4.3 Article

Telemonitoring and home hospitalization in patients with chronic obstructive pulmonary disease: study TELEPOC

Journal

EXPERT REVIEW OF RESPIRATORY MEDICINE
Volume 12, Issue 4, Pages 335-343

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/17476348.2018.1442214

Keywords

COPD; hospital at home; home care units; home hospitalization; telemedicine; telemonitoring

Funding

  1. Torrejon public university hospital by Content Ed Net Communications S.L.

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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 Euro1,860.80 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.

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