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Preliminary results of a telemonitoring study: COPD and heart failure patients exhibit great difference in their need of health care
Linköping University, Department of Biomedical Engineering, Medical Informatics. Linköping University, Faculty of Science & Engineering. SICS East Swedish ICT, Linköping, Sweden.
Region Östergötland, Local Health Care Services in Central Östergötland, Department of Advanced Home Care in Linköping.
Region Östergötland, Local Health Care Services in Central Östergötland, Department of Advanced Home Care in Linköping.
Region Östergötland, Local Health Care Services in Central Östergötland, Department of Advanced Home Care in Linköping.
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2015 (English)In: European Respiratory Journal: Official Scientific Journal of ERS / [ed] Marc Humbert, European Respiratory Society , 2015, Vol. 46/suppl 59, PA2790-PA2790 p.Conference paper, Poster (Other academic)
Abstract [en]

Background: Growing populations of elderly patients with advanced stages of COPD or heart failure (HF) urge the need for specialized health care in the patients' home. A telemonitoring study has been initiated including patients using digital pens. Health care was provided by the specialized home care unit at a university hospital. Through an IT system the staff checked all daily patient reports. We hypothesized that the two groups of patients, advanced COPD or HF, would exhibit differences regarding exacerbations and the need of health care.

Objective: To study exacerbations of COPD or HF, and patient health care consumption.

Methods: A tele-monitoring system, the Health diary, which is based on digital pen technology, was employed. Exacerbations were identified using information provided through the telemonitoring system. Consumed health care was assessed as the number of patient contacts (home visits or telephone consultations).

Results: Presently, 33 patients with advanced disease are enrolled (13 COPD and 20 HF patients) of which 11 patients (6 COPD and 5 HF patients) have completed the 1-yr study period or have died during the study period (2 COPD and 4 HF patients). Exacerbations were 2.8 and 0.8 and patient contacts were 96 and 42 per COPD and HF patient, respectively. While HF patients were significantly older than COPD patients, the two groups demonstrated no difference regarding gender distribution and comorbidity.

Conclusions: COPD patients exhibit exacerbations more frequently and demand much more home health care than patients with HF do. It seems that this difference of health care consumption is mainly due to disease characteristics.

Place, publisher, year, edition, pages
European Respiratory Society , 2015. Vol. 46/suppl 59, PA2790-PA2790 p.
, The European Respiratory Journal, ISSN 0903-1936
National Category
Other Medical Engineering
URN: urn:nbn:se:liu:diva-128905DOI: 10.1183/13993003.congress-2015.PA2790OAI: diva2:933814
ERS International Congress, ERS2015, Amsterdam, Netherlands, 26-30 September 2015
Available from: 2016-06-07 Created: 2016-06-07 Last updated: 2016-06-21Bibliographically approved

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Lind, LeiliCarlgren, GunnarMudra, JacquelineSynnergren, HenrikHilding, NiclasKarlsson, danielWiréhn, Ann-BrittPersson, Hans Lennart
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Medical InformaticsFaculty of Science & EngineeringDepartment of Advanced Home Care in LinköpingDepartment of Medical and Health SciencesFaculty of Medicine and Health SciencesResearch & Development Unit in Local Health CareDivision of Cardiovascular MedicineDepartment of Respiratory Medicine
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