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A home telemonitoring program reduced exacerbation and healthcare utilization rates in COPD patients with frequent exacerbations.

Abstract As the impact of home telemonitoring on patients with chronic obstructive pulmonary disease (COPD) is not fully understood and reduction in healthcare utilization is not proven, we attempt to evaluate the effects of home telemonitoring on healthcare utilization in patients with COPD.
PMID
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Authors

Mayor MeshTerms

Home Care Services

Telemetry

Keywords
Journal Title telemedicine journal and e-health : the official journal of the american telemedicine association
Publication Year Start
%A Alrajab, Saadah; Smith, Toby R.; Owens, Michael; Areno, John P.; Caldito, Gloria
%T A home telemonitoring program reduced exacerbation and healthcare utilization rates in COPD patients with frequent exacerbations.
%J Telemedicine journal and e-health : the official journal of the American Telemedicine Association, vol. 18, no. 10, pp. 772-776
%D 12/2012
%V 18
%N 10
%M eng
%B As the impact of home telemonitoring on patients with chronic obstructive pulmonary disease (COPD) is not fully understood and reduction in healthcare utilization is not proven, we attempt to evaluate the effects of home telemonitoring on healthcare utilization in patients with COPD.
%K Aged, Emergency Service, Hospital, Female, Home Care Services, Humans, Male, Middle Aged, Pulmonary Disease, Chronic Obstructive, Retrospective Studies, Telemetry, United States
%P 772
%L 776
%Y 10.1089/tmj.2012.0005
%W PHY
%G AUTHOR
%R 2012.......18..772A

@Article{Alrajab2012,
author="Alrajab, Saadah
and Smith, Toby R.
and Owens, Michael
and Areno, John P.
and Caldito, Gloria",
title="A home telemonitoring program reduced exacerbation and healthcare utilization rates in COPD patients with frequent exacerbations.",
journal="Telemedicine journal and e-health : the official journal of the American Telemedicine Association",
year="2012",
month="Dec",
day="19",
volume="18",
number="10",
pages="772--776",
keywords="Aged",
keywords="Emergency Service, Hospital",
keywords="Female",
keywords="Home Care Services",
keywords="Humans",
keywords="Male",
keywords="Middle Aged",
keywords="Pulmonary Disease, Chronic Obstructive",
keywords="Retrospective Studies",
keywords="Telemetry",
keywords="United States",
abstract="As the impact of home telemonitoring on patients with chronic obstructive pulmonary disease (COPD) is not fully understood and reduction in healthcare utilization is not proven, we attempt to evaluate the effects of home telemonitoring on healthcare utilization in patients with COPD.",
issn="1556-3669",
doi="10.1089/tmj.2012.0005",
url="http://www.ncbi.nlm.nih.gov/pubmed/23082792",
language="eng"
}

%0 Journal Article
%T A home telemonitoring program reduced exacerbation and healthcare utilization rates in COPD patients with frequent exacerbations.
%A Alrajab, Saadah
%A Smith, Toby R.
%A Owens, Michael
%A Areno, John P.
%A Caldito, Gloria
%J Telemedicine journal and e-health : the official journal of the American Telemedicine Association
%D 2012
%8 Dec 19
%V 18
%N 10
%@ 1556-3669
%G eng
%F Alrajab2012
%X As the impact of home telemonitoring on patients with chronic obstructive pulmonary disease (COPD) is not fully understood and reduction in healthcare utilization is not proven, we attempt to evaluate the effects of home telemonitoring on healthcare utilization in patients with COPD.
%K Aged
%K Emergency Service, Hospital
%K Female
%K Home Care Services
%K Humans
%K Male
%K Middle Aged
%K Pulmonary Disease, Chronic Obstructive
%K Retrospective Studies
%K Telemetry
%K United States
%U http://dx.doi.org/10.1089/tmj.2012.0005
%U http://www.ncbi.nlm.nih.gov/pubmed/23082792
%P 772-776

PT Journal
AU Alrajab, S
   Smith, TR
   Owens, M
   Areno, JP
   Caldito, G
TI A home telemonitoring program reduced exacerbation and healthcare utilization rates in COPD patients with frequent exacerbations.
SO Telemedicine journal and e-health : the official journal of the American Telemedicine Association
JI Telemed J E Health
PD Dec
PY 2012
BP 772
EP 776
VL 18
IS 10
DI 10.1089/tmj.2012.0005
LA eng
DE Aged; Emergency Service, Hospital; Female; Home Care Services; Humans; Male; Middle Aged; Pulmonary Disease, Chronic Obstructive; Retrospective Studies; Telemetry; United States
AB As the impact of home telemonitoring on patients with chronic obstructive pulmonary disease (COPD) is not fully understood and reduction in healthcare utilization is not proven, we attempt to evaluate the effects of home telemonitoring on healthcare utilization in patients with COPD.
ER

PMID- 23082792
OWN - NLM
STAT- MEDLINE
DA  - 20121213
DCOM- 20131204
IS  - 1556-3669 (Electronic)
IS  - 1530-5627 (Linking)
VI  - 18
IP  - 10
DP  - 2012 Dec
TI  - A home telemonitoring program reduced exacerbation and healthcare utilization
      rates in COPD patients with frequent exacerbations.
PG  - 772-6
LID - 10.1089/tmj.2012.0005 [doi]
AB  - RATIONALE: As the impact of home telemonitoring on patients with chronic
      obstructive pulmonary disease (COPD) is not fully understood and reduction in
      healthcare utilization is not proven, we attempt to evaluate the effects of home 
      telemonitoring on healthcare utilization in patients with COPD. SUBJECTS AND
      METHODS: We conducted a retrospective cohort study using the Veterans Health
      Administration database of COPD patients enrolled in the Care Coordination Home
      Telehealth (CCHT) program. We evaluated the effects of monitoring through this
      program in patients with moderate to severe COPD and frequent exacerbations.
      Numbers of emergency department (ED) visits, urgent care (UC) visits, and
      hospitalizations were all evaluated before and after enrollment. The differences 
      in average pre-enrollment and during-enrollment numbers of hospital admissions,
      ED/UC visits, and exacerbations were tested for significance among all patients
      enrolled in the program who had one or more exacerbations at pre-enrollment;
      results were expressed on a per-year basis. RESULTS: Data were available on a
      total of 1,133 patients with COPD enrolled in the CCHT program between 2005 and
      2009. Given the objectives of our study, we only included 369 patients who had at
      least one exacerbation per year in the year prior to enrollment. Of these, 71.5% 
      had a reduction in numbers of ED visits and exacerbations requiring
      hospitalizations after enrollment in the program. The average number of hospital 
      admissions, ED visits, and total exacerbations were all reduced (0.41 +/- 1.68,
      0.15 +/- 1.65, and 0.56 +/- 2.3, respectively; all with p<0.01). The
      pre-enrollment number of exacerbations was the only factor observed to be
      significantly associated with the reduction in number of exacerbations.
      CONCLUSIONS: In patients with COPD and frequent exacerbations, enrollment in a
      home telemonitoring program may decrease healthcare utilization.
FAU - Alrajab, Saadah
AU  - Alrajab S
AD  - Department of Pulmonary, Critical Care, and Sleep Medicine, Louisiana State
      University Health Sciences Center, Shreveport, LA 71103, USA. [email protected]
FAU - Smith, Toby R
AU  - Smith TR
FAU - Owens, Michael
AU  - Owens M
FAU - Areno, John P
AU  - Areno JP
FAU - Caldito, Gloria
AU  - Caldito G
LA  - eng
PT  - Evaluation Studies
PT  - Journal Article
DEP - 20121019
PL  - United States
TA  - Telemed J E Health
JT  - Telemedicine journal and e-health : the official journal of the American
      Telemedicine Association
JID - 100959949
SB  - IM
MH  - Aged
MH  - Emergency Service, Hospital/*utilization
MH  - Female
MH  - *Home Care Services
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pulmonary Disease, Chronic Obstructive/*therapy
MH  - Retrospective Studies
MH  - *Telemetry
MH  - United States
EDAT- 2012/10/23 06:00
MHDA- 2013/12/16 06:00
CRDT- 2012/10/23 06:00
PHST- 2012/10/19 [aheadofprint]
AID - 10.1089/tmj.2012.0005 [doi]
PST - ppublish
SO  - Telemed J E Health. 2012 Dec;18(10):772-6. doi: 10.1089/tmj.2012.0005. Epub 2012 
      Oct 19.
TY  - JOUR
AU  - Alrajab, Saadah
AU  - Smith, Toby R.
AU  - Owens, Michael
AU  - Areno, John P.
AU  - Caldito, Gloria
PY  - 2012/Dec/19
TI  - A home telemonitoring program reduced exacerbation and healthcare utilization rates in COPD patients with frequent exacerbations.
T2  - Telemed J E Health
JO  - Telemedicine journal and e-health : the official journal of the American Telemedicine Association
SP  - 772
EP  - 776
VL  - 18
IS  - 10
KW  - Aged
KW  - Emergency Service, Hospital
KW  - Female
KW  - Home Care Services
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Pulmonary Disease, Chronic Obstructive
KW  - Retrospective Studies
KW  - Telemetry
KW  - United States
N2  - As the impact of home telemonitoring on patients with chronic obstructive pulmonary disease (COPD) is not fully understood and reduction in healthcare utilization is not proven, we attempt to evaluate the effects of home telemonitoring on healthcare utilization in patients with COPD.
SN  - 1556-3669
UR  - http://dx.doi.org/10.1089/tmj.2012.0005
UR  - http://www.ncbi.nlm.nih.gov/pubmed/23082792
ID  - Alrajab2012
ER  - 
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