https://scholars.lib.ntu.edu.tw/handle/123456789/593316
標題: | Effectiveness of Telemonitoring in Patients with Chronic Obstructive Pulmonary Disease in Taiwan-A Randomized Controlled Trial | 作者: | Ho, Te-Wei CHUN-TA HUANG Chiu, Herng-Chia SHENG-YUAN RUAN Tsai, Yi-Ju CHONG-JEN YU Lai, Feipei Yu-Feng Lin, Hung-Bin Tsai, Nin-Chieh Hsu, CHIA-LIN TSENG Chin-Chung Shu, Wen-Je Ko & Jin-Shing Chen |
關鍵字: | ACUTE EXACERBATIONS; RISK-FACTORS; COPD; CARE; TELEHEALTHCARE; INTERVENTION; READMISSION; MANAGEMENT; ADMISSION; SERVICES | 公開日期: | 31-三月-2016 | 出版社: | NATURE PUBLISHING GROUP | 卷: | 6 | 期: | 1 | 來源出版物: | Scientific reports | 摘要: | Chronic obstructive pulmonary disease (COPD) is the leading cause of death worldwide, and poses a substantial economic and social burden. Telemonitoring has been proposed as a solution to this growing problem, but its impact on patient outcome is equivocal. This randomized controlled trial aimed to investigate effectiveness of telemonitoring in improving COPD patient outcome. In total, 106 subjects were randomly assigned to the telemonitoring (n = 53) or usual care (n = 53) group. During the two months following discharge, telemonitoring group patients had to report their symptoms daily using an electronic diary. The primary outcome measure was time to first re-admission for COPD exacerbation within six months of discharge. During the follow-up period, time to first re-admission for COPD exacerbation was significantly increased in the telemonitoring group than in the usual care group (p = 0.026). Telemonitoring was also associated with a reduced number of all-cause re-admissions (0.23 vs. 0.68/patient; p = 0.002) and emergency room visits (0.36 vs. 0.91/patient; p = 0.006). In conclusion, telemonitoring intervention was associated with improved outcomes among COPD patients admitted for exacerbation in a country characterized by a small territory and high accessibility to medical services. The findings are encouraging and add further support to implementation of telemonitoring as part of COPD care. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/593316 | ISSN: | 2045-2322 | DOI: | 10.1038/srep23797 | SDG/關鍵字: | aged; controlled study; disease course; female; follow up; hospital discharge; hospital readmission; human; male; pathophysiology; physiologic monitoring; procedures; Pulmonary Disease, Chronic Obstructive; quality of life; randomized controlled trial; statistics and numerical data; Taiwan; telemedicine; very elderly; Aged; Aged, 80 and over; Disease Progression; Female; Follow-Up Studies; Humans; Male; Monitoring, Physiologic; Patient Discharge; Patient Readmission; Pulmonary Disease, Chronic Obstructive; Quality of Life; Taiwan; Telemedicine |
顯示於: | 醫學系 |
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