Telemonitoring and home hospitalization in patients with chronic obstructive pulmonary disease: study TELEPOC.
Expert Rev Respir Med
; 12(4): 335-343, 2018 04.
Article
en En
| MEDLINE
| ID: mdl-29460648
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a major consumer of healthcare resources, with most costs related to disease exacerbations. Telemonitoring of patients with COPD may help to reduce the number of exacerbations and/or the related costs. On the other hand, home hospitalization is a cost-saving alternative to inpatient hospitalization associated with increased comfort for patients. The results are reported regarding using telemonitoring and home hospitalization for the management of patients with COPD. METHODS: Twenty-eight patients monitored their health parameters at home for six months. A nurse remotely revised the collected parameters and followed the patients as programmed. A home care unit was dispatched to the patients' home if an alarm signal was detected. The outcomes were compared to historical data from the same patients. RESULTS: The number of COPD exacerbations during the study period did not reduce but the number of hospital admissions decreased by 60% and the number of emergency room visits by 38%. On average, costs related to utilization of healthcare resources were reduced by 1,860.80 per patient per year. CONCLUSIONS: Telemonitoring of patients with COPD combined with home hospitalization may allow for a reduction in healthcare costs, although its usefulness in preventing exacerbations is still unclear.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Costos de la Atención en Salud
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Telemedicina
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Enfermedad Pulmonar Obstructiva Crónica
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Servicios de Atención de Salud a Domicilio
Límite:
Aged
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Aged80
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Female
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Humans
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Male
Idioma:
En
Revista:
Expert Rev Respir Med
Año:
2018
Tipo del documento:
Article
País de afiliación:
España
Pais de publicación:
Reino Unido