A cohort study following up on a randomised controlled trial of a telemedicine application in COPD patients

Journal of Telemedicine and Telecare
Anne-Kirstine DyrvigHindrik Vondeling

Abstract

The studies that constitute the knowledge base of evidence based medicine represent only 5%-50% of patients seen in routine clinical practice. Therefore, whether the available evidence applies to the implementation of a particular service often remains unclear. Chronic obstructive pulmonary disease (COPD) is no exception. In this article, the effects of implementing a telemedicine intervention for COPD patients were analysed using data collected before, during, and after a randomised controlled trial (RCT).More specifically, regression techniques using robust variance estimators were used to analyse whether the use of telemedicine, patient age, and gender could explain the risk of readmission, length of hospital admission, and death during a five-year observation period. Increased risk of readmission was significantly related to both use of telemedicine and increased age in three sub-periods of the study, whereas women showed a more pronounced risk of readmission than men only during and after the RCT period. The number of days admitted to hospital was higher for patients using telemedicine and being of older age. Risk of death during the observation period was decreased for patients using telemedicine and for female patients a...Continue Reading

References

Dec 13, 2005·BMJ : British Medical Journal·Jeremy C Wyatt, Frank Sullivan
Nov 23, 2006·Respiratory Medicine·Justin TraversRichard Beasley
Jan 27, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Saman RasoulArnoud W J van 't Hof
May 6, 2009·Alcoholism, Clinical and Experimental Research·Heleen RiperPim Cuijpers
Nov 10, 2010·The American Journal of Cardiology·Adam B Hutchinson-JaffeUNKNOWN Canadian Acute Coronary Syndromes (ACS) Registry I and II Investigators and Canadian Global Registry of Acute Coronary Event
Dec 17, 2010·The Clinical Respiratory Journal·Anne Dichmann SorknaesMichael Hansen-Nord
Aug 11, 2012·American Journal of Respiratory and Critical Care Medicine·Jørgen VestboRoberto Rodriguez-Roisin
Aug 22, 2012·The Clinical Respiratory Journal·Jørgen VestboRoberto Rodriguez-Roisin
Dec 6, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Susannah McLeanAziz Sheikh
Nov 15, 2013·Journal of Telemedicine and Telecare·Anne Dichmann SorknaesBirte Østergaard
Jan 5, 2014·Clinical and Translational Gastroenterology·Amit G SingalAkbar K Waljee

❮ Previous
Next ❯

Citations

Aug 12, 2021·COPD·Isobel SharpeDon Thiwanka Wijeratne

❮ Previous
Next ❯

Software Mentioned

IC
STATA

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.