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The Health Diary Telemonitoring and Hospital-Based Home Care Improve Quality of Life Among Elderly Multimorbid COPD and Chronic Heart Failure Subjects
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Diagnostics and Specialist Medicine. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Respiratory Medicine. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Society and Health. Region Östergötland, Operations management Region Östergötland, Research and Development Unit.
Linköping University, Department of Biomedical Engineering, Division of Biomedical Engineering. Linköping University, Faculty of Science & Engineering.
2020 (English)In: The International Journal of Chronic Obstructive Pulmonary Disease, ISSN 1176-9106, E-ISSN 1178-2005, Vol. 15, p. 527-541Article in journal (Refereed) Published
Abstract [en]

Background: Elderly, multimorbid patients with advanced chronic obstructive pulmonary disease (COPD) and/or chronic heart failure (CHF) exhibit poor health-related quality of life (HRQoL). Telemonitoring, based on digital pen technology, supported by hospital-based home care (HBHC) significantly reduces the number of hospitalizations. We hypothesized that the same intervention would prevent the deterioration of HRQoL that follows upon disease progression. Methods: Elderly computer-illiterate subjects with amp;gt;= 2 hospitalizations the previous year were included. HRQoL was assessed at inclusion (baseline) and at 1, 6 and 12 months employing EuroQol-5 Dimensions (EQ-5D) and RAND-36 for general HRQoL, and Minnesota Living with Heart Failure Questionnaire (MLHFQ) and St. Georges Respiratory Questionnaire (SGRQ) for disease-specific HRQoL. Healthcare contacts, hospitalizations, as-needed medications, prescription changes and healthcare costs were registered. Results: Ninety-four patients were enrolled of which 53 subjects completed the 12-month study period. Compared to baseline, most domains of RAND-36 were improved significantly at 1 time-point or more. Only among COPD subjects, the disease-specific HRQoL was worsened at the 12 month evaluation. Measures of healthcare dependency were associated with poor HRQoL. Conclusion: The Health Diary system and HBHC together improve general HRQoL, and measures of healthcare dependency are associated with HRQoL variables.

Place, publisher, year, edition, pages
DOVE MEDICAL PRESS LTD , 2020. Vol. 15, p. 527-541
Keywords [en]
digital pen; exacerbation; home care services; hospital-based; hospitalization; multimorbidity; telemedicine; QoL
National Category
Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:liu:diva-164688DOI: 10.2147/COPD.S236192ISI: 000518767000001OAI: oai:DiVA.org:liu-164688DiVA, id: diva2:1417544
Note

Funding Agencies|county council of Ostergotland (Region Ostergotland); E-care@home: a "SIDUS -Strong Distributed Research Environment" project - Swedish Knowledge Foundation; European Regional Development Fund through the NovaMedTech venture; RISE Research Institutes of Sweden AB

Available from: 2020-03-29 Created: 2020-03-29 Last updated: 2020-04-21

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Persson, LennartLyth, JohanLind, Leili
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