Source: Annual Congress 2002 - Assessment of lung function, telemonitoring and quality of life
Disease area: Airway diseases

Abstract

BACKGROUND: Despite a resurgence of interest in telemedicine, some health care providers remain sceptical regarding its effectivness for the health care. Home telecare may have a role in assisting patients with respiratory failure. OBJECTIVE: Determining if there is any difference between monitoring in the patient's home-based telemedicine technology and that given by a traditional face-to-face encounters in a pulmonary medicine clinic (hospital admission or acute exacerbation of disease).
METHODS: A prospective study included 30 patients comparing the preceding 12 months and following 12 months of implementation of a monitoring telemedicine system on adults home respiratory care patients was carried out. The study included 30 patients(mean age = 73±] 7 years) with respiratory failure in long-term oxygen therapy. The patient's physiological data (heart rate, arterial oxygen saturation) were transmitted via modem two times a week to the health service provider.
RESULTS: Twenty-two subjects completed the study with a mean of hospital admissions of 2.25±] 0.9 before telemedicine vs.1.23±]0.9 during telemedicine and a mean of acute exacerbations of 1.69±]1.1 before telemedicine vs. 0.77±]0.5 during telemedicine. CONCLUSIONS: Evaluation of patients by telemedicine was more effective than the traditional mode. The number of hospital admissions and acute exacerbations during telemedicine monitoring decreased in comparison with previous period of clinical evaluation alone. Telemedicine can enable the provision of high-quality care in a pulmonary clinic setting for severe respiratory patients.

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C. Maiolo, T. Trequattrini, E. I. Mohamed, A. De Lorenzo, M. R. Sanfelice, M. Aquilini, G. Matteucci, C. M Fiorani (Rocca Priora, Rome, Italy). Effectiveness of a telemanagement system for home follow-up of severe respiratory patients - the Italian experience. Eur Respir J 2002; 20: Suppl. 38, 1001

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