Home-based maintenance tele-rehabilitation reduces the risk for acute exacerbations of COPD, hospitalisations and emergency department visits.
Source: Vasilopoulou et al. 2017 - Pubmed ID: 28546268
Setting: Greece, Hospital
RCT – pro
Follow up: 14 months
Sample size:
Total: 150 (147)
IG -A: 47
IG-B: 50
CG: 50
Inclusion criteria:
- COPD with moderate to severe airflow obstruction.
Videoconsultation
- Exercise
Intervention:
Group A: Two months outpatient rehabilitation followed by 12 months telerehabilitation (144 sessions)
Group B:
Two months outpatient rehabilitation followed by training at the hospital twice weekly for 12 months (multidisciplinary maintenance rehabilitation programme). 96 sessions performed over 12 months.
Duration: 14 months
Add on: NA
Control group: Usual care
Clinical effect:
- Acute exacerbations
– A ↓
– B → - Hospitalizations for acute exacerbations:
– A↓
– B ↓ - Emergency Department visits for acute exacerbations
– A ↓
– B → - SGRQ
– A ↓
– B ↓(improved) - CAT
– A↓
– B ↓(improved) - mMRC
– A ↓
– B ↓ (improved) - Daily physical activity
– A ↑
– B↑
Patient safety: NA
Patient experience:
- Adherence: 93,5%
Staff experience: NA
Investment:
Equipment
- Measurements at home: MIR Spirodoc, Spirodoc®, Spiro+Oxi.
- Tablet to transfer data
- Pedometer
Running:
Staff resources
- Call centre
- Psychological support
- Physiotherapist
- Exercise scientist
- Dietician
- Physician
- Patient training
Organization: NA
Health care utilization:
- Hospitalizations for acute exacerbations
– A↓
– B ↓ - Emergency Department visits for acute exacerbations
– A ↓
– B →