Impact of Telemonitoring With Exacerbation Prediction Algorithm Versus Telemonitoring Alone on Hospitalizations and Health-Related Quality of Life in Patients With COPD.
Background: Unreported and untreated exacerbations of COPD have significant negative impacts on health status, disease progression, rate of hospitalization, and readmission. The present study investigated whether a COPD exacerbation prediction algorithm embedded into a telemonitoring system can redu...
| Publicado en: | Respiratory Care Vol. 70; no. 8; pp. 954 - 962 |
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| Autores principales: | , , , , , , , , |
| Formato: | CEU research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187150242&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187150242 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Aug2025 vid: 70 iid: 8 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 187150242 187150242 187150242 10.1089/respcare.12611 187150242 ppf: 954 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Impact of Telemonitoring With Exacerbation Prediction Algorithm Versus Telemonitoring Alone on Hospitalizations and Health-Related Quality of Life in Patients With COPD. aug: au: Kronborg, Thomas Hangaard, Stine Laursen, Sisse Heiden Hæsum, Lisa Korsbakke Emtekær Egmose, Julie Bender, Clara Secher, Pernille Heyckendorff Hejlesen, Ole Udsen, Flemming Witt affil: Mr. Kronborg, Ms. Hangaard, Ms. Laursen, Ms. Hæsum, Ms. Egmose, Ms. Bender, Ms. Secher, Mr. Hejlesen, and Mr. Udsen are affiliated with the Department of Health Science and Technology, Aalborg University, Gistrup, Denmark. sug: subj: Pulmonary Disease, Chronic Obstructive Prognosis Quality of Life Evaluation Hospitalization Evaluation Telehealth Monitoring, Physiologic Methods Disease Exacerbation Risk Factors Risk Assessment Prediction Models Utilization Denmark Funding Source Education, Continuing (Credit) Human Male Female Middle Age Aged Randomized Controlled Trials Random Assignment Single-Blind Studies Comparative Studies Descriptive Statistics Confidence Intervals Odds Ratio Data Analysis Software Logistic Regression Pulmonary Disease, Chronic Obstructive Mortality Readmission Outpatient Service Utilization Questionnaires Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Unreported and untreated exacerbations of COPD have significant negative impacts on health status, disease progression, rate of hospitalization, and readmission. The present study investigated whether a COPD exacerbation prediction algorithm embedded into a telemonitoring system can reduce the number of hospitalizations and improve health-related quality of life (HRQOL) compared with telemonitoring alone. Methods: A total of 137 participants were enrolled in this single-blinded randomized controlled trial. Patients were eligible for inclusion if they had a COPD diagnosis, were adults, had fixed residence in Aalborg Municipality in Denmark, and already used an existing telemonitoring system. The primary outcome was the between-group difference in the number of acute hospitalizations per subject after 6 months of follow-up. Secondary outcomes included the difference in all-cause hospitalization, HRQOL measured by 12-item Short Form Health Survey (version 2) and EuroQol-5 Dimension Questionnaire (EQ-5D-5L), and mortality after 6 months. Data were analyzed according to the intention-to-treat principle. Results: The adjusted incidence rate ratio (IRR) of acute hospitalizations per subject was 1.30 (95% CI 0.50–3.38). The odds ratio (OR) for the hospitalization proportion was 2.10 (95% CI: 0.72–6.09). The adjusted IRR for the number of all-cause hospitalizations were 1.25 (95% CI: 0.51–3.07), whereas the OR for an all-cause hospitalization proportion was 1.92 (95% CI: 0.70–5.26). The adjusted OR for mortality was 0.46 (95% CI: 0.11–1.94). The adjusted mean difference in the physical component score and mental component score was 0.77 (95% CI: −1.72 to 3.47) and 0.91 (95% CI: −2.63 to 4.72), respectively, and −0.05 (95% CI: −0.14 to 0.03) for the EQ-5D index score. All results were nonstatistically significant. Conclusions: No definitive conclusions could be drawn regarding the effect on hospitalizations and HRQOL when implementing a COPD prediction algorithm in addition to telemonitoring. pubtype: Academic Journal doctype: CEU research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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