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Telemonitoring in C...
Telemonitoring in Chronic Obstructive Pulmonary Disease (CHROMED) : A Randomized Clinical Trial
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- Walker, Paul P. (författare)
- Aintree Univ Hosp NHS Fdn Trust, Liverpool, Merseyside, England;Univ Liverpool, Sch Ageing & Chron Dis, Liverpool, Merseyside, England
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- Pompilio, Pasquale P. (författare)
- Restech Srl, Milan, Italy
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- Zanaboni, Paolo (författare)
- Univ Hosp North Norway, Norwegian Ctr Hlth Res, Tromso, Norway
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- Bergmo, Trine S. (författare)
- Univ Hosp North Norway, Norwegian Ctr Hlth Res, Tromso, Norway
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- Prikk, Kaiu (författare)
- Tallinn Univ Technol, Technomedicum, Tallinn, Estonia
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- Malinovschi, Andrei, 1978- (författare)
- Uppsala universitet,Klinisk fysiologi
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- Montserrat, Josep M. (författare)
- Hosp Clin Barcelona, Barcelona, Spain;Ctr Invest Biomed Red Enfermedades Resp, Madrid, Spain
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- Middlemass, Jo (författare)
- Univ Lincoln, Sch Hlth & Social Care, Community & Hlth Res Unit, Lincoln, England
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- Sonc, Silvana (författare)
- Hosp Sezana, Sezana, Slovenia
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- Munaro, Giulia (författare)
- Elettron Bio Med Spa, Foligno, Italy
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- Marusic, Dorjan (författare)
- Hosp Sezana, Sezana, Slovenia
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- Sepper, Ruth (författare)
- Tallinn Univ Technol, Technomedicum, Tallinn, Estonia
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- Rosso, Roberto (författare)
- Elettron Bio Med Spa, Foligno, Italy
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- Siriwardena, A. Niroshan (författare)
- Univ Lincoln, Sch Hlth & Social Care, Community & Hlth Res Unit, Lincoln, England
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- Janson, Christer (författare)
- Uppsala universitet,Lung- allergi- och sömnforskning
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- Farre, Ramon (författare)
- Univ Barcelona, Inst Invest Biomed August Pi Sunyer, Fac Med & Ciencies Salut, Unitat Biofis & Bioengn, Barcelona, Spain;Ctr Invest Biomed Red Enfermedades Resp, Madrid, Spain
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- Calverley, Peter M. A. (författare)
- Univ Liverpool, Sch Ageing & Chron Dis, Liverpool, Merseyside, England
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- Dellaca, Raffaele L. (författare)
- Restech Srl, Milan, Italy;Politecn Milano Univ, Dipartimento Elettron Informaz & Bioingn, Piazza Leonardo da Vinci 32, I-20133 Milan, Italy
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(creator_code:org_t)
- AMER THORACIC SOC, 2018
- 2018
- Engelska.
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Ingår i: American Journal of Respiratory and Critical Care Medicine. - : AMER THORACIC SOC. - 1073-449X .- 1535-4970. ; 198:5, s. 620-628
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Rationale: Early detection of chronic obstructive pulmonary disease (COPD) exacerbations using telemonitoring of physiological variables might reduce the frequency of hospitalization.Objectives: To evaluate the efficacy of home monitoring of lung mechanics by the forced oscillation technique and cardiac parameters in older patients with COPD and comorbidities.Methods: This multicenter, randomized clinical trial recruited 312 patients with Global Initiative for Chronic Obstructive Lung Disease grades II to IV COPD (median age, 71 yr [interquartile range, 66-76 yr]; 49.6% grade II, 50.4% grades III-IV), with a history of exacerbation in the previous year and at least one nonpulmonary comorbidity. Patients were randomized to usual care (n = 158) or telemonitoring (n = 154) and followed for 9 months. All telemonitoring patients self-assessed lung mechanics daily, and in a subgroup with congestive heart failure (n = 37) cardiac parameters were also monitored. An algorithm identified deterioration, triggering a telephone contact to determine appropriate interventions.Measurements and Main Results: Primary outcomes were time to first hospitalization (TTFH) and change in the EuroQoL EQ-5D utility index score. Secondary outcomes included: rate of antibiotic/corticosteroid prescription; hospitalization; the COPD Assessment Tool, Patient Health Questionnaire-9, and Minnesota Living with Heart Failure questionnaire scores; quality-adjusted life years; and healthcare costs. Telemonitoring did not affect TTFH, EQ-5D utility index score, antibiotic prescriptions, hospitalization rate, or questionnaire scores. In an exploratory analysis, telemedicine was associated with fewer repeat hospitalizations (-54%; P = 0.017).Conclusions: In older patients with COPD and comorbidities, remote monitoring of lung function by forced oscillation technique and cardiac parameters did not change TTFH and EQ-5D.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
Nyckelord
- forced oscillation technique (FOT)
- COPD exacerbation
- chronic obstructive pulmonary disease
- home monitoring
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Walker, Paul P.
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Pompilio, Pasqua ...
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Zanaboni, Paolo
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Bergmo, Trine S.
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Prikk, Kaiu
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Malinovschi, And ...
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Montserrat, Jose ...
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Middlemass, Jo
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Sonc, Silvana
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Munaro, Giulia
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Marusic, Dorjan
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Sepper, Ruth
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Rosso, Roberto
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Siriwardena, A. ...
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Janson, Christer
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Farre, Ramon
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Calverley, Peter ...
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Dellaca, Raffael ...
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