The effect of real-time teleconsultations between hospital-based nurses and patients with severe COPD discharged after an exacerbation
Source: Sorknaes et al 2013 - Pubmed ID: 24227799
Setting: Denmark, Hospital
Study design:
RCT-pro
Follow up: 26 weeks after discharge
Patient group:
Sample size:
Total: 266 (242)
IG: 132 (121)
CG: 134 (121)
Relevant inclusion criteria:
- COPD
Type of technology:
Videoconsultations
Home monitoring
- Pulse
- Saturation
- Spirometry
Intervention:
Intervention: Daily teleconsultation for one week in addition to conventional treatment
Duration: 1 week
Add on: +
Control group: Conventional treatment
Clinical effect:
- Total hospital readmissions (COPD-related and non-COPD-related) per patient within 26 weeks of discharge →
- Mortality →
- Time to mortality→
- Time before first readmission →
- Hospital readmissions per patient→
- Hospital days per patient at 4, 8, 12 and 26 weeks after discharge→
Patient safety: NA
Patient experiences/
Staff experiences:
Patient experiences: NA
Investment:
Equipment
- Patient’s briefcase: a built-in computer including a web camera, microphone, a spirometer and a pulse oximeter
- Nurse’s equipment: a computer with a built-in web camera and microphone, an extra screen for reading patient measurements and a computer linked to the electronic medical records
Running
- Nurses for teleconsultations with patients 7 days a week between 08:00–15:00
- Installment of patient’s equipment by a technician
Organization: NA
Health care utilization:
- Total hospital readmissions (COPD-related and non-COPD-related) per patient within 26 weeks of discharge →
- Time before first readmission →
- Hospital readmissions per patient→
- Hospital days per patient at 4, 8, 12 and 26 weeks after discharge→