Aging populations and rising health costs have created the need to care for
more patients in their own homes. Australia's Commonwealth Scientific and
Industrial Research Organization (CSIRO) is developing a project, Hospital
Without Walls, which aims to provide continuous monitoring of patients in c
ertain diagnostic categories. The key technology is a miniature, wearable,
low-power radio that can transmit vital sign and activity information to a
home computer, from which data may be sent by telephone line and the Intern
et to appropriate medical professionals. The initial clinical scenario for
this work is monitoring of elderly patients who have presented to hospitals
following repeated falls. Accelerometers built into the radio sets will mo
nitor activity and detect and characterise falls. Simultaneous measurement
of heart rate will provide information about abnormalities of cardiovascula
r physiology at the time of a fall. The system has been tested in laborator
y conditions and is being adapted for initial clinical trials.