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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Russian Medicine</journal-id><journal-title-group><journal-title xml:lang="en">Russian Medicine</journal-title><trans-title-group xml:lang="ru"><trans-title>Российский медицинский журнал</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0869-2106</issn><issn publication-format="electronic">2412-9100</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">106551</article-id><article-id pub-id-type="doi">10.17816/medjrf106551</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Original Research Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Оригинальные исследования</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Remote monitoring of patients with chronic consciousness impairment: from needs to capabilities. Cohort study</article-title><trans-title-group xml:lang="ru"><trans-title>Удалённый мониторинг пациентов с хроническим нарушением сознания: от потребностей до возможностей. Когортное исследование</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5707-118X</contrib-id><contrib-id contrib-id-type="spin">7800-6446</contrib-id><name-alternatives><name xml:lang="en"><surname>Borisov</surname><given-names>Ilya V.</given-names></name><name xml:lang="ru"><surname>Борисов</surname><given-names>Илья Владимирович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>realzel@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3244-463X</contrib-id><contrib-id contrib-id-type="spin">6780-1309</contrib-id><name-alternatives><name xml:lang="en"><surname>Bondar</surname><given-names>Valeria A.</given-names></name><name xml:lang="ru"><surname>Бондарь</surname><given-names>Валерия Александровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Post-Graduate Student</p></bio><bio xml:lang="ru"><p>аспирант</p></bio><email>bondva23@gmail.com</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7635-1048</contrib-id><contrib-id contrib-id-type="spin">1776-1160</contrib-id><name-alternatives><name xml:lang="en"><surname>Kanarsky</surname><given-names>Mikhail M.</given-names></name><name xml:lang="ru"><surname>Канарский</surname><given-names>Михаил Михайлович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>kanarmm@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4435-8501</contrib-id><contrib-id contrib-id-type="spin">8947-4230</contrib-id><name-alternatives><name xml:lang="en"><surname>Nekrasova</surname><given-names>Yulia Yu.</given-names></name><name xml:lang="ru"><surname>Некрасова</surname><given-names>Юлия Юрьевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cand. Sci. (Technical)</p></bio><bio xml:lang="ru"><p>к.техн.н.</p></bio><email>nekrasova84@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3505-7504</contrib-id><contrib-id contrib-id-type="spin">8647-4329</contrib-id><name-alternatives><name xml:lang="en"><surname>Pradhan</surname><given-names>Pranil</given-names></name><name xml:lang="ru"><surname>Прадхан</surname><given-names>Пранил</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>pranilpr@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1490-1331</contrib-id><contrib-id contrib-id-type="spin">3407-1625</contrib-id><name-alternatives><name xml:lang="en"><surname>Sorokina</surname><given-names>Viktoriya S.</given-names></name><name xml:lang="ru"><surname>Сорокина</surname><given-names>Виктория Сергеевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>vsorokina@fnkcrr.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1345-5237</contrib-id><name-alternatives><name xml:lang="en"><surname>Stern</surname><given-names>Marina V.</given-names></name><name xml:lang="ru"><surname>Штерн</surname><given-names>Марина Викторовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Med.)</p></bio><bio xml:lang="ru"><p>к.м.н.</p></bio><email>mstern@fnkcrr.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3289-6107</contrib-id><contrib-id contrib-id-type="spin">5092-0536</contrib-id><name-alternatives><name xml:lang="en"><surname>Shpichko</surname><given-names>Nadezhda P.</given-names></name><name xml:lang="ru"><surname>Шпичко</surname><given-names>Надежда Павловна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>shpichkonp@yandex.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff4"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Federal Scientific and Clinical Center of Intensive Care Medicine and Rehabilitology</institution></aff><aff><institution xml:lang="ru">Федеральный научно-клинический центр реаниматологии и реабилитологии</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">National Medical Research Center for Children's Health</institution></aff><aff><institution xml:lang="ru">Национальный медицинский исследовательский центр здоровья детей</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Institute of Higher Nervous Activity and Neurophysiology of RAS</institution></aff><aff><institution xml:lang="ru">Институт высшей нервной деятельности и нейрофизиологии РАН, Москва, Российская Федерация</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Peoples' Friendship University of Russia</institution></aff><aff><institution xml:lang="ru">Российский университет дружбы народов</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2022-08-15" publication-format="electronic"><day>15</day><month>08</month><year>2022</year></pub-date><volume>28</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>149</fpage><lpage>159</lpage><history><date date-type="received" iso-8601-date="2022-04-20"><day>20</day><month>04</month><year>2022</year></date><date date-type="accepted" iso-8601-date="2022-06-23"><day>23</day><month>06</month><year>2022</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2022, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2022, ООО "Эко-Вектор"</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">ООО "Эко-Вектор"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2025-08-15"/></permissions><self-uri xlink:href="https://medjrf.com/0869-2106/article/view/106551">https://medjrf.com/0869-2106/article/view/106551</self-uri><abstract xml:lang="en"><p>The problem of providing rehabilitation assistance to the population has been repeatedly discussed in the global community. One of the important events in recent years was the meeting of participants in «Rehabilitation 2030: Call to Action», where the problem of increasing dissatisfaction in rehabilitation services worldwide, especially in low- and middle-income countries, was discussed. The upward trend in the need for rehabilitation activities will increase in line with global trends in demographic change associated with the aging population and an increase in the number of people living with sequellae of diseases and injuries. The prevalence of health conditions associated with severe functional limitations, of which many are caused by non-communicable diseases, increased by 9.9% and affected almost 14 million people from 2006 to 2016 in the World Health Organization European Region. Devices for monitoring vital signs can become one of the potentially important components of effective rehabilitation with an increased number of technical means of rehabilitation. The constant transfer of these parameters to the cloud storage, followed by machine learning algorithm processing, will determine the prescribed drug therapy efficiency and determine the need for timely hospitalization for a medical organization. This study aimed to assess the needs of patients with a chronic consciousness impairment, and relatives caring for them, using the possibilities of remote monitoring. The study showed that the use of hospital-replacing outpatient equipment that records the vital signs of patients opens up new opportunities for consolidating the information into a big data archive to assess the treatment efficiency and the characteristics of patient rehabilitation with the implementation of the most optimal measures to influence the rehabilitation process approach.</p></abstract><trans-abstract xml:lang="ru"><p>Проблема оказания реабилитационной помощи населению многократно обсуждалась в мировом сообществе. Одним из важных мероприятий за последние годы стала встреча участников «Реабилитация 2030: призыв к действиям», где обсуждалась проблема роста неудовлетворённости в реабилитационных услугах во всём мире, в особенности в странах с низким и средним уровнем доходов. Тенденция роста потребностей в реабилитационных мероприятиях будет расти с учётом глобальных тенденций к демографическим изменениям, связанным со старением населения и увеличением числа людей, живущих с последствиями заболеваний и травм. За период с 2006 по 2016 гг. в Европейском регионе ВОЗ увеличилась на 9,9% и затронула почти 14 млн человек распространённость нарушений здоровья, связанных с тяжёлыми ограничениями функционирования, многие из которых вызваны неинфекционными заболеваниями. С ростом числа технических средств реабилитации одним из потенциально важных компонентов эффективной реабилитации могут стать устройства контроля основных показателей жизнедеятельности. Постоянная передача данных показаний в облачное хранилище с последующей обработкой алгоритма машинного обучения позволит определять эффективность назначенной лекарственной терапии и необходимость своевременной госпитализации для медицинской организации.<italic> Целью</italic> нашей работы было оценить потребности пациента с хроническим нарушением сознания и родственников, ухаживающих за ним, с использованием возможностей удаленного мониторинга. Результаты исследования показали, что применение стационарзамещающего амбулаторного оборудования, регистрирующего жизненно важные показатели больных, открывает новые возможности по консолидированию информации в архив больших данных для оценки эффективности лечения и особенностей реабилитации пациентов с построением наиболее оптимальных мер воздействия на тактику реабилитационного процесса.</p></trans-abstract><kwd-group xml:lang="en"><kwd>healthcare</kwd><kwd>artificial intelligence</kwd><kwd>technologies</kwd><kwd>remote technologies</kwd><kwd>medicine</kwd><kwd>help</kwd><kwd>rehabilitation</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>здравоохранение</kwd><kwd>искусственный интеллект</kwd><kwd>технологии</kwd><kwd>дистанционные технологии</kwd><kwd>медицина</kwd><kwd>помощь</kwd><kwd>реабилитация</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Facts on disability [Internet]. 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