Proving the Business Case for the Internet of Things

UCSF tests AidCube to monitor lung transplant patients at home

Steve Rogerson
May 19, 2016
The University of California in San Francisco’s Department of Pulmonary & Critical Care will conduct trials with the AidCube platform for home-based pre- and rehabilitation of lung transplant patients. This could let UCSF provide mobile-enabled support to patients, while delivering evidence-based programmes in physical rehabilitation coupled with nutrition optimisation and patient education.
Despite an overhaul in the system for donor lung allocation to reduce death rates on the waiting list, nearly one on five patients listed for lung transplantation dies before receiving a suitable donor offer. After transplant, there are trends towards increasing complications in the perioperative period; the immediate post-transplant hospital stay lasts more than a month for one in four patients and half are discharged to places other than home without in-home nursing support, such  as a skilled nursing facility.
"Given geographic and financial limitations of access to traditional pulmonary rehabilitation programmes in the United States, the AidCube home rehabilitation programme has the potential to fill a large void," said Jonathan Singer, assistant professor of medicine at UCSF. “Further, by targeting frailty specific deficits, we hope to ultimately reduce waiting list mortality and improve outcomes after lung transplantation.”
The patients use an app with a personalised to-do-list that helps them follow each step in their treatment plan. The app contains different exercises, surveys, breathing lessons and Fitbit activity tracking, which is continuously monitored and adjusted by the UCSF care team. In this way, the care team can access an overview of patients' health status and communicate through build-in secure messaging or video chat.
Denmark based AidCube’s platform helps care providers increase patient engagement by facilitating online prescriptions of personalised exercises, condition-specific questionnaires and advice on medication and nutrition. This suite of tools is available to patients through the AidCube App, which can be accessed anywhere, at any time.
The platform is used by more than twenty healthcare providers in Denmark and the USA, to deliver home-based pulmonary rehabilitation. In collaboration with UCSF, the platform has been customised to meet the specific needs to treat frailty in lung transplant candidates.