S98 Effectiveness of home maintenance tele-rehabilitation on COPD exacerbations
| Autor: | Nikos Koulouris, Nikolaos Chynkiamis, Maroula Vasilopoulou, Ioannis Vogiatzis, Andriana I. Papaioannou, Stauroula Spetsioti, Theodora Vasilogiannakopoulou, Eleni Kortianou, Sophia Antiopi Gennimata, Giorgos Kaltsakas, Anastasios Palamidas |
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| Rok vydání: | 2015 |
| Předmět: |
Pulmonary and Respiratory Medicine
COPD medicine.medical_specialty Rehabilitation business.industry medicine.medical_treatment Psychological intervention Vital signs Context (language use) medicine.disease respiratory tract diseases Ambulatory Health care Physical therapy Medicine Pulmonary rehabilitation business |
| Zdroj: | Thorax. 70:A56.1-A56 |
| ISSN: | 1468-3296 0040-6376 |
| DOI: | 10.1136/thoraxjnl-2015-207770.104 |
| Popis: | Acute exacerbations are cardinal events in the natural history of chronic obstructive pulmonary disease (COPD) and are associated with increased morbidity and mortality. Tele-monitoring interventions are a relatively new field in COPD research and management. Furthermore, the effect of home tele-rehabilitation on COPD exacerbation has not been thoroughly studied. Therefore, we set out to investigate whether a home tele-rehabilitation program would be as beneficial as an outpatient maintenance rehabilitation program, in the context of COPD exacerbations, following completion of a 3-month course of supervised pulmonary rehabilitation. We studied 137 Caucasian, ambulatory COPD patients. Forty seven patients were assigned to home maintenance tele-rehabilitation (FEV 1 ,%pred = 50 ± 22, mean±SD). Fifty patients were assigned to twice weekly hospital-based maintenance rehabilitation (FEV 1 ,%pred = 52 ± 17). Forty COPD patients (FEV 1 , %pred = 52 ± 21), were not assigned to any rehabilitation program and served as controls. Tele-rehabilitation included home exercise reconditioning, self-management techniques, dietary, and psychological advice. Patients were provided with tablets and wireless devices to record and transmit data, related to symptoms, lung function, and vital signs, to a tele-health platform. Patients were followed up for 12 months. At baseline there were no significant differences amongst the tele-rehabilitation (3.3 ± 3.1), hospital-based rehabilitation (3.4 ± 1.9), or control (3.3 ± 1.6), groups in terms of COPD exacerbations. After 12 months, COPD exacerbations in the group of home tele-rehabilitation were significantly reduced to 1.7 ± 1.7. In the group of hospital-based rehabilitation COPD exacerbations were also significantly reduced to 1.8 ± 1.4. In contrast, in the control group COPD exacerbations remained unchanged (3.5 ± 1.7). There were significant difference amongst the two rehabilitation groups (tele-rehabilitation and hospital-based) and the control group in terms of COPD exacerbations (p In conclusion, ongoing home tele-rehabilitation with the use of tele-monitoring could significantly reduce COPD exacerbations and seems to be as beneficial as an outpatient hospital-based maintenance rehabilitation program in the context of COPD exacerbations. Thus, tele-rehabilitation may constitute a satisfactory alternative rehabilitative strategy to diminish health care costs. |
| Databáze: | OpenAIRE |
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