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Effect of tele health care on exacerbations and hospital admissions in patients with chronic obstructive pulmonary disease: a randomized clinical trial.

Abstract Tele monitoring (TM) of patients with chronic obstructive pulmonary disease (COPD) has gained much interest, but studies have produced conflicting results. Our aim was to investigate the effect of TM with the option of video consultations on exacerbations and hospital admissions in patients with severe COPD.
PMID
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Authors

Mayor MeshTerms

Patient Admission

Telemetry

Keywords

COPD

admissions

exacerbations

tele health care

video consultations

Journal Title international journal of chronic obstructive pulmonary disease
Publication Year Start
%A Ringb?k, Thomas; Green, Allan; Laursen, Lars Christian; Frausing, Ejvind; Br?ndum, Eva; Ulrik, Charlotte Suppli
%T Effect of tele health care on exacerbations and hospital admissions in patients with chronic obstructive pulmonary disease: a randomized clinical trial.
%J International journal of chronic obstructive pulmonary disease, vol. 10, pp. 1801-1808
%D 09/2015
%V 10
%M eng
%B Tele monitoring (TM) of patients with chronic obstructive pulmonary disease (COPD) has gained much interest, but studies have produced conflicting results. Our aim was to investigate the effect of TM with the option of video consultations on exacerbations and hospital admissions in patients with severe COPD.
%K Aged, Algorithms, Ambulatory Care, Anthropometry, Anti-Bacterial Agents, Body Weight, Denmark, Disease Progression, Emergency Service, Hospital, Female, Forced Expiratory Volume, Humans, Lung, Male, Middle Aged, Oximetry, Patient Admission, Predictive Value of Tests, Pulmonary Disease, Chronic Obstructive, Severity of Illness Index, Spirometry, Steroids, Telemedicine, Telemetry, Time Factors, Treatment Outcome, Videoconferencing
%P 1801
%L 1808
%Y 10.2147/COPD.S85596
%W PHY
%G AUTHOR
%R 2015.......10.1801R

@Article{Ringb?k2015,
author="Ringb{\ae}k, Thomas
and Green, Allan
and Laursen, Lars Christian
and Frausing, Ejvind
and Br{\o}ndum, Eva
and Ulrik, Charlotte Suppli",
title="Effect of tele health care on exacerbations and hospital admissions in patients with chronic obstructive pulmonary disease: a randomized clinical trial.",
journal="International journal of chronic obstructive pulmonary disease",
year="2015",
month="Sep",
day="03",
volume="10",
pages="1801--1808",
keywords="Aged",
keywords="Algorithms",
keywords="Ambulatory Care",
keywords="Anthropometry",
keywords="Anti-Bacterial Agents",
keywords="Body Weight",
keywords="Denmark",
keywords="Disease Progression",
keywords="Emergency Service, Hospital",
keywords="Female",
keywords="Forced Expiratory Volume",
keywords="Humans",
keywords="Lung",
keywords="Male",
keywords="Middle Aged",
keywords="Oximetry",
keywords="Patient Admission",
keywords="Predictive Value of Tests",
keywords="Pulmonary Disease, Chronic Obstructive",
keywords="Severity of Illness Index",
keywords="Spirometry",
keywords="Steroids",
keywords="Telemedicine",
keywords="Telemetry",
keywords="Time Factors",
keywords="Treatment Outcome",
keywords="Videoconferencing",
abstract="Tele monitoring (TM) of patients with chronic obstructive pulmonary disease (COPD) has gained much interest, but studies have produced conflicting results. Our aim was to investigate the effect of TM with the option of video consultations on exacerbations and hospital admissions in patients with severe COPD.",
issn="1178-2005",
doi="10.2147/COPD.S85596",
url="http://www.ncbi.nlm.nih.gov/pubmed/26366072",
language="eng"
}

%0 Journal Article
%T Effect of tele health care on exacerbations and hospital admissions in patients with chronic obstructive pulmonary disease: a randomized clinical trial.
%A Ringb?k, Thomas
%A Green, Allan
%A Laursen, Lars Christian
%A Frausing, Ejvind
%A Br?ndum, Eva
%A Ulrik, Charlotte Suppli
%J International journal of chronic obstructive pulmonary disease
%D 2015
%8 September 03
%V 10
%@ 1178-2005
%G eng
%F Ringb?k2015
%X Tele monitoring (TM) of patients with chronic obstructive pulmonary disease (COPD) has gained much interest, but studies have produced conflicting results. Our aim was to investigate the effect of TM with the option of video consultations on exacerbations and hospital admissions in patients with severe COPD.
%K Aged
%K Algorithms
%K Ambulatory Care
%K Anthropometry
%K Anti-Bacterial Agents
%K Body Weight
%K Denmark
%K Disease Progression
%K Emergency Service, Hospital
%K Female
%K Forced Expiratory Volume
%K Humans
%K Lung
%K Male
%K Middle Aged
%K Oximetry
%K Patient Admission
%K Predictive Value of Tests
%K Pulmonary Disease, Chronic Obstructive
%K Severity of Illness Index
%K Spirometry
%K Steroids
%K Telemedicine
%K Telemetry
%K Time Factors
%K Treatment Outcome
%K Videoconferencing
%U http://dx.doi.org/10.2147/COPD.S85596
%U http://www.ncbi.nlm.nih.gov/pubmed/26366072
%P 1801-1808

PT Journal
AU Ringb?k, T
   Green, A
   Laursen, LC
   Frausing, E
   Br?ndum, E
   Ulrik, CS
TI Effect of tele health care on exacerbations and hospital admissions in patients with chronic obstructive pulmonary disease: a randomized clinical trial.
SO International journal of chronic obstructive pulmonary disease
JI Int J Chron Obstruct Pulmon Dis
PD 09
PY 2015
BP 1801
EP 1808
VL 10
DI 10.2147/COPD.S85596
LA eng
DE Aged; Algorithms; Ambulatory Care; Anthropometry; Anti-Bacterial Agents; Body Weight; Denmark; Disease Progression; Emergency Service, Hospital; Female; Forced Expiratory Volume; Humans; Lung; Male; Middle Aged; Oximetry; Patient Admission; Predictive Value of Tests; Pulmonary Disease, Chronic Obstructive; Severity of Illness Index; Spirometry; Steroids; Telemedicine; Telemetry; Time Factors; Treatment Outcome; Videoconferencing
AB Tele monitoring (TM) of patients with chronic obstructive pulmonary disease (COPD) has gained much interest, but studies have produced conflicting results. Our aim was to investigate the effect of TM with the option of video consultations on exacerbations and hospital admissions in patients with severe COPD.
ER

PMID- 26366072
OWN - NLM
STAT- MEDLINE
DA  - 20150914
DCOM- 20160425
LR  - 20150916
IS  - 1178-2005 (Electronic)
IS  - 1176-9106 (Linking)
VI  - 10
DP  - 2015
TI  - Effect of tele health care on exacerbations and hospital admissions in patients
      with chronic obstructive pulmonary disease: a randomized clinical trial.
PG  - 1801-8
LID - 10.2147/COPD.S85596 [doi]
AB  - BACKGROUND AND OBJECTIVE: Tele monitoring (TM) of patients with chronic
      obstructive pulmonary disease (COPD) has gained much interest, but studies have
      produced conflicting results. Our aim was to investigate the effect of TM with
      the option of video consultations on exacerbations and hospital admissions in
      patients with severe COPD. MATERIALS AND METHODS: Patients with severe COPD at
      high risk of exacerbations were eligible for the study. Of 560 eligible patients 
      identified, 279 (50%) declined to participate. The remaining patients were
      equally randomized to either TM (n=141) or usual care (n=140) for the 6-month
      study period. TM comprised recording of symptoms, saturation, spirometry, and
      weekly video consultations. Algorithms generated alerts if readings breached
      thresholds. Both groups received standard care. The primary outcome was number of
      hospital admissions for exacerbation of COPD during the study period. RESULTS:
      Most of the enrolled patients had severe COPD (forced expiratory volume in 1
      second <50%pred in 86% and >/=hospital admission for COPD in the year prior to
      enrollment in 45%, respectively, of the patients). No difference in drop-out rate
      and mortality was found between the groups. With regard to the primary outcome,
      no significant difference was found in hospital admissions for COPD between the
      groups (P=0.74), and likewise, no difference was found in time to first admission
      or all-cause hospital admissions. Compared with the control group, TM group
      patients had more moderate exacerbations (ie, treated with
      antibiotics/corticosteroid, but not requiring hospital admission; P<0.001),
      whereas the control group had more visits to outpatient clinics (P<0.001).
      CONCLUSION: Our study of patients with severe COPD showed that TM including video
      consultations as add-on to standard care did not reduce hospital admissions for
      exacerbated COPD, but TM may be an alternative to visits at respiratory
      outpatient clinics. Further studies are needed to establish the optimal role of
      TM in the management of severe COPD.
FAU - Ringbaek, Thomas
AU  - Ringbaek T
AD  - Department of Pulmonary Medicine, Hvidovre Hospital, Hvidovre, Denmark ;
      Institute of Clinical Medicine, University of Copenhagen, Herlev, Denmark.
FAU - Green, Allan
AU  - Green A
AD  - Department of Pulmonary Medicine, Hvidovre Hospital, Hvidovre, Denmark.
FAU - Laursen, Lars Christian
AU  - Laursen LC
AD  - Institute of Clinical Medicine, University of Copenhagen, Herlev, Denmark ;
      Pulmonary Unit, Department of Internal Medicine, Herlev Hospital, Herlev,
      Denmark.
FAU - Frausing, Ejvind
AU  - Frausing E
AD  - Department of Pulmonary Medicine, Hvidovre Hospital, Hvidovre, Denmark.
FAU - Brondum, Eva
AU  - Brondum E
AD  - Department of Pulmonary Medicine, Hvidovre Hospital, Hvidovre, Denmark.
FAU - Ulrik, Charlotte Suppli
AU  - Ulrik CS
AD  - Department of Pulmonary Medicine, Hvidovre Hospital, Hvidovre, Denmark ;
      Institute of Clinical Medicine, University of Copenhagen, Herlev, Denmark.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
DEP - 20150903
PL  - New Zealand
TA  - Int J Chron Obstruct Pulmon Dis
JT  - International journal of chronic obstructive pulmonary disease
JID - 101273481
RN  - 0 (Anti-Bacterial Agents)
RN  - 0 (Steroids)
SB  - IM
MH  - Aged
MH  - Algorithms
MH  - Ambulatory Care
MH  - Anthropometry
MH  - Anti-Bacterial Agents/therapeutic use
MH  - Body Weight
MH  - Denmark
MH  - Disease Progression
MH  - Emergency Service, Hospital
MH  - Female
MH  - Forced Expiratory Volume
MH  - Humans
MH  - Lung/*physiopathology
MH  - Male
MH  - Middle Aged
MH  - Oximetry
MH  - *Patient Admission
MH  - Predictive Value of Tests
MH  - Pulmonary Disease, Chronic
      Obstructive/diagnosis/mortality/physiopathology/*therapy
MH  - Severity of Illness Index
MH  - Spirometry
MH  - Steroids/therapeutic use
MH  - Telemedicine/*methods
MH  - *Telemetry
MH  - Time Factors
MH  - Treatment Outcome
MH  - Videoconferencing
PMC - PMC4562759
OID - NLM: PMC4562759
OTO - NOTNLM
OT  - COPD
OT  - admissions
OT  - exacerbations
OT  - tele health care
OT  - video consultations
EDAT- 2015/09/15 06:00
MHDA- 2016/04/26 06:00
CRDT- 2015/09/15 06:00
PHST- 2015 [ecollection]
PHST- 2015/09/03 [epublish]
AID - 10.2147/COPD.S85596 [doi]
AID - copd-10-1801 [pii]
PST - epublish
SO  - Int J Chron Obstruct Pulmon Dis. 2015 Sep 3;10:1801-8. doi: 10.2147/COPD.S85596. 
      eCollection 2015.
TY  - JOUR
AU  - Ringb?k, Thomas
AU  - Green, Allan
AU  - Laursen, Lars Christian
AU  - Frausing, Ejvind
AU  - Br?ndum, Eva
AU  - Ulrik, Charlotte Suppli
PY  - 2015/09/03
TI  - Effect of tele health care on exacerbations and hospital admissions in patients with chronic obstructive pulmonary disease: a randomized clinical trial.
T2  - Int J Chron Obstruct Pulmon Dis
JO  - International journal of chronic obstructive pulmonary disease
SP  - 1801
EP  - 1808
VL  - 10
KW  - Aged
KW  - Algorithms
KW  - Ambulatory Care
KW  - Anthropometry
KW  - Anti-Bacterial Agents
KW  - Body Weight
KW  - Denmark
KW  - Disease Progression
KW  - Emergency Service, Hospital
KW  - Female
KW  - Forced Expiratory Volume
KW  - Humans
KW  - Lung
KW  - Male
KW  - Middle Aged
KW  - Oximetry
KW  - Patient Admission
KW  - Predictive Value of Tests
KW  - Pulmonary Disease, Chronic Obstructive
KW  - Severity of Illness Index
KW  - Spirometry
KW  - Steroids
KW  - Telemedicine
KW  - Telemetry
KW  - Time Factors
KW  - Treatment Outcome
KW  - Videoconferencing
N2  - Tele monitoring (TM) of patients with chronic obstructive pulmonary disease (COPD) has gained much interest, but studies have produced conflicting results. Our aim was to investigate the effect of TM with the option of video consultations on exacerbations and hospital admissions in patients with severe COPD.
SN  - 1178-2005
UR  - http://dx.doi.org/10.2147/COPD.S85596
UR  - http://www.ncbi.nlm.nih.gov/pubmed/26366072
ID  - Ringb?k2015
ER  - 
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