Effects of Real-time Telemedicine Consultations between Hospital-based Nurses and Patients with Severe COPD discharged after Exacerbation Admissions

Anne Dichmann Sorknæs, Peder Jest, Mickael Bech, Finn Olesen, Lise Hounsgaard, Birte Østergaard

    Research output: Contribution to conference without publisher/journalPosterResearch

    Abstract

    Introduction: Hospitalisation with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) causes a major burden for the COPD patients and is a common cause for admissions and readmissions to medical wards.
    Objectives: To investigate the effect of one week of daily real-time telemedicine video consultations (teleconsultation) between hospital-based nurses specialised in respiratory diseases (telenurses) and patients with severe COPD discharged after AECOPD in addition to conventional treatment compared to the effect of conventional treatment.
    Methods: Patients admitted with AECOPD at two different locations were recruited at hospital discharge and randomly assigned (1:1) to either daily teleconsultation for one week in addition to conventional treatment, the TVC group or to conventional treatment, the CT group. The telemedicine equipment consisted of a briefcase with built-in computer including a web camera, microphone and measurement equipment.
    Primary outcome: consisted of the total number of readmissions within 26 weeks after discharge.
    Results: A total of 266 patients (mean age 71.5 years, SD 9.5 years) were allocated to either TVC (n=132) or CT (n=134). No significant difference was noted between the groups (p = 0.62).
    Conclusion: In conclusion, addition of one week of teleconsultations between hospital-based telenurses and patients with severe COPD discharged after hospitalisation with AECOPD was as safe and effective as conventional treatment, but it did not significantly reduce readmissions or affect mortality.
    Original languageEnglish
    Publication date8. Sep 2013
    Publication statusPublished - 8. Sep 2013
    EventERS Annual Congress 2013 - The Congress Centre, Barcelona, Spain
    Duration: 7. Sep 201311. Oct 2013
    Conference number: ERS2013/6624

    Conference

    ConferenceERS Annual Congress 2013
    NumberERS2013/6624
    LocationThe Congress Centre
    Country/TerritorySpain
    CityBarcelona
    Period07/09/201311/10/2013

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