Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/11558
Title: Pilot study of remote telemonitoring in COPD.
Authors: Antoniades, Nick C;Rochford, Peter D;Pretto, Jeffrey J;Pierce, Robert J;Gogler, Janette;Steinkrug, Julie;Sharpe, Ken;McDonald, Christine F
Affiliation: Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia.
Issue Date: 7-Sep-2012
Citation: Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association 2012; 18(8): 634-40
Abstract: Remote in-home monitoring (RM) of symptoms and physiological variables may allow early detection and treatment of exacerbations of chronic obstructive pulmonary disease (COPD). It is unclear whether RM improves patient outcomes or healthcare resource utilization. This study determined whether RM is feasible in patients with COPD and if RM reduces hospital admissions or length of stay (LOS) or improves health-related quality of life (HRQOL).Forty-four patients were randomized to standard best practice care (SBP) (n=22) or SBP+RM (n=22). RM involved daily recording of physiological variables, symptoms, and medication usage.There were no differences (mean±SD, SBP versus SBP+RM) in age (68±8 versus 70±9 years), gender (male:female 10:12 in both groups), or previous computer familiarity (59% versus 50%) between groups. The SBP group had a lower forced expiratory volume in 1 s (0.66±0.24 versus 0.91±0.34 L, p<0.01) and more current smokers (six versus none, p<0.05). There were no differences in number of COPD-related admissions/year (1.5±1.8 versus 1.3±1.7, p=0.76), COPD-related LOS days/year (15.6±19.4 versus 11.4±19.6, p=0.66), total admissions/year (2.2±2.1 versus 2.0±2.3, p=0.86), total LOS days/year (22.1±29.9 versus 21.6±30.4, p=0.88), or HRQOL between the two groups.The addition of RM to SBP was feasible but did not reduce healthcare utilization or improve quality of life in this group of patients already receiving comprehensive respiratory care.
Internal ID Number: 22957501
URI: http://ahro.austin.org.au/austinjspui/handle/1/11558
DOI: 10.1089/tmj.2011.0231
URL: http://www.ncbi.nlm.nih.gov/pubmed/22957501
Type: Journal Article
Subjects: Aged
Australia
Benchmarking
Confidence Intervals
Female
Humans
Length of Stay
Male
Monitoring, Physiologic.methods
Patient Care.standards
Pilot Projects
Pulmonary Disease, Chronic Obstructive.pathology.psychology
Quality of Life.psychology
Respiratory Function Tests
Statistics, Nonparametric
Telemedicine.methods.organization & administration
Appears in Collections:Journal articles

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