Telehealth and telemedicine in the management of adult patients after hospitalization for COPD exacerbation: a scoping review.

Autor:	Rezende LC; Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG) Brasil., Ribeiro EG; Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG) Brasil., Parreiras LC; Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG) Brasil., Guimarães RA; Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG) Brasil., Reis GMD; Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG) Brasil., Carajá AF; Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG) Brasil., Franco TB; Universidade Federal Fluminense - UFF - Niterói (RJ) Brasil., Mendes LPS; Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG) Brasil., Augusto VM; Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG) Brasil., Silva KL; Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG) Brasil.
Jazyk:	English; Portuguese
Zdroj:	Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia [J Bras Pneumol] 2023 May 01; Vol. 49 (3), pp. e20220067. Date of Electronic Publication: 2023 May 01 (Print Publication: 2023).
DOI:	10.36416/1806-3756/e20220067
Abstrakt:	Objective: A substantial number of people with COPD suffer from exacerbations, which are defined as an acute worsening of respiratory symptoms. To minimize exacerbations, telehealth has emerged as an alternative to improve clinical management, access to health care, and support for self-management. Our objective was to map the evidence of telehealth/telemedicine for the monitoring of adult COPD patients after hospitalization due to an exacerbation. Methods: Bibliographic search was carried in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, Scopus, Biblioteca Virtual de Saúde/LILACS and Cochrane Library databases to identify articles describing telehealth and telemonitoring strategies in Portuguese, English, or Spanish published by December of 2021. Results: Thirty-nine articles, using the following concepts (number of articles), were included in this review: telehealth (21); telemonitoring (20); telemedicine (17); teleconsultation (5); teleassistance (4); telehomecare and telerehabilitation (3 each); telecommunication and mobile health (2 each); and e-health management, e-coach, telehome, telehealth care and televideo consultation (1 each). All these concepts describe strategies which use telephone and/or video calls for coaching, data monitoring, and health education leading to self-management or self-care, focusing on providing remote integrated home care with or without telemetry devices. Conclusions: This review demonstrated that telehealth/telemedicine in combination with telemonitoring can be an interesting strategy to benefit COPD patients after discharge from hospitalization for an exacerbation, by improving their quality of life and reducing re-hospitalizations, admissions to emergency services, hospital length of stay, and health care costs.
Databáze:	MEDLINE
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