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Tele-monitoring intervention on COPD exacerbations

Georgios Kaltsakas1, Andriana I. Papaioannou2, Maroula Vasilopoulou3, Stavroula Spetsioti3, Sofia-Antiopi Gennimata1, Anastasios F. Palamidas1, Nikolaos Chynkiamis3, Eleni A. Kortianou1, Theodora Vasilogiannakopoulou3, Ioannis Vogiatzis3 and Nickolaos G. Koulouris1
11st 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, Athens, Greece

Tele-monitoring interventions are a 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, ambulatory COPD patients. Forty seven patients were assigned to home maintenance tele-rehabilitation (FEV1, %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 significant 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 unchanged (3.5?1.7).

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 (TELECARE: 11SYN_10_1438).

PDPI Lampung & Bengkulu. 03/04/17.

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