intervention on COPD exacerbations
Georgios Kaltsakas1, Andriana I.
Gennimata1, Anastasios F.
Chynkiamis3, Eleni A.
Vogiatzis3 and Nickolaos G.
Respiratory Medicine Department, ?Sotiria? Hospital
for Diseases of the Chest, National and Kapodistrian University of
Athens, Athens, Greece, 2Recovery
and Rehabilitation Department, Filoktitis Centre, Athens, Greece, 3Faculty
of Physical Education and Sport Sciences, National and Kapodistrian
University of Athens,
relatively new field in COPD research and management. Furthermore, the
effect of home tele-rehabilitation on COPD acute exacerbation (AECOPD)
has not been thoroughly studied. Therefore, we set out to investigate
whether a home tele-rehabilitation program would be as beneficial as an
outpatient maintenance rehabilitation program, in the context of AECOPD.
We studied 137 Caucasian,
COPD patients. Forty seven patients were assigned to home maintenance
%pred=50?22, mean?SD). Fifty patients were
assigned to twice weekly hospital-based maintenance rehabilitation (FEV1,
%pred=52?17). Forty COPD patients (FEV1,
%pred=52?21), were not assigned to any rehabilitation
program and served as controls. Tele-rehabilitation included home
exercise reconditioning, self-management techniques, dietary, and
psychological advice. Patients were followed up for 12 months.
At baseline there were no
differences amongst the tele-rehabilitation (3.3?3.1),
hospital-based rehabilitation (3.4?1.9), or control
(3.3?1.6), groups in terms of AECOPD. After 12 months,
AECOPD in the group of home tele-rehabilitation were significantly
reduced to 1.7?1.7. In the group of hospital-based
rehabilitation AECOPD were also significantly reduced to
1.8?1.4. In contrast, in the control group AECOPD remained
In conclusion, ongoing home
tele-rehabilitation with the use of tele-monitoring could significantly
reduce AECOPD and seems to be as beneficial as an outpatient
hospital-based maintenance rehabilitation program in the context of
AECOPD. This work was co-financed by Greece and the European Union