Effect of tele-health care on quality of life in patients with severe COPD: a randomized clinical trial.
Source: Tupper et al., 2018 - Pubmed ID: 30214183
Setting: Denmark, Hospital
RCT
Follow-up: 6 months
Sample size:
Total: 281
IG: 141
CG: 140
Relevant inclusion criteria:
- Severe and very severe COPD at high risk of exacerbations
Video consultations
Home monitoring
- Spirometry
- Pulse
- Weight
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:
- HRQoL (15D)↑
- COPD Assesment test (CAT)→
Patient safety: NA
Patient experience: NA
Staff experience: NA
Investment:
- Tablet computer with web camera
- A 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: NA