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dc.contributor.authorAntoniades, Nick Cen
dc.contributor.authorRochford, Peter Den
dc.contributor.authorPretto, Jeffrey Jen
dc.contributor.authorPierce, Robert Jen
dc.contributor.authorGogler, Janetteen
dc.contributor.authorSteinkrug, Julieen
dc.contributor.authorSharpe, Kenen
dc.contributor.authorMcDonald, Christine Fen
dc.identifier.citationTelemedicine Journal and E-health : the Official Journal of the American Telemedicine Association 2012; 18(8): 634-40en
dc.description.abstractRemote 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.en
dc.subject.otherConfidence Intervalsen
dc.subject.otherLength of Stayen
dc.subject.otherMonitoring, Physiologic.methodsen
dc.subject.otherPatient Care.standardsen
dc.subject.otherPilot Projectsen
dc.subject.otherPulmonary Disease, Chronic Obstructive.pathology.psychologyen
dc.subject.otherQuality of Life.psychologyen
dc.subject.otherRespiratory Function Testsen
dc.subject.otherStatistics, Nonparametricen
dc.subject.otherTelemedicine.methods.organization & administrationen
dc.titlePilot study of remote telemonitoring in COPD.en
dc.typeJournal Articleen
dc.identifier.journaltitleTelemedicine journal and e-health : the official journal of the American Telemedicine Associationen
dc.identifier.affiliationInstitute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australiaen
Appears in Collections:Journal articles

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