Telehealth mitigates COPD disease progression compared to standard of care: a randomized controlled crossover trial

Rassouli, Frank; Germann, Antonio; Baty, Florent; Kohler, Malcolm; Stolz, Daiana; Thurnheer, Robert; Brack, Thomas; Kähler, Christian M.; Widmer, Sandra; Tschirren, Ursina; Sievi, Noriane A.; Tamm, Michael; Brutsche, Martin

doi:10.1111/joim.13230

Cited by 17 publications

(12 citation statements)

References 21 publications

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“…Rassouli et al [ 52 ] recruited 168 COPD patients with a mean FEV1 of 51%. Patients in the TH group completed CAT scores weekly and answered six questions focused on the detection of AECOPD daily.…”

Section: Studies With Negative Resultsmentioning

confidence: 99%

“…Nevertheless, in the TH group, the rate of CAT increase was significantly reduced, more moderate AECOPDs were detected, the satisfaction with care was higher, and there was a trend towards shorter length of hospitalization and reduced COPD-related costs. The negative results regarding AECOPD outcomes resulted from the fact that the study’s primary outcome was difference in weekly CAT score, so there was insufficient statistical power to show significant differences, which could be achieved by including considerably more patients [ 52 ].…”

Section: Studies With Negative Resultsmentioning

confidence: 99%

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The Role of Digital Tools in the Timely Diagnosis and Prevention of Acute Exacerbations of COPD: A Comprehensive Review of the Literature

et al. 2022

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Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory disease of the airways and lung parenchyma with multiple systemic manifestations. Exacerbations of COPD are important events during the course of the disease, as they are associated with increased mortality, severe impairment of health-related quality of life, accelerated decline in lung function, significant reduction in physical activity, and substantial economic burden. Telemedicine is the use of communication technologies to transmit medical data over short or long distances and to deliver healthcare services. The need to limit in-person appointments during the COVID-19 pandemic has caused a rapid increase in telemedicine services. In the present review of the literature covering published randomized controlled trials reporting results regarding the use of digital tools in acute exacerbations of COPD, we attempt to clarify the effectiveness of telemedicine for identifying, preventing, and reducing COPD exacerbations and improving other clinically relevant outcomes, while describing in detail the specific telemedicine interventions used.

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Section: Studies With Negative Resultsmentioning

confidence: 99%

Section: Studies With Negative Resultsmentioning

confidence: 99%

The Role of Digital Tools in the Timely Diagnosis and Prevention of Acute Exacerbations of COPD: A Comprehensive Review of the Literature

et al. 2022

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“…Rassouli et al [52] rekrutierten 168 COPD-Patienten mit einem mittleren FEV 1 von 51%. Die Patienten in der TM-Gruppe füllten wöchentlich CAT-Scores aus und beantworteten täglich sechs Fragen zur Erkennung von AECOPD.…”

Section: Studien Mit Negativen Ergebnissenunclassified

“…Allerdings war in der TH-Gruppe die CAT-Zunahme deutlich geringer, es wurden mehr moderate AECOPDs festgestellt, die Zufriedenheit mit der Behandlung war höher, und es gab einen Trend zu kürzeren Krankenhausaufenthalten und geringeren COPD-bezogenen Kosten. Die negativen Ergebnisse in Bezug auf die AECOPD-Ergebnisse sind darauf zurückzuführen, dass der primäre Endpunkt der Studie der Unterschied im wöchentlichen CAT-Score war, so dass die statistische Aussagekraft nicht ausreichte, um signifikante Unterschiede nachzuweisen, was durch die Einbeziehung von wesentlich mehr Patienten erreicht werden könnte [52].…”

Section: Studien Mit Negativen Ergebnissenunclassified

Die Rolle digitaler Hilfsmittel bei der rechtzeitigen Diagnose und Vorbeugung akuter Exazerbationen der COPD: Ein umfassender Überblick über die Literatur

et al. 2022

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Die chronisch-obstruktive Lungenerkrankung (COPD) ist eine chronisch-entzündliche Erkrankung der Atemwege und des Lungenparenchyms mit vielfältigen systemischen Manifestationen. Exazerbationen der COPD sind wichtige Ereignisse im Krankheitsverlauf, da sie mit einer erhöhten Sterblichkeit, einer schwerwiegenden Beeinträchtigung der gesundheitsbezogenen Lebensqualität, einer beschleunigten Verschlechterung der Lungenfunktion, einer erheblichen Einschränkung der körperlichen Aktivität und einer erheblichen wirtschaftlichen Belastung verbunden sind. Telemedizin ist der Einsatz von Kommunikationstechnologien zur Übertragung medizinischer Daten über kurze oder lange Strecken und zur Erbringung von Gesundheitsdienstleistungen. Die Notwendigkeit, persönliche Termine während der COVID-19-Pandemie einzuschränken, hat zu einem raschen Anstieg der telemedizinischen Dienste geführt. In der vorliegenden Literaturübersicht über veröffentlichte randomisierte kontrollierte Studien mit Ergebnissen zum Einsatz digitaler Hilfsmittel bei akuten Exazerbationen der COPD versuchen wir, die Wirksamkeit der Telemedizin bei der Erkennung, Vorbeugung und Verringerung von COPD-Exazerbationen sowie bei der Verbesserung anderer klinisch relevanter Ergebnisse zu klären und gleichzeitig die spezifischen telemedizinischen Interventionen im Detail zu beschreiben.

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“…However, cutting-edge technology seems scarcely implemented into clinical practice and clinical research. The most widely used approach is "tele-healthcare," in which part of the management is carried out through telephone calls [4][5][6][7]. This is an interesting option in mobility-compromised populations or for minor health issues.…”

Section: Introductionmentioning

confidence: 99%

Multisensory Home-Monitoring in Individuals With Stable Chronic Obstructive Pulmonary Disease and Asthma: Usability Study of the CAir-Desk

Kohlbrenner¹,

Clarenbach²,

Ivankay³

et al. 2022

JMIR Hum Factors

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Background Research integrating multisensory home-monitoring in respiratory disease is scarce. Therefore, we created a novel multisensory home-monitoring device tailored for long-term respiratory disease management (named the CAir-Desk). We hypothesize that recent technological accomplishments can be integrated into a multisensory participant-driven platform. We also believe that this platform could improve chronic disease management and be accessible to large groups at an acceptable cost. Objective This study aimed to report on user adherence and acceptance as well as system functionality of the CAir-Desk in a sample of participants with stable chronic obstructive pulmonary disease (COPD) or asthma. Methods We conducted an observational usability study. Participants took part in 4 weeks of home-monitoring with the CAir-Desk. The CAir-Desk recorded data from all participants on symptom burden, physical activity, spirometry, and environmental air quality; data on sputum production, and nocturnal cough were only recorded for participants who experienced symptoms. After the study period, participants reported on their perceptions of the usability of the monitoring device through a purpose-designed questionnaire. We used descriptive statistics and visualizations to display results. Results Ten participants, 5 with COPD and 5 with asthma took part in this study. They completed symptom burden questionnaires on a median of 96% (25th percentile 14%, 75th percentile 96%), spirometry recordings on 55% (20%, 94%), wrist-worn physical activity recordings on 100% (97%, 100%), arm-worn physical activity recordings on 45% (13%, 63%), nocturnal cough recordings on 34% (9%, 54%), sputum recordings on 5% (3%, 12%), and environmental air quality recordings on 100% (99%, 100%) of the study days. The participants indicated that the measurements consumed a median of 13 (10, 15) min daily, and that they preferred the wrist-worn physical activity monitor to the arm-worn physical activity monitor. Conclusions The CAir-Desk showed favorable technical performance and was well-accepted by our sample of participants with stable COPD and asthma. The obtained insights were used in a redesign of the CAir-Desk, which is currently applied in a randomized controlled trial including an interventional program.

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Telehealth mitigates COPD disease progression compared to standard of care: a randomized controlled crossover trial

Abstract: Kliniken, Wangen, Germany). Telehealth mitigates COPD disease progression compared to standard of care: a randomized controlled crossover trial (Brief Report).

Cited by 17 publications

References 21 publications

The Role of Digital Tools in the Timely Diagnosis and Prevention of Acute Exacerbations of COPD: A Comprehensive Review of the Literature

The Role of Digital Tools in the Timely Diagnosis and Prevention of Acute Exacerbations of COPD: A Comprehensive Review of the Literature

Die Rolle digitaler Hilfsmittel bei der rechtzeitigen Diagnose und Vorbeugung akuter Exazerbationen der COPD: Ein umfassender Überblick über die Literatur

Multisensory Home-Monitoring in Individuals With Stable Chronic Obstructive Pulmonary Disease and Asthma: Usability Study of the CAir-Desk

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