J Telemed Telecare - A pilot study of a mobile-phone-based home monitoring system to assist in remote interventions in cases of acute exacerbation of COPD.


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We conducted a six-month feasibility study of a mobile-phone-based home monitoring system, called M-COPD. Patients with a history of moderate Acute Exacerbation of COPD (AECOPD) were given a mobile phone to record major symptoms (dyspnoea, sputum colour and volume), minor symptoms (cough and wheezing) and vital signs. A care team remotely monitored the recorded data and provided clinical interventions. Eight patients (mean age 65 years) completed the trial. Ten acute exacerbations occurred during the trial and were successfully treated at home. Prior to the AECOPD episode, the combined score of the major symptoms increased significantly (P < 0.05). Following the intervention, it decreased significantly (P < 0.05) within two weeks and returned to the baseline. The score of the minor symptoms also increased significantly (P < 0.05), but the decrease following the intervention was not significant. There were significantly fewer hospital admissions during the trial, fewer ED presentations and fewer GP visits than in a six-month matched period in the preceding year. The results demonstrate the potential of home monitoring for analysing respiratory symptoms for early intervention of AECOPD.

Resumo Limpo

conduct sixmonth feasibl studi mobilephonebas home monitor system call mcopd patient histori moder acut exacerb copd aecopd given mobil phone record major symptom dyspnoea sputum colour volum minor symptom cough wheez vital sign care team remot monitor record data provid clinic intervent eight patient mean age year complet trial ten acut exacerb occur trial success treat home prior aecopd episod combin score major symptom increas signific p follow intervent decreas signific p within two week return baselin score minor symptom also increas signific p decreas follow intervent signific signific fewer hospit admiss trial fewer ed present fewer gp visit sixmonth match period preced year result demonstr potenti home monitor analys respiratori symptom earli intervent aecopd

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