A feasibility study to investigate the acceptability and potential effectiveness of a telecare service for older people with chronic obstructive pulmonary disease

Chau, Janita Pak Chun; Lee, Diana; Yu, Dan; Chow, Alice; Yu, Wai‐Cho; Lai, Anita; Chick, Yuk-Ling

doi:10.1016/j.ijmedinf.2012.06.003

Cited by 102 publications

(227 citation statements)

References 15 publications

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“…Such early diagnosis should prompt faster thrombolysis or primary angioplasty. Furthermore, one of the most important features of TTECG in Chile is that it was used in emergency care, as it has been used in other countries 8,9 .…”

Section: Discussionmentioning

confidence: 99%

Assessing ethical and social issues of transtelephonic electrocardiography (TTEGG) in Chile

et al. 2014

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The aim of this study was to focus on the ethical and social issues derived from the implementation of transtelephonic electrocardiography (TTECG) in the public healthcare sector in Chile, studying patients and healthcare providers' acceptance and expectations concerning: (a) TTECG effectiveness and safety; and (b) data protection issues, such as confidentiality, privacy and security. For this purpose, we developed two psychosocial surveys; the first was addressed to patients receiving transtelephonic electrocardiogram (either in the emergency services of hospitals or in distant primary care services) and the second one aimed at healthcare providers involved in either administering and/or interpreting it. Results included: (a) major acceptability of TTECG in terms of safety and security; (b) privacy and confidentiality of the patients were considered to be well protected; and (c) the patient-doctor relationship was not affected by this device.

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Section: Discussionmentioning

confidence: 99%

Assessing ethical and social issues of transtelephonic electrocardiography (TTEGG) in Chile

et al. 2014

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“…Most of them (4/6) reported a reduction in number of COPD-related hospitalizations, with a risk reduction ranging from 14% [18] to 69% [17]; no study, however, reached statistical significance. Only Chau et al [13] reported a non-statistically significant increase in number of COPD-related hospitalization; Pinnock et al did not document a difference between the two groups [16].…”

Section: Effect On Copd-related Hospital Admissionsmentioning

confidence: 94%

“…In some cases [10,11], information was obtained by a nurse using questionnaires in telephone interviews, in others [12,13] a mobile phone were used to transmit data collected using commercially available devices. In some instances, a portable unit including measuring devices acted as measuring and transmitting device [14][15][16].…”

Section: Telemonitoring Characteristicsmentioning

confidence: 99%

“…Two studies [13,17] only reported data on COPD-related admission. Most studies (6/10) reported a positive effect of telemonitoring on hospitalization for any cause, with risk reductions between 10% [18] and 40% [15], with the noticeable exception of Segrelles et al that reported a risk reduction of 63% [19].…”

Section: Effect On Hospital Admissionsmentioning

confidence: 99%

“…Four studies [12,13,16,21] documented an increase in length of stay in telemedicine group, with mean differences ranging from +1.5 to +3 days. On the contrary, a reduction in length of stay was reported in two studies [15,19], of 5 and 9 days, respectively.…”

Section: Effect On Hospital Length Of Staymentioning

confidence: 99%

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Systematic Review of Telemonitoring in COPD: An Update

Pedone

Lelli

2015

Advances in Respiratory Medicine

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Telemedicine may support individual care plans in people with chronic obstructive pulmonary disease (COPD), potentially improving the clinical outcomes. To-date there is no clear evidence of benefit of telemedicine in this patients. The aim of this study is to provide an update on the effectiveness of telemedicine in reducing adverse clinical outcomes. We searched the Pubmed database for articles published between January 2005 and December 2014. We included only randomized controlled trials exclusively focused on patients with COPD and with a telemedicine intervention arm. Evaluated outcomes were number of exacerbations, ER visits, COPD hospitalizations, length of stay and death. We eventually included 12 randomized controlled trials. Most of them had a small sample size and was of poor quality, with a wide heterogeneity in the parameters and technologies used. Most studies reported a positive effect of telemonitoring on hospitalization for any cause, with risk reductions between 10% and 63%; however only three studies reached statistical significance. The same trend was observed for COPD-related hospital admission and ER visits. No significative effects of telemedicine was evidenced in reducing length of hospital stay, improving quality of life and reducing deaths.In conclusion, our study confirms that the available evidence on the effectiveness of telemedicine in COPD does not allow to draw definite conclusions; most evidence suggests a positive effect of telemonitoring on hospital admissions and ER visits. More trials with adequate sample size and with adequate consideration of background clinical services are needed to definitively establish its effectiveness.

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Interactive telemedicine: effects on professional practice and health care outcomes

Flodgren

Rachas

Farmer

et al. 2015

Cochrane Database of Systematic Reviews

655

618

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A feasibility study to investigate the acceptability and potential effectiveness of a telecare service for older people with chronic obstructive pulmonary disease

Cited by 102 publications

References 15 publications

Assessing ethical and social issues of transtelephonic electrocardiography (TTEGG) in Chile

Assessing ethical and social issues of transtelephonic electrocardiography (TTEGG) in Chile

Systematic Review of Telemonitoring in COPD: An Update

Interactive telemedicine: effects on professional practice and health care outcomes

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