Telemonitoring in chronic obstructive airway disease and adult patients with cystic fibrosis
Telemonitoring in chronic obstructive airway disease and adult patients with cystic fibrosis
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DOI：
10.1258/jtt.2010.100309
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发表时间：
2011-01-01
影响因子：
4.7
通讯作者：
Sund, Zoe M.
中科院分区：
文献类型：
--
作者：
Jarad, Nabil A.;Sund, Zoe M.
我们比较了远程监护在慢性阻塞性肺疾病（COPD）患者和囊性纤维化（CF）成人患者中的应用。70例患者（51例CF和19例COPD）入组了两项为期6个月的研究。患者使用连接到肺量计的个人数据助理（PDA）对症状进行评分，并进行每日肺功能测定。预先定义COPD和CF急性加重的诊断标准。当检测到病情加重时，根据预先设计的方案为患者提供治疗。32例（63%）CF患者和1例（5%）COPD患者因缺乏每日记录依从性而退出研究。对于那些留在研究中的患者，COPD患者记录的研究天数（139）比CF患者（113）多，P = 0.03。研究期间检测到的COPD患者中位急性加重次数高于CF患者，但不显著。COPD组中器械检测到的急性加重的中位次数显著高于CF组，P = 0.024。与前一年的平行期相比，COPD急性加重住院的数量减少，而CF患者静脉注射抗生素的数量没有差异。COPD患者对远程监护的依从性远高于CF患者，结果似乎对COPD患者比CF患者更有利。
We compared the use of telemonitoring in patients with chronic obstructive pulmonary disease (COPD) and adult patients with cystic fibrosis (CF). Seventy patients (51 CF and 19 COPD) were enrolled in two studies of six months' duration. Patients used a personal data assistant (PDA) attached to a spirometer to score symptoms and to perform daily spirometry. Criteria for diagnosis of exacerbations of COPD and CF were pre-defined. When exacerbations were detected, patients were offered treatment according to a pre-designed protocol. Thirty-two (63%) CF patients and one (5%) COPD patient withdrew from the studies due to lack of adherence to daily recording. For those who remained in the study, COPD patients recorded more study days (139) than CF patients (113), P = 0.03. The median number of exacerbations detected during the study was greater in COPD than in CF patients, although this was not significant. The median number of device-detected exacerbations in the COPD group was significantly greater than in the CF group, P = 0.024. When compared to a parallel period in the previous year, the number of hospitalisations for COPD exacerbations was reduced, whereas the number of intravenous antibiotics in CF patients did not differ. Adherence to telemonitoring was much greater for COPD than CF patients and the results appear to be more favourable for COPD patients than for CF patients.