Source: International Congress 2016 – Non-inflammatory assessment of airway disorders
Disease area: Airway diseases

Abstract

Introduction:There is limited data regarding the impact of telemonitoring over the outcomes in COPD patients after hospital discharge.Methods:Prospective, cohort study in a tertiary hospital between 7/1/2013- 1/8/2015.Inclusion:1)age > 40 ,2)smoker/former,3)FEV1/FVC <70, and 4) diagnostic at admission of COPD acute exacerbation.Study groups: 1)TMON: patients with telemonitoring at discharge following a specific protocol from the United4Health(U4H) Project ;2) Control:usual care at discharge.Main outcome:% of patients readmitted at 30-day.Secondary outcomes:% patients readmitted at 90-day and time to readmission at 90-day. X² for categoric variables comparison among groups.Kaplan-Meier curves and log-rank for comparing time to readmission.Logistic regression and Cox proportional hazard ratio for multivariate analysis.Results:181 were analysed (TMON=61 [33.7%]).Less patients from TMON were readmitted at 30-days:4(6.6%) vs.29(24.2%);OR=0.22 (IQR: 0.07-0.66;p=0.007).TMON patients had less % of readmission at 90-days (18% vs. 43.3%; p<0.01).TMON patients had higher time to readmission at 90-days compared with controls ;HR:0.37 ;CI95%: 0.22-0.63;p<0.001



.After adjusting by age, gender,Charlson, FEV1,DECAF and nº admission previous year, all this differences remained significant.Conclusions: Compared with regular care, telemonitoring after discharge for COPD patients is related with better outcomes in terms of lower readmission.


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Pedro Jorge Marcos Rodriguez (A Coruña, Spain), Pedro Jorge Marcos Rodriguez, Irene Nieto Codesido, Alejandro Maiso, Marina Blanco-Aparicio, Isabel Otero-Gonzalez, Ana Souto-Alonso, Angelica Consuegra-Vanegas, Cristina Represas, Cristina Ramos-Hernandez, Alberto Fernandez-Villar, Carlos Zamarrón Sanz, Susana Fernandez-Nocelo, Blanca Cimadevila-Alvarez, Julio Garcia-Comesaña, Carmen Montero-Martinez. Impact of telemonitoring on readmissions in pacientes with COPD after hospital discharge. Eur Respir J 2016; 48: Suppl. 60, 1034

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