{"id":2622,"date":"2016-06-30T08:18:14","date_gmt":"2016-06-30T08:18:14","guid":{"rendered":"http:\/\/www.medtech-strasbourg.eu\/?p=867"},"modified":"2022-04-21T21:45:15","modified_gmt":"2022-04-21T19:45:15","slug":"nouvelle-plateforme-de-telemedecine-soin-plaies","status":"publish","type":"post","link":"https:\/\/nextmed.prod.strasbourg.cloud\/en\/2016\/06\/30\/nouvelle-plateforme-de-telemedecine-soin-plaies\/","title":{"rendered":"Nouvelle plateforme de t\u00e9l\u00e9m\u00e9decine, TELECICAL, pour le soin des plaies"},"content":{"rendered":"

Mardi 21 juin 2016 a eu lieu l’inauguration de la plateforme interr\u00e9gionale de t\u00e9l\u00e9m\u00e9decine T\u00c9L\u00c9CICAL \u00e0 Strasbourg pour la cicatrisation des plaies complexes et\/ou chroniques.\u00a0<\/strong><\/p>\n

On compte en France 2.5 millions de patients porteurs d’une plaie chronique, g\u00e9n\u00e9rant 1 milliard d’euros de d\u00e9penses en soins\u00a0de ville, des d\u00e9penses colossales en frais de transports, en frais d’hospitalisation, en antibiotiques et antalgiques avec un temps\u00a0moyen de cicatrisation de 7,5 mois et un taux de rechute de 30%.\u00a0Le but de l’\u00e9quipe T\u00c9L\u00c9CICAL est d’apporter facilement et rapidement aux professionnels de sant\u00e9 de terrain (PS) et leurs\u00a0patients un avis sp\u00e9cialis\u00e9 et un traitement adapt\u00e9 de la plaie, sans d\u00e9placer le patient et avec toute la fiabilit\u00e9 qui s’impose pour un traitement rapide.<\/p>\n

\u00ab\u00a0C\u2019est un vrai probl\u00e8me de sant\u00e9 publique qui touche des personnes souvent \u00e2g\u00e9es, souvent handicap\u00e9es, souvent isol\u00e9es\u00a0\u00bb<\/p><\/blockquote>\n

souligne Fran\u00e7oise Mantz, chirurgien vasculaire \u00e0 l\u2019origine de ce projet qui b\u00e9n\u00e9ficie d\u2019un contrat de t\u00e9l\u00e9m\u00e9decine avec l\u2019Agence r\u00e9gionale de sant\u00e9 du Grand Est.\u00a0Les plaies complexes et chroniques sont des l\u00e9sions avec complications, souvent li\u00e9es \u00e0 une autre pathologie ou \u00e0 une immobilit\u00e9 (escarre), qui durent plus de six semaines et souvent r\u00e9cidivent apr\u00e8s gu\u00e9rison. Ce taux de r\u00e9cidive et de gu\u00e9rison rapide est bien souvent endigu\u00e9 par une prise en charge longue et contraignante pour le patient.<\/p>\n

Comment \u00e7a fonctionne ?<\/strong><\/p>\n

L’ambition est de contribuer \u00e0 optimiser la prise en charge du patient depuis son lieu de vie, \u00e0 domicile ou en \u00e9tablissement m\u00e9dico-social, gr\u00e2ce aux terminaux mobiles (tablettes et smartphones) et aux chariots de t\u00e9l\u00e9m\u00e9decine.\u00a0Tout est pens\u00e9 pour que la participation des professionnels de sant\u00e9 soit la plus ergonomique et la moins chronophage possible : elle se limite \u00e0\u00a0l’envoi de photos annot\u00e9es par messagerie s\u00e9curis\u00e9e. Depuis 2014, l’\u00e9quipe de T\u00c9L\u00c9CICAL optimise la plateforme en fonctionnant en bin\u00f4me m\u00e9dical et technologique repr\u00e9sent\u00e9 par le Docteur Fran\u00e7oise Mantz et Aur\u00e9lien Michot.<\/p>\n

Un logiciel d’analyse sp\u00e9cifique des plaies permet une mesure pr\u00e9cise de la surface de la plaie et l’\u00e9dition d’un plan de\u00a0traitement apr\u00e8s avis sp\u00e9cialis\u00e9 d’un bin\u00f4me infirmi\u00e8re stomath\u00e9rapeuthe, sp\u00e9cialis\u00e9e en plaies et cicatrisation, et du m\u00e9decin\u00a0sp\u00e9cialiste r\u00e9f\u00e9rent.\u00a0Un suivi r\u00e9gulier jusqu’\u00e0 cicatrisation est programm\u00e9, ainsi que des contr\u00f4les jusqu\u2019\u00e0 9 mois apr\u00e8s cicatrisation pour pr\u00e9venir la\u00a0r\u00e9cidive.\u00a0En cas de plaies complexes requ\u00e9rant l’avis de plusieurs sp\u00e9cialistes, une r\u00e9union de concertation pluridisciplinaire est\u00a0organis\u00e9e par visioconf\u00e9rence.<\/p>\n

Elle a pour ambition de s\u2019adresser aux porteurs d\u2019une plaie chronique particuli\u00e8rement\u00a0cibl\u00e9e en zones urbaines sensibles et en zones rurales fragilis\u00e9es ou bien souvent les experts ne sont pas ou que tr\u00e8s peu pr\u00e9sents.<\/p>\n

Des premiers essais concluants\u00a0<\/strong><\/p>\n

Quatre sites pilotes sont actuellement engag\u00e9s dans le projet T\u00c9L\u00c9CICAL qui a pour ambition d\u2019offrir aux patients, sur leur lieu de vie, l\u2019expertise des meilleurs sp\u00e9cialistes.\u00a0En effet, une approche pr\u00e9coce, simultan\u00e9e et pluridisciplinaire constitue la cl\u00e9 du traitement des plaies chroniques qui concernent 2,5 millions de fran\u00e7ais et occasionnent des milliards de d\u00e9penses, ne serait-ce qu\u2019en pansements et en transports.<\/p>\n

T\u00c9L\u00c9CICAL a pr\u00e9sent\u00e9 ses premiers r\u00e9sultats concernant les 20 premiers patients pris en charge gr\u00e2ce \u00e0 cette nouvelle organisation et constate des r\u00e9sultats pr\u00e9coces encourageants et une enti\u00e8re satisfaction des patients, des requ\u00e9rants et des requis. A partir de septembre 2016, ce projet va s’\u00e9tendre au Grand-Est, permettant d’offrir progressivement cette technique moins contraignante au plus grand nombre.<\/p>\n

Le projet, qui utilise des logiciels existants pour la t\u00e9l\u00e9transmission, le partage des informations et l\u2019analyse d\u2019image, est h\u00e9berg\u00e9 administrativement par l\u2019Ircad (Institut de Recherche Contre le Cancer Digestif)\u00a0qui pr\u00eate \u00e9galement ses \u00e9quipements de t\u00e9l\u00e9m\u00e9decine.\u00a0L\u2019objectif est, d\u2019ici trois ans, de valider l\u2019exp\u00e9rience par un maillage du territoire de la grande r\u00e9gion Est, en vue de proposer sa g\u00e9n\u00e9ralisation aux autorit\u00e9s de sant\u00e9.<\/p>\n

T\u00c9L\u00c9CICAL, fort du soutien de la Fondation Solidarit\u00e9 Rh\u00e9nane mais aussi de l\u2019IRCAD, de la Maison de sant\u00e9 Bethel et de l\u2019AURAL, souhaite se d\u00e9velopper et cherche des partenaires financiers pour poursuivre son travail et amplifier la dynamique.<\/p>\n

Pour en savoir plus sur ce projet n’h\u00e9sitez pas \u00e0 visionner le film de pr\u00e9sentation ci-dessous :<\/p>\n

https:\/\/www.youtube.com\/watch?v=JTDubZyu0sQ&feature=youtu.be<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Mardi 21 juin 2016 a eu lieu l’inauguration de la plateforme interr\u00e9gionale de t\u00e9l\u00e9m\u00e9decine T\u00c9L\u00c9CICAL \u00e0 Strasbourg pour la cicatrisation des plaies complexes et\/ou chroniques.\u00a0 On compte en France 2.5 […]<\/p>\n","protected":false},"author":2,"featured_media":2623,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"footnotes":""},"categories":[141,122,123,128],"tags":[145,129,63,117],"class_list":["post-2622","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-entreprises","category-news","category-sante","category-talents","tag-entreprises","tag-sante","tag-strasbourg","tag-telemedecine"],"acf":[],"yoast_head":"\nNouvelle 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