E, et al. Implementation of a teledermatology department in the Franche-Comté region, France. Eur Telemed Res 2012; 1: 96-103.
[41] [site consulté en novembre 2017].
Simon P, Acker D. The place of telemedicine in the organization of care. CGES-Report Thematic Mission 2008; 7: 1-145.
Sparsa A, Doffoel-Hantz V, Bonnetblanc JM. Assessment of tele-expertise among elderly subjects in retirement homes. Ann Dermatol Venereol 2013; 140: 165-9.
Sood A, Granick MS, Trial C, et al. The role of telemedicine in wound care: A review and analysis of a database of 5,795 patients from a mobile wound-healing center in languedoc-roussillon, France. Plast Reconstr Surg 2016; 138(3)(Suppl.): 248S-56S.
Tchalla AE, Lachal F, Cardinaud N, et al. Efficacy of simple home-based technologies combined with a monitoring assistive center in decreasing falls in a frail elderly population (results of the Esoppe study). Arch Gerontol Geriatr 2012; 55: 683-9.
[46] personnes-agees-Projet-Icare [site consulté en novembre 2017].
Piau A, Nourhashemi F, De Mauléon A, et al. Telemedicine for the management of neuropsychiatric symptoms in long-term care facilities: the DETECT study, methods of a cluster randomised controlled trial to assess feasibility. BMJ Open 2018; 8(6): e020982.
Pervaya, « SALVEO: Un systeme intelligent de suivi et de téléassistance de personnes agées vivant seules a domicile », SALVEO. [En ligne]. Disponible sur
Mailhes C, Comet B, de Bernard H, et al. Telemedicine applications in OURSES project, in Satellite and Space Communications, 2008. IWSSC 2008. IEEE International Workshop on, 2008, 124-8.
Bourennane W. Study and design of a remote monitoring and critical situation detection system "by actimetric tracking" of people at risk in indoor and outdoor environments. University Toulouse 2 Le Mirail, Sept 2013, 162.
DRESS. (2017). « 728000 residents in residential facilities for the elderly in 2015. First results of the 2015 EHPA survey "; Studies and results, n ° 1015.
Morley JE, Rolland Y, Tolson D, et al. The time has come to enhance nursing home care. Arch Gerontol Geriatr 2011; 53(1): 1-2.
Espinoza P, Gouaze A, Bonnet B, et al. Deployment of telemedicine in health territory. Tele-geria, a precursor experimental model. Telemed Health 2011; 725: 9-17.
Salles N, Lafargue A, Cressot V, et al. Global geriatric evaluation is feasible during interactive telemedecine in nursing homes. Eur Telemed Res 2017; 6: 59-65.
Thiébaut S, Lupi-Pégurier L, Paraponaris A, et al. Comparison of the use of a dental surgeon between institutionalized persons and those living at home, France, 2008-2009. BEH 2013; 7: 60-4.
Telemedicine and geriatric teleconsultations in EHPAD: state of the art after two years of experimentation in the residence EHPAD Le Parc in Nancy. Dr. Arnaud MORETTINI. Year 2016, p46.
Georgeton E, Aubert L, Pierrard N, et al. General practitioners adherence to recommendations from geriatric assessments made during teleconsultations for the elderly living in nursing homes. Maturitas 2015; 82(2): 184-9.
Desbordes M, Nebout S, Grès H, et al. Telemedicine in psychiatry of the elderly: Issues and perspectives Vol 15 - N° 89 P. 270-273 - octobre 2015.
Elie-lefebvre C, Schuster JP, Limosin F. Telepsychiatry: What role in the care of the elderly? Geriatr Psychol Neuropsychiatr Vieil 2016; 14(3): 325-31.
Thiébaut S, Lupi-Pégurier L, Paraponaris A, et al. Comparison of the use of a dental surgeon between institutionalized persons and those living at home, France, 2008-2009. BEH 2013; 7: 60-4.
Giraudeau N, Valcarcel J, Tassery H, et al. E-DENT Project: Oral teleconsultation in long-term care homes. Eur Telemed Res 2014; 3: 51-6.
Queyroux A, Saricassapian B, Herzog D, et al. Accuracy of teledentistry for diagnosing dental pathology using direct examination as a gold standard: Results of the tel-e-dent study of older adults living in nursing homes. J Am Med Dir Assoc 2017; 18: 528-32.

© 2022 Bentham Science Publishers | Privacy Policy