Remote monitoring and treatment of decompensated cirrhosis

There are many millions worldwide with decompensated cirrhosis and this number is growing. There are numerous complications that can occur due to decompensation and regular hospitalisation is the norm. Apart from the very poor health-related quality of life of patients with this condition, the burden on healthcare systems is extremely high.

Studies have shown that up to 50% of these hospitalisations are preventable but it requires constant monitoring of the patient and timely interventions before acute care becomes necessary. The ongoing COVID-19 situation has exacerbated the situation, with patients unwilling or unable to present in person.

CirrhoCare® is a novel, multi-modal monitoring system designed specifically for managing decompensated cirrhosis patients in a non-clinical setting. CirrhoCare® algorithms assimilate data from multiple home-monitored, sensed and patient personalised variables, and use this for assisted early diagnosis of cirrhosis complications – e.g. hepatic encephalopathy and ascites. As one hepatologist put it, “it is like doing a ward round with the patients in the comfort of their own homes”.

CirrhoCare® utilises a smartphone app that collates the patient’s vital metrics for transmission on to the CyberLiver platform for analysis.

CirrhoCare® also acts as bi-directional communication system between hepatologists and their patients, helping to ensure compliance and engagement.

The patient effectively receives specialist care on a continual basis, regardless of location or proximity to specialised liver care centres.

The patient’s status is presented in real-time to clinicians via a dashboard, raising alerts whenever algorithms analysing the various metrics indicate the onset or worsening of specific complications.

The CirrhoCare® dashboard enables specialists and nursing staff to make rapid, informed interventions, either to treat the complication or triage the patient for acute care