A randomised controlled trial of the effect of automated interactive calling combined with a health risk forecast on frequency and severity of exacerbations of COPD assessed clinically and using EXACT PRO

Halpin, David; Laing-Morton, T; Spedding, Sarah; Levy, Mark L; Coyle, Peter; Lewis, Jonathan; Newbold, Paul; Marno, Penny

doi:10.4104/pcrj.2011.00057

Cited by 52 publications

(50 citation statements)

References 27 publications

(28 reference statements)

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“…Importantly, there was substantial variability in the telemonitoring interventions and equipment used, which included recording and electronic transmission of vital signs (spirometry, pulse oximetry, heart rate, and BP) 130 , 131 ; a technology platform for delivery of education and transmission of pedometer results 131 ; a hand-held monitor, self-reported symptoms, and manually entered temperature and oximetry 132 ; sensor-containing wristbands for heart rate, physical activity, near body temperature, and galvanic skin response; a commercial oximeter and cell phone coupled with a wristband 134 ; self-report data (EXACT-PRO [Exacerbations of Chronic Pulmonary Disease Tool Patient-Oriented Outcome] questionnaire) transmitted through cell phones; and automated alert calls based on winter weather conditions. 127 Th e variability among the telemonitoring applications precludes accurate comparison between studies.…”

Section: Underlying Values and Preferencesmentioning

confidence: 99%

Prevention of Acute Exacerbations of COPD

Criner

Bourbeau

Diekemper

et al. 2015

Chest

245

148

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Section: Underlying Values and Preferencesmentioning

confidence: 99%

Prevention of Acute Exacerbations of COPD

Criner

Bourbeau

Diekemper

et al. 2015

Chest

245

148

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“…The EXACT has previously been used in conjunction with a personal digital assistant [14,24] or smartphone [25]. A potential limitation of our study is that the EXACT was administered in paper rather than electronic format.…”

Section: Discussionmentioning

confidence: 99%

Detection and severity grading of COPD exacerbations using the exacerbations of chronic pulmonary disease tool (EXACT)

Mackay

Donaldson

Patel

et al. 2013

European Respiratory Journal

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Uncertainty exists over the ability of the exacerbations of chronic pulmonary disease tool (EXACT) patient-reported outcome diary to quantify exacerbation severity and frequency. To clarify this, we investigated the ability of the EXACT to assess severity of exacerbations and examined the relationship between exacerbations diagnosed using London chronic obstructive pulmonary disease (COPD) cohort diary cards, physician review and symptom-defined events using the EXACT.58 patients enrolled in the London Chronic Obstructive Pulmonary Disease (COPD) cohort prospectively completed the EXACT during 128 cohort diary card-defined exacerbations between January 2010 and April 2012.Mean¡SD EXACT scores increased from 42.6¡8.6 at baseline to 48.0¡8.6 at exacerbation onset (p,0.001), and rose further to a maximum score of 54.1¡8.9. Maximum EXACT scores were significantly higher in treated than untreated events. Time taken for EXACT scores to return to baseline was significantly related to symptom recovery time as judged by London COPD cohort diary cards, and to peak expiratory flow rate recovery. ,50% of both diary card-defined and healthcare utilisation exacerbations crossed the EXACT event threshold. However, only 27.9% of diary card-defined and 34.6% of healthcare utilisation exacerbations fully met the criteria for an EXACT event. Patients exhibited smaller rises in the EXACT score at exacerbation as baseline disease severity increased.The EXACT is an effective method of evaluating chronic obstructive pulmonary disease exacerbation severity. However, concerns remain about the ability of the EXACT to accurately detect exacerbations. @ERSpublications The EXACT is an effective method to assess exacerbation severity but uncertainty remains over its ability to detect exacerbations

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“…Данная рекомендация основана на РКИ [118][119][120], проанализированных в систематическом обзо ре [121], и дополнительных РКИ [122][123][124][125][126][127][128][129][130][131][132][133][134][135][136][137][138][139]. Из них только 6 исследований были объединены для данной рекомендации [127,[130][131][132][133][134], хотя эксперты также принимали во внимание и результаты других иссле дований, не включенных в метаанализ. В исключен ных исследованиях применение телемониторинга было простым и приемлемым для больных [122,123,136,139] и медработников [136].…”

Section: клинические рекомендацииunclassified

Therapeutic strategy to prevent acute exacerbations of chronic obstructive pulmonary disease: clinical guidelines of American College of Chest Physicians and Canadian Thoracic Society Guideline (Part 1)

Редакционная¹

2016

Pulʹmonologiâ (Mosk.)

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РезюмеХроническая обструктивная болезнь легких (ХОБЛ) является одной из основных причин заболеваемости и летальности в США и в ми ре. Обострения ХОБЛ (периодическое усиление кашля, одышки и продукции мокроты) вносят серьезный вклад в снижение легочной функции, качества жизни, повышение потребности в неотложной помощи и госпитализациях, а также в стоимость лечения больных. В последние десятилетия выполнены исследования, по результатам которых существенно углубилось понимание патогенеза ХОБЛ и расширились терапевтические возможности. Накоплен также большой объем публикаций по предотвращению обострений ХОБЛ. Материалы и методы. Для разъяснения важности предотвращения обострений ХОБЛ Американской коллегией торакальных врачей (American College of Chest Physicians -CHEST) и Канадским торакальным обществом (Canadian Thoracic Society Guideline -CTS) раз работаны совместные Клинические рекомендации, в которых описан существующий сегодня подход к профилактике обострений ХОБЛ. Выделены 3 основных клинических проблемы профилактики обострений ХОБЛ на основе принципов PICO (Population, Intervention, Comparator, Outcome -Популяция, Вмешательства, Сравнение, Исходы) -немедикаментозное лечение, ингаляционная и пероральная терапия. Использована общепринятая система отбора соответствующих клинических исследований и оценки класса ре комендаций. Результаты. Особенность Клинических рекомендаций по профилактике обострений ХОБЛ заключается не только в их те матике, но также в том, что они стали первым результатом сотрудничества 2 крупных торакальных обществ Северной Америки. Наме рение Надзорного комитета по созданию клинических рекомендаций CHEST в сотрудничестве с Клинической ассамблеей по ХОБЛ CTS заключается в том, чтобы на основе систематического обзора и критической оценки опубликованной литературы, сделанных кли ническими экспертами и исследователями в области ХОБЛ, разработать клинические рекомендации с целью помочь клиницистам в ве дении пациентов с этим заболеванием. Заключение. В данных Рекомендациях содержится современный доказательный анализ опубли кованных результатов рандомизированных контролируемых исследований по профилактике обострений ХОБЛ. SummaryChronic obstructive pulmonary disease (COPD) is an important cause of morbidity and mortality worldwide. An acute exacerbation of COPD great ly contributes to worsening lung function, impairment in quality of life, need for urgent care, and use of medical utilities. Last decade, our under standing of the pathogenesis and treatment of COPD has significantly improved. The guideline accumulated recent information about the prevention of acute exacerbations of COPD. Methods. The American College of Chest Physicians and Canadian Thoracic Society developed evidence based guideline to describe the current knowledge on the prevention of acute exacerbations in a clinically useful manner. The PICO approach (population, intervention, comparator, and outcome) was used which involved nonpharmacologic therapies, inhaled therapies, and oral therapies. To select the most appropriate studi...

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A randomised controlled trial of the effect of automated interactive calling combined with a health risk forecast on frequency and severity of exacerbations of COPD assessed clinically and using EXACT PRO

Abstract: Background: We have developed a winter forecasting service to predict when patients with COPD are at higher risk of an exacerbation and alert them via an automated telephone call.

Cited by 52 publications

References 27 publications

Prevention of Acute Exacerbations of COPD

Prevention of Acute Exacerbations of COPD

Detection and severity grading of COPD exacerbations using the exacerbations of chronic pulmonary disease tool (EXACT)

Therapeutic strategy to prevent acute exacerbations of chronic obstructive pulmonary disease: clinical guidelines of American College of Chest Physicians and Canadian Thoracic Society Guideline (Part 1)

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