A Pre-post Intervention Study Evaluating Home-based Management of Patients With COPD or CAP

A Pre-post Intervention Study Evaluating Home-based Management of Patients With Chronic Obstructive Pulmonary Disease or Community Acquired Pneumonia

Risk of rehospitalization within 30 days of discharge is higher than 20% in patients with chronic obstructive pulmonary disease (COPD) and up to 20% for patients with community acquired pneumonia (CAP). This pre-post intervention study aims to quantify the impact of continuous remote patient monitoring (RPM) on rates of hospital readmission for patients presenting with CAP or exacerbation of COPD and compare the intervention group to historical controls that did not have access to the intervention. We hypothesize that an intervention combining remote patient monitoring with the remote clinical services and escalation pathways available at SSH (including the Mobile Integrated Health (MIH) program) will reduce hospital readmission within the 30 days following hospital discharge compared to standard of care in this population.

Inclusion Criteria:

• 21 years or older
• confirmed diagnosis of moderate-severe COPD or community acquired pneumonia
• attendance at South Shore Hospital with an exacerbation of COPD / CAP
• fit for discharge to home

Exclusion Criteria:

• suspicion of COVID-19 or confirmed COVID-19 positive
• life-threatening exacerbation requiring invasive ventilation or prolonged stay in critical care (> 24 hours)
• unable/unwilling to use Current Health
• bilateral axillary lymph node dissection
• persistent atrial fibrillation
• heavy tattooing on upper arms
• discharged to skilled nursing facility
• no access to home or mobile telephone