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| ID | Type | Description | Link |
|---|---|---|---|
| EC Grant Agreement 250487 | Other Grant/Funding Number | European Comission, Information Society and Media DG |
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| Name | Class |
|---|---|
| Fundació TicSalut | OTHER |
| Hospital Clinic of Barcelona | OTHER |
| Hospital de Mataró | OTHER |
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The purpose of this study is to assess the effects of a complex telemedicine intervention as a part of an integrated care program for patients with chronic obstructive pulmonary disease (COPD) discharged from the hospital after disease exacerbation. Will be evaluated whether the intervention produces benefits in terms of mortality, reduction in hospital readmissions and health-related quality of life. In addition, the trial evaluates the economical and organizational impact of the new service and examines its acceptability by patients and health professionals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Home telehealth | Experimental |
| |
| Usual care | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Home telehealth | Procedure | Patients receive tailored intervention according to their clinical complexity. All patients in the intervention group receive:
Patients with LOW complexity additionally receive:
Patients with HIGH complexity additionally receive:
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of hospital readmissions | 3 months period |
| Measure | Description | Time Frame |
|---|---|---|
| Health related quality of life of the patients as measured by the SF-36 v2 questionnaire | 3 months - at baseline and study end | |
| Hospital anxiety and depression scale HADS | 3 months - at baseline and study end |
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Inclusion Criteria:
Exclusion Criteria:
• Participation in a previous COPD home telehealth study
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| Name | Affiliation | Role |
|---|---|---|
| Josep Roca Torrent, MD | Pulmonary Department - Hospital Clinic of Barcelona | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Germans Trias i Pujol | Badalona | Catalonia | Spain | |||
| Capio Hospital Universitari Sagrat Cor |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16611656 | Background | Casas A, Troosters T, Garcia-Aymerich J, Roca J, Hernandez C, Alonso A, del Pozo F, de Toledo P, Anto JM, Rodriguez-Roisin R, Decramer M; members of the CHRONIC Project. Integrated care prevents hospitalisations for exacerbations in COPD patients. Eur Respir J. 2006 Jul;28(1):123-30. doi: 10.1183/09031936.06.00063205. Epub 2006 Apr 12. | |
| 16620167 |
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|
| Lung condition as measured by FEV1 | 3 months - at baseline and study end |
| Condition-related health status measured by COPD Assessment Test (CAT) | 3 months - at baseline and study end |
| Mortality | 3 months period |
| Patients' Acceptance-Satisfaction measured by the WSD Questionnaire | at the 3rd month of the telehealth intervention |
| Time in days to first readmission | 3 months period |
| Length of stay in days for each readmission | 3 months period |
| Number of emergency room visits | at the 3rd month (end of trial) |
| Barcelona |
| Catalonia |
| Spain |
| Hospital Clinic de Barcelona | Barcelona | Catalonia | Spain |
| Hospital del Mar | Barcelona | Catalonia | Spain |
| Hospital Plató | Barcelona | Catalonia | Spain |
| Hospital de Mataró | Mataró | Catalonia | Spain |
| Hospital Parc Taulí | Sabadell | Catalonia | Spain |
| Consorci Sanitari de Terrassa | Terrassa | Catalonia | Spain |
| Finkelstein SM, Speedie SM, Potthoff S. Home telehealth improves clinical outcomes at lower cost for home healthcare. Telemed J E Health. 2006 Apr;12(2):128-36. doi: 10.1089/tmj.2006.12.128. |
| 20197355 | Background | Polisena J, Tran K, Cimon K, Hutton B, McGill S, Palmer K, Scott RE. Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-analysis. J Telemed Telecare. 2010;16(3):120-7. doi: 10.1258/jtt.2009.090812. Epub 2010 Mar 2. |
| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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