Ambulatory Telemonitoring of People With Hearing Loss and Having a Cochlear Implant COCHLESURV

Study Overview
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Brief Summary
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The number of patients with cochlear implants increases every year, constituting an active queue increasingly important (60 new cases per year in Toulouse, active list in 2013: 380 adult patients). The number of approved cochlear implant centers is limited by guardianships, and corresponds to the Hospitals University. It is not possible to create networks of correspondents. Teams of implantation centers must meet the needs of new patients and ensure continuity of care for patients already implanted: speech therapy monitoring, adjustment and rehabilitation. In case of malfunction of the implant, patients use in first-line reference center. The increasing number of patients leads to a lack of specialized teams that can not meet the demands of patients in a timely manner, while continuing to provide support for new patients. It is therefore necessary to find solutions to improve the service provided to patients who received a cochlear implant system to respond quickly and effectively to the request of troubled patients, while optimizing the workload of the teams . The introduction of a telemedicine platform is expected to achieve these goals, distinguishing minor malfunctions, not requiring a consultation in a center, and the most complex situations requiring consultation in a center.

Detailed Description
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The strategy of the study is to establish contact with the patient at home in case of problems through the establishment of a daily continuously in service by telephone contact and video calling. There will be no change in the usual care of the patient. The monitoring center by health professionals (speech therapists, technicians and doctors ORL) in the cochlear implant center will operate a daily permanence of 5 half days on business days, to respond to a patient call. Are excluded from this research, emergency management such as meningitis, which passes through the usual emergency lane.

Official Title
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Organization of Ambulatory Telemonitoring of People With Hearing Loss and Having a Cochlear Implant.

Conditions
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Deafness

Intervention / Treatment
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* Other: telemedicine


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult patient (> 18 years), carrying a cochlear implant, Familiar with using the Internet and with equipment (computer and computer video camera) at his home Agreeing to participate in the study, With a social protection system. Exclusion Criteria: Misunderstanding of login procedures, Failure to follow procedures, Person under a legal protection system (guardianship, curators or safeguard justice) Pregnancy or breastfeeding.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| telemedicine<br>Setting up of a new organization of medical monitoring (ussing telemedicine) of patient having a cochlear implant | Other: telemedicine<br>* Monitoring of patients with cochlear implant with sessions of telemedicine<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the number of movements avoided the center, | number of contacts have avoided moving the patient to the center | 12 months after the inclusion | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The delay for the identification of malfunction |  | Up to 1 year | 
| The time spent by the health professional during a telemedicine session |  | Up to 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cochlear implant, telemedicine, new organization of patient monitoring