Can a telemonitoring system lead to decreased hospital admissions in elderly patients?

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Fältnamn	Indikatorer	Metadata
000		03501naa a2200313 4500
001		oai:DiVA.org:liu-153784
003		SwePub
008		190110s2018 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1537842 URI
024	7	a https://doi.org/10.1183/13993003.congress-2018.PA19982 DOI
040		a (SwePub)liu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a kon2 swepub-publicationtype
100	1	a Lyth, Johan,d 1980-u Region Östergötland, Enheten för forskningsstöd4 aut0 (Swepub:liu)johly06
245	1 0	a Can a telemonitoring system lead to decreased hospital admissions in elderly patients?
264	1	c 2018
338		a print2 rdacarrier
520		a Background: Populations of elderly patients with chronic obstructive pulmonary disease (COPD) or heart failure (HF) are growing. To prevent exacerbations leading to inpatient care, a 4 year (2013-2017) telehealth intervention non-randomized single-centre clinical study was performed. We hypothesized that the patients, grouped by advanced COPD or HF, would exhibit decreased need of hospital admissions.Objective: To study hospital admissions in patients with COPD or HF using a telemonitoring system, the Health Diary.Methods: A telemonitoring system, the Health Diary, based on digital pen technology, was employed. Patients with COPD or HF treated at the University Hospital in Linköping were included if they had at least 2 hospital admissions the previous year. Data on hospital admissions was obtained from the administrative healthcare database. Expected number of hospital admissions for the study year was calculated using 5-year data for a group of patients with matching diagnosis and history of hospital admissions and was compared to the actual value in the intervention group using Poisson regression.Results: Together with the included patients, 159 HF and 136 COPD non-intervention patients was used to calculate the expected values for hospital admissions. For the 58 included HF patients, the average number of hospital admissions of 0.81 was 32.8 percent (p=0.04) lower than expected. For the 36 included COPD patients, the average number of hospital admissions of 1.44 was 37.0 percent (p=0.02) lower than expected.Conclusions: Use of the telemonitoring system, the Health Diary, decreases hospital admissions in elderly with COPD and HF.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Lungmedicin och allergi0 (SwePub)302192 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Respiratory Medicine and Allergy0 (SwePub)302192 hsv//eng
700	1	a Lind, Leili,d 1954-u Linköpings universitet,Avdelningen för medicinsk teknik,Tekniska fakulteten4 aut0 (Swepub:liu)leili06
700	1	a Karlsson, Daniel,d 1974-u The National Board of Health and Welfare, Department for Knowledge-Based Policy of Social Services, eHealth and Structured Information Unit, Stockholm, Sweden4 aut0 (Swepub:liu)mgdka97
700	1	a Persson, Lennart Hans,d 1961-u Region Östergötland, Lungmedicinska kliniken US4 aut0 (Swepub:liu)lenpe27
700	1	a Wiréhn, Ann-Britt,d 1960-u Region Östergötland, Enheten för forskningsstöd4 aut0 (Swepub:liu)annwi56
710	2	a Region Östergötland, Enheten för forskningsstödb Avdelningen för medicinsk teknik4 org
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-153784
856	4 8	u https://doi.org/10.1183/13993003.congress-2018.PA1998

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Av författaren/redakt...: Lyth, Johan, 198 ...; Lind, Leili, 195 ...; Karlsson, Daniel ...; Persson, Lennart ...; Wiréhn, Ann-Brit ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Lungmedicin och ...

Av lärosätet: Linköpings universitet

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