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    Telehealth Remote Monitoring for Community-Dwelling Older Adults with Chronic Obstructive Pulmonary Disease

    197039_197039.pdf (485.4Kb)
    Access Status
    Open access
    Authors
    De San Miguel, Kristen
    Smith, Joanna
    Lewin, Gill
    Date
    2013
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    De San Miguel, Kristen and Smith, Joanna and Lewin, Gill. 2013. Telehealth Remote Monitoring for Community-Dwelling Older Adults with Chronic Obstructive Pulmonary Disease. Telemedicine and e-Health. 19 (9): pp. 652-657.
    Source Title
    Telemedicine and e-Health
    DOI
    10.1089/tmj.2012.0244
    ISSN
    1530-5627
    Remarks

    This is a copy of an article published in Telemedicine and e-Health © 2013 (copyright Mary Ann Liebert, Inc.); Telemedicine and e-Health is available online at: http://online.liebertpub.com

    URI
    http://hdl.handle.net/20.500.11937/14781
    Collection
    • Curtin Research Publications
    Abstract

    Objective: To determine if self-monitoring via home-based telehealth equipment could, when combined with ongoing remote monitoring by a nurse, reduce the incidence of hospitalizations and emergency department (ED) presentations for people with chronic obstructive pulmonary disease (COPD). Subjects and Methods: A randomized controlled trial was used to compare the outcomes for participants receiving the telehealth equipment and monitoring with those for participants in an information-only control group, over a period of 6 months. Participants receiving the telehealth intervention were taught to measure and record their vital signs (blood pressure, weight, temperature, pulse, and oxygen saturation levels) on a daily basis. These were then transmitted automatically via telephone to a secure Web site where they were monitored each day by the telehealth nurse. Results: The telehealth group had fewer ED presentations and hospital admissions and a reduced length of stay in comparison with the control group. These results were not statistically significant. However, the reduction in health service use was large enough to result in significant cost savings, with the annual cost savings of the telehealth group compared with the control group being $2,931 per person. Conclusions: Telehealth monitoring of patient vital signs reduced health service utilization for individuals with COPD and resulted in significant cost savings. In terms of individual health benefits, improvements in participants' self-management behaviors and control over their condition was evident.

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