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The value of telehealth in the early detection of chronic obstructive pulmonary disease exacerbations: A prospective observational study.

Abstract We aim to establish the value of telemonitoring in the early detection of chronic obstructive pulmonary disease exacerbations. We followed up patients undergoing chronic obstructive pulmonary disease telemonitoring for 4 months. We studied changes in the telemonitored data in the week prior to admission or to community chronic obstructive pulmonary disease exacerbation. A total of 183 patients were studied. In all, 30 chronic obstructive pulmonary disease-related hospital admissions and 68 chronic obstructive pulmonary disease community exacerbations were recorded. Changes in telehealth parameters occurred in 80 per cent (24/30) of admissions and 82 per cent (56/68) of community exacerbations. Although changes in telehealth data occurred in the majority of exacerbations, most individual symptoms was present in less than half the exacerbations and almost 20 per cent of exacerbations were not preceded by any change in telemonitoring data. Cough created significantly more alerts by those treated in the community (p = 0.008), whereas a drop in oxygen saturation created significantly more alerts pre-hospitalisation (p = 0.049). We conclude that further work is required to develop methods of identifying impending chronic obstructive pulmonary disease exacerbations with greater sensitivity and specificity.
PMID
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Authors

Mayor MeshTerms
Keywords

COPD

chronic obstructive pulmonary disease

exacerbations

telehealth

telemonitoring

Journal Title health informatics journal
Publication Year Start
%A Hamad, Ghassan A.; Crooks, Michael; Morice, Alyn H.
%T The value of telehealth in the early detection of chronic obstructive pulmonary disease exacerbations: A prospective observational study.
%J Health informatics journal, vol. 22, no. 2, pp. 406-413
%D 06/2016
%V 22
%N 2
%M eng
%B We aim to establish the value of telemonitoring in the early detection of chronic obstructive pulmonary disease exacerbations. We followed up patients undergoing chronic obstructive pulmonary disease telemonitoring for 4 months. We studied changes in the telemonitored data in the week prior to admission or to community chronic obstructive pulmonary disease exacerbation. A total of 183 patients were studied. In all, 30 chronic obstructive pulmonary disease-related hospital admissions and 68 chronic obstructive pulmonary disease community exacerbations were recorded. Changes in telehealth parameters occurred in 80 per cent (24/30) of admissions and 82 per cent (56/68) of community exacerbations. Although changes in telehealth data occurred in the majority of exacerbations, most individual symptoms was present in less than half the exacerbations and almost 20 per cent of exacerbations were not preceded by any change in telemonitoring data. Cough created significantly more alerts by those treated in the community (p = 0.008), whereas a drop in oxygen saturation created significantly more alerts pre-hospitalisation (p = 0.049). We conclude that further work is required to develop methods of identifying impending chronic obstructive pulmonary disease exacerbations with greater sensitivity and specificity.
%P 406
%L 413
%Y 10.1177/1460458214564434
%W PHY
%G AUTHOR
%R 2016.......22..406H

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author="Hamad, Ghassan A.
and Crooks, Michael
and Morice, Alyn H.",
title="The value of telehealth in the early detection of chronic obstructive pulmonary disease exacerbations: A prospective observational study.",
journal="Health informatics journal",
year="2016",
month="Jun",
day="06",
volume="22",
number="2",
pages="406--413",
abstract="We aim to establish the value of telemonitoring in the early detection of chronic obstructive pulmonary disease exacerbations. We followed up patients undergoing chronic obstructive pulmonary disease telemonitoring for 4 months. We studied changes in the telemonitored data in the week prior to admission or to community chronic obstructive pulmonary disease exacerbation. A total of 183 patients were studied. In all, 30 chronic obstructive pulmonary disease-related hospital admissions and 68 chronic obstructive pulmonary disease community exacerbations were recorded. Changes in telehealth parameters occurred in 80 per cent (24/30) of admissions and 82 per cent (56/68) of community exacerbations. Although changes in telehealth data occurred in the majority of exacerbations, most individual symptoms was present in less than half the exacerbations and almost 20 per cent of exacerbations were not preceded by any change in telemonitoring data. Cough created significantly more alerts by those treated in the community (p = 0.008), whereas a drop in oxygen saturation created significantly more alerts pre-hospitalisation (p = 0.049). We conclude that further work is required to develop methods of identifying impending chronic obstructive pulmonary disease exacerbations with greater sensitivity and specificity.",
issn="1741-2811",
doi="10.1177/1460458214564434",
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%0 Journal Article
%T The value of telehealth in the early detection of chronic obstructive pulmonary disease exacerbations: A prospective observational study.
%A Hamad, Ghassan A.
%A Crooks, Michael
%A Morice, Alyn H.
%J Health informatics journal
%D 2016
%8 Jun 06
%V 22
%N 2
%@ 1741-2811
%G eng
%F Hamad2016
%X We aim to establish the value of telemonitoring in the early detection of chronic obstructive pulmonary disease exacerbations. We followed up patients undergoing chronic obstructive pulmonary disease telemonitoring for 4 months. We studied changes in the telemonitored data in the week prior to admission or to community chronic obstructive pulmonary disease exacerbation. A total of 183 patients were studied. In all, 30 chronic obstructive pulmonary disease-related hospital admissions and 68 chronic obstructive pulmonary disease community exacerbations were recorded. Changes in telehealth parameters occurred in 80 per cent (24/30) of admissions and 82 per cent (56/68) of community exacerbations. Although changes in telehealth data occurred in the majority of exacerbations, most individual symptoms was present in less than half the exacerbations and almost 20 per cent of exacerbations were not preceded by any change in telemonitoring data. Cough created significantly more alerts by those treated in the community (p = 0.008), whereas a drop in oxygen saturation created significantly more alerts pre-hospitalisation (p = 0.049). We conclude that further work is required to develop methods of identifying impending chronic obstructive pulmonary disease exacerbations with greater sensitivity and specificity.
%U http://dx.doi.org/10.1177/1460458214564434
%U http://www.ncbi.nlm.nih.gov/pubmed/25564494
%P 406-413

PT Journal
AU Hamad, GA
   Crooks, M
   Morice, AH
TI The value of telehealth in the early detection of chronic obstructive pulmonary disease exacerbations: A prospective observational study.
SO Health informatics journal
JI Health Informatics J
PD Jun
PY 2016
BP 406
EP 413
VL 22
IS 2
DI 10.1177/1460458214564434
LA eng
AB We aim to establish the value of telemonitoring in the early detection of chronic obstructive pulmonary disease exacerbations. We followed up patients undergoing chronic obstructive pulmonary disease telemonitoring for 4 months. We studied changes in the telemonitored data in the week prior to admission or to community chronic obstructive pulmonary disease exacerbation. A total of 183 patients were studied. In all, 30 chronic obstructive pulmonary disease-related hospital admissions and 68 chronic obstructive pulmonary disease community exacerbations were recorded. Changes in telehealth parameters occurred in 80 per cent (24/30) of admissions and 82 per cent (56/68) of community exacerbations. Although changes in telehealth data occurred in the majority of exacerbations, most individual symptoms was present in less than half the exacerbations and almost 20 per cent of exacerbations were not preceded by any change in telemonitoring data. Cough created significantly more alerts by those treated in the community (p = 0.008), whereas a drop in oxygen saturation created significantly more alerts pre-hospitalisation (p = 0.049). We conclude that further work is required to develop methods of identifying impending chronic obstructive pulmonary disease exacerbations with greater sensitivity and specificity.
ER

PMID- 25564494
OWN - NLM
STAT- In-Data-Review
DA  - 20160528
IS  - 1741-2811 (Electronic)
IS  - 1460-4582 (Linking)
VI  - 22
IP  - 2
DP  - 2016 Jun
TI  - The value of telehealth in the early detection of chronic obstructive pulmonary
      disease exacerbations: A prospective observational study.
PG  - 406-13
LID - 10.1177/1460458214564434 [doi]
AB  - We aim to establish the value of telemonitoring in the early detection of chronic
      obstructive pulmonary disease exacerbations. We followed up patients undergoing
      chronic obstructive pulmonary disease telemonitoring for 4 months. We studied
      changes in the telemonitored data in the week prior to admission or to community 
      chronic obstructive pulmonary disease exacerbation. A total of 183 patients were 
      studied. In all, 30 chronic obstructive pulmonary disease-related hospital
      admissions and 68 chronic obstructive pulmonary disease community exacerbations
      were recorded. Changes in telehealth parameters occurred in 80 per cent (24/30)
      of admissions and 82 per cent (56/68) of community exacerbations. Although
      changes in telehealth data occurred in the majority of exacerbations, most
      individual symptoms was present in less than half the exacerbations and almost 20
      per cent of exacerbations were not preceded by any change in telemonitoring data.
      Cough created significantly more alerts by those treated in the community (p =
      0.008), whereas a drop in oxygen saturation created significantly more alerts
      pre-hospitalisation (p = 0.049). We conclude that further work is required to
      develop methods of identifying impending chronic obstructive pulmonary disease
      exacerbations with greater sensitivity and specificity.
CI  - (c) The Author(s) 2015.
FAU - Hamad, Ghassan A
AU  - Hamad GA
AD  - University of Hull, UK [email protected]
FAU - Crooks, Michael
AU  - Crooks M
AD  - University of Hull, UK.
FAU - Morice, Alyn H
AU  - Morice AH
AD  - University of Hull, UK.
LA  - eng
PT  - Journal Article
DEP - 20150106
PL  - England
TA  - Health Informatics J
JT  - Health informatics journal
JID - 100883604
SB  - IM
OTO - NOTNLM
OT  - COPD
OT  - chronic obstructive pulmonary disease
OT  - exacerbations
OT  - telehealth
OT  - telemonitoring
EDAT- 2015/01/08 06:00
MHDA- 2015/01/08 06:00
CRDT- 2015/01/08 06:00
PHST- 2015/01/06 [aheadofprint]
AID - 1460458214564434 [pii]
AID - 10.1177/1460458214564434 [doi]
PST - ppublish
SO  - Health Informatics J. 2016 Jun;22(2):406-13. doi: 10.1177/1460458214564434. Epub 
      2015 Jan 6.
TY  - JOUR
AU  - Hamad, Ghassan A.
AU  - Crooks, Michael
AU  - Morice, Alyn H.
PY  - 2016/Jun/06
TI  - The value of telehealth in the early detection of chronic obstructive pulmonary disease exacerbations: A prospective observational study.
T2  - Health Informatics J
JO  - Health informatics journal
SP  - 406
EP  - 413
VL  - 22
IS  - 2
N2  - We aim to establish the value of telemonitoring in the early detection of chronic obstructive pulmonary disease exacerbations. We followed up patients undergoing chronic obstructive pulmonary disease telemonitoring for 4 months. We studied changes in the telemonitored data in the week prior to admission or to community chronic obstructive pulmonary disease exacerbation. A total of 183 patients were studied. In all, 30 chronic obstructive pulmonary disease-related hospital admissions and 68 chronic obstructive pulmonary disease community exacerbations were recorded. Changes in telehealth parameters occurred in 80 per cent (24/30) of admissions and 82 per cent (56/68) of community exacerbations. Although changes in telehealth data occurred in the majority of exacerbations, most individual symptoms was present in less than half the exacerbations and almost 20 per cent of exacerbations were not preceded by any change in telemonitoring data. Cough created significantly more alerts by those treated in the community (p = 0.008), whereas a drop in oxygen saturation created significantly more alerts pre-hospitalisation (p = 0.049). We conclude that further work is required to develop methods of identifying impending chronic obstructive pulmonary disease exacerbations with greater sensitivity and specificity.
SN  - 1741-2811
UR  - http://dx.doi.org/10.1177/1460458214564434
UR  - http://www.ncbi.nlm.nih.gov/pubmed/25564494
ID  - Hamad2016
ER  - 
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