Effect of tele-health care on quality of life in patients with severe COPD: a randomized clinical trial

International Journal of Chronic Obstructive Pulmonary Disease
Oliver D TupperCharlotte Suppli Ulrik

Abstract

Telemonitoring (TM) of patients with COPD has gained much interest, but studies have produced conflicting results. We aimed to investigate the effect of TM with the option of video consultations on quality of life (QoL) in patients with severe COPD. COPD patients at high risk of exacerbations were eligible for the 6-month study and a total of 281 patients were equally randomized to either TM (n=141) or usual care (n=140). TM comprised recording of symptoms, oxygen saturation, spirometry, and video consultations. Algorithms generated alerts if readings breached thresholds. Both groups filled in a health-related QoL questionnaire (15D©) and the COPD Assessment Test (CAT) at baseline and at 6 months. Within-group differences were analyzed by paired t-test. Most of the enrolled patients had severe COPD (86% with Global Initiative for Chronic Obstructive Lung Disease stage 3 or 4 and 45% with admission for COPD within the last year, respectively). No difference in drop-out rate and mortality was found between the groups, and likewise there was no difference in 15D or CAT at baseline. At 6 months, a significant improvement of 0.016 in 15D score (p=0.03; minimal clinically important difference 0.015) was observed in the TM group (comp...Continue Reading

Citations

Apr 13, 2019·Expert Review of Respiratory Medicine·Agnaldo José Lopes
Apr 24, 2020·American Journal of Respiratory and Critical Care Medicine·Catharina C MoorMarlies S Wijsenbeek
Sep 8, 2020·COPD·Miguel T BarbosaPedro Mendes
Sep 16, 2020·BMJ Health & Care Informatics·Manuel C Gonzalez-GarciaJohn Feenstra
Mar 27, 2020·International Journal of Chronic Obstructive Pulmonary Disease·Hans Lennart PerssonLeili Lind
Jan 21, 2021·Disability and Rehabilitation·Rina Juel KaptainAnn-Helen Patomella
Jul 30, 2021·The Science of the Total Environment·Maria E MondejarSergi Garcia-Segura
Aug 13, 2021·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Zejun LiangQuan Wei
Aug 17, 2021·Chinese Medical Journal·Teng-Yue ZhangKai-Feng Xu
Oct 26, 2021·The Cochrane Database of Systematic Reviews·Sadia JanjuaRebecca T Disler
Dec 7, 2021·Annals of Internal Medicine·Jordan AlbrittonKaren Crotty

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