Remote monitoring of NIV patients to help organize care

Various studies have shown that remote monitoring improves the clinical parameters of ventilated patients. Increased treatment success naturally leads to organizational impacts, both in terms of consumption and the organization of care {1}.

Less use of healthcare services

A prospective study of patients with amyotrophic lateral sclerosis (ALS) showed a significant reduction in healthcare use among patients monitored remotely: three times fewer visits, five times fewer emergency room visits, and six times fewer hospital admissions. This in turn led to a 50% reduction in costs {2}.

Time savings and better equipment management

Studies on remote monitoring of ventilated patients show an optimization of workload for both medical teams and home healthcare providers. For example, in a study of 265 ALS patients, setting up NIV treatment took an average of 8.7 days at home with remote monitoring, compared to 29.5 days in a traditional hospital setting, and optimal machine settings were achieved more quickly {3}. In the long term, there were 50% fewer adjustments for patients monitored remotely {2}. A prospective study {4} also showed a reduction in leaks and better use of the machine thanks to alert systems.

In summary

Vestalis, as a platform ensuring the secure digitization of the care pathway for patients receiving home ventilation, aims to facilitate the realization of these clinical, organizational, and technical benefits.

References :
1. Voir les bénéfices organisationnels attendus de la télésurveillance respiratoire dans l’avis 2023 de la Haute Autorité de santé : https://www.has-sante.fr/upload/docs/application/pdf/2023-03/tls_lg_insuffisance_respiratoire_chronique_dm_eval-320_avis_du_21_03_2023.pdf (p.6)
2. Cardoso Pinto A., Almeida J., Candeias Pinto S., Pereira J., Gouveia A., De Carvalho M., 2011. Home telemonitoring of non invasive ventilation decreases healthcare utilization in a prospective controlled trial of als patients. HAL open science. DOI : https://hal.science/hal-00574381v1
3. Réginault T., Bouteleux B., Wibart P., Mathis S., Le Masson G., Pillet O., Grassion L., 2023. At- home noninvasive ventilation initiation with telemonitoring in amyotrophic lateral sclerosis patients: a retrospective study. ERJ OPEN RESEARCH. DOI : https://doi.org/10.1183/23120541.00438-2022
4. Prigent A., Texereau J.B., Schmitz C., Ropars C., Degreef J-M., Teulier M., Darne C., Lavergne F., Pasche H., Morelot-Panzini C., 2025. Real-world telemonitoring and remote support for home non-invasive ventilation to improve therapy effectiveness: the exploratory, multicentre randomised eVENT study. BMJ Group/ Thorax 2025, doi :10.1136/thorax-2024-222033