Effect of tele health care on exacerbations and hospital admissions in patients with chronic obstructive pulmonary disease: a randomized clinical trial.
Source: Ringbæk et al. 2015 - Pubmed ID: 26366072
Setting: Denmark, Hospital
Study design:
RCT-pro
Follow up: 6 months
Patient group:
Sample size:
Total: 281(NA)
IG: 141(NA)
CG: 140(NA)
Relevant inclusion criteria:
- Severe and very severe COPD at high risk of exacerbations
Type of technology:
Videoconsultations
Home monitoring
- Spirometry
- Pulse
- Weight
Intervention:
Intervention:
- Measurements (3 x week) for the first 4 weeks and afterward once weekly
- Video consultation with spirometry 1 x week during the first 4 weeks of the study period, then once monthly
- Patients were free to perform additional measurements at any time or phone the call center during opening hours
- Unscheduled video consultation could be arranged if necessary
- Patients were not seen in outpatient clinics only by TM nurse.
Duration: 6 months
Add on: +
Control group:
- Patients on LTOT: Managed by respiratory nurses at home or in the outpatient clinic
- Other patients: Outpatient clinics 1-2 a year and for unscheduled visits as required.
Clinical effect:
- Number of hospital admissions for exacerbation of COPD during the 6 month study period→
- Number of all-cause hospital admissions→
- Number of exacerbations in COPD requiring treatment but not admission to hospital ↑(improved)
Patient safety: NA
Patient experiences/
Staff experiences:
Patient experiences: NA
Investment:
- Tablet computer with web camera
- Microphone
- Spirometer
- Pulse oximeter
- Bathroom scale
Running:
- Call center at patient’s local hospital 6 hours a day staffed by a specially trained respiratory nurse
Health care utilization:
- Number of hospital admissions for exacerbation of COPD during the 6 month study period→
- Number of all-cause hospital admissions→
- Number of exacerbations in COPD requiring treatment but not admission to hospital ↑(improved)
Organization: NA