Impact of a Home Telehealth Program After a Hospitalized COPD Exacerbation: A Propensity Score Analysis
Arch. bronconeumol. (Ed. impr.)
; 58(6): 474-481, jun. 2022. ilus, tab
Article
in English
| IBECS
| ID: ibc-206623
Responsible library:
ES1.1
Localization: ES15.1 - BNCS
ABSTRACT
Introduction:
Currently there is lack of data regarding the impact of a home telehealth program on readmissions and mortality rate after a COPD exacerbation-related hospitalization.Objective:
To demonstrate if a tele-monitoring system after a COPD exacerbation admission could have a favorable effect in 1-year readmissions and mortality in a real-world setting.Methods:
This is an observational study where we compared an intervention group of COPD patients treated after hospitalization that conveyed a telehealth program with a followance period of 1 year with a control group of patients evaluated during one year before the intervention began. A propensity-score analyses was developed to control for confounders. The main clinical outcome was 1-year all-cause mortality or COPD-related readmission.Results:
The analysis comprised 351 telemonitoring patients and 495 patients in the control group. The intervention resulted in less mortality or readmission after 12 months (35.2% vs. 45.2%; hazard ratio [HR] 0.71 [95% CI=0.560.91]; p=0.007). This benefit was maintained after the propensity score analysis (HR=0.66 [95% CI=0.510.84]). This benefit, which was seen from the first month of the study and during its whole duration, is maintained when mortality (HR=0.54; 95% CI=[0.360.82]) or readmission (subdistribution hazard ratio [SHR] 0.66; 95% CI=[0.500.86]) are analyzed separately.Conclusion:
Telemonitoring after a severe COPD exacerbation is associated with less mortality or readmissions at 12 months in a real world clinical setting. (AU)
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Patient Readmission
/
Telemedicine
/
Pulmonary Disease, Chronic Obstructive
Limits:
Adult
/
Aged
/
Humans
Language:
English
Journal:
Arch. bronconeumol. (Ed. impr.)
Year:
2022
Document type:
Article
Institution/Affiliation country:
Complejo Hospitalario Universitario de A Coruña (CHUAC)/Spain
/
Complejo Hospitalario Universitario de Santiago de Compostela (CHUS)/Spain
/
Hospital Universitario Lucus Augusti de Lugo/Spain
/
Hospital Álvaro Cunqueiro de Vigo/Spain
/
Servicio Galego de Saude (SERGAS)/Spain