Telehealth mitigates COPD disease progression compared to standard of care: a randomized controlled crossover trial
| Autor: | A Germann, Robert Thurnheer, Frank Rassouli, D. Stolz, Martin Brutsche, Michael Tamm, Thomas Brack, Florent Baty, Noriane A. Sievi, Sandra Widmer, Christian M. Kähler, Malcolm Kohler, Ursina Tschirren |
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| Přispěvatelé: | University of Zurich, Rassouli, Frank |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male 0301 basic medicine medicine.medical_specialty Standard of care telehealth 610 Medicine & health Telehealth 030204 cardiovascular system & hematology law.invention Pulmonary Disease Chronic Obstructive COPD exacerbation 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Standard care law Germany Surveys and Questionnaires Internal medicine medicine Internal Medicine Humans COPD Aged Cross-Over Studies business.industry Brief Report Disease progression Standard of Care Middle Aged Symptom Flare Up medicine.disease Crossover study Telemedicine 030104 developmental biology Patient Satisfaction 2724 Internal Medicine Disease Progression Copd assessment test Female Brief Reports COPD assessment test 10178 Clinic for Pneumology business Switzerland |
| Zdroj: | Journal of Internal Medicine |
| Popis: | Background We showed excellent adherence and satisfaction with our telehealth care (TC) approach for COPD. Here, the results of a consecutive randomized controlled trial are presented. Methods Patients were randomly assigned to TC or standard care (SC). During TC, patients answered six daily questions online, and focused on the early recognition of exacerbations, in addition to SC. Results The mean increase in COPD assessment test (CAT) was 1.8 vs. 3.6 points/year in the TC and SC groups, respectively (P = 0.0015). Satisfaction with care (VAS) at baseline was 8.2; at the end of SC, 8.5 (P = 0.062); and after TC, 8.8 (P < 0.001). We detected significantly more moderate exacerbations during TC. Conclusion Whilst receiving TC, the slope of the CAT increase – an indicator of the naturally progressive course of COPD – was reduced by 50%. Satisfaction with care increased with TC. The higher number of detected moderate exacerbations probably indicates a higher diagnostic sensitivity than without TC. |
| Databáze: | OpenAIRE |
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