Clinical Reality, Ethical Issues and Patient Needs in AAL and Connected Health in Respiratory Medicine

1. Professor S é amas C. Donnelly St Vincent’s University Hospital, Elm Park, Dublin September 2 nd . 2010 Clinical Validation of Novel Remote Technologies

8. Translational Medicine “ Bench to Bedside”

11. Translational Medicine

12. Translational Medicine Healthcare – The Problem

13. Translational Medicine Healthcare – The Problem An Ageing Population

14. Translational Medicine Healthcare – The Problem An Ageing Population 2010 65 + – 41 million 85 + – 5 million 2050 65 + - 87 Million 85 + - 21 Million

15. Translational Medicine Healthcare – The Problem An Ageing Population Healthcare Costs

16. Translational Medicine Healthcare – The Problem An Ageing Population Healthcare Costs $5,152 (2001) $12,019 (2015)

19. Translational Medicine Chronic Obstructive Pulmonary Disease (COPD) 8% of 65 + US Population

20. Translational Medicine Chronic Obstructive Pulmonary Disease (COPD) 8% of 65 + US Population 5 th . Commonest cause of Death 2 nd . commonest A/E Admission

21. Translational Medicine Chronic Obstructive Pulmonary Disease (COPD) 8% of 65 + US Population 5 th . Commonest cause of Death 2 nd . commonest A/E Admission Average LOS: 7.5 days

22. Translational Medicine Chronic Obstructive Pulmonary Disease (COPD) 8% of 65 + US Population 5 th . Commonest cause of Death 2 nd . commonest A/E Admission Average LOS: 7.5 days 30% chance of readmission Average LOS: 11 days

23. Translational Medicine Chronic Obstructive Pulmonary Disease (COPD) 8% of 65 + US Population 5 th . Commonest cause of Death 2 nd . commonest A/E Admission Average LOS: 7.5 days 30% chance of readmission Average LOS: 11 days Direct Costs: $24.9 Billion Indirect Costs: $ 8.8 Billion $33.7 Billion

24. Translational Medicine Chronic Obstructive Pulmonary Disease (COPD

25. Translational Medicine Chronic Obstructive Pulmonary Disease (COPD Diagnosis Clinical History Pulmonary Functions Studies

26. Translational Medicine Normal COPD

27. Translational Medicine Chronic Obstructive Pulmonary Disease (COPD Treatment

29. Translational Medicine “ Integrated Clinical Networks”

30. Translational Medicine “ Integrated Clinical Networks” University College Dublin St. Vincent’s University Hospital 300,000 Population

31. Translational Medicine St. Vincent’s University Hospital “ Integrated Clinical Networks” COPD (Dr Butler, Dr McDonnell, Prof. Donnelly) CCF (Dr. Ledwidge, Prof. McDonald)

32. Translational Medicine St. Vincent’s University Hospital “ Integrated Clinical Networks” COPD (Dr Butler, Dr McDonnell, Prof. Donnelly) CCF (Dr. Ledwidge, Prof. McDonald) Asthma Pulmonary Fibrosis

33. Translational Medicine “ Integrated Clinical Networks” Clinical Research Centre (CRC) St Vincent’s University Hospital Monitor in Real-Time Patient well-being

34. Translational Medicine “ Integrated Clinical Networks” Academic/Industrial Collaborations Analog Devices Shimmer Technologies BiancaMed CLARITY TRIL

35. Translational Medicine Professor Seamas Donnelly St. Vincent’s University Hospital & University College Dublin E-mail: [email_address]