Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-analysis
Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-analysis
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DOI：
10.1258/jtt.2009.090812
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发表时间：
2010-01-01
影响因子：
4.7
通讯作者：
Scottt, Richard E.
中科院分区：
文献类型：
--
作者：
Polisena, Julie;Tran, Khai;Scottt, Richard E.
我们对慢性阻塞性肺疾病（COPD）家庭远程医疗与常规护理的文献进行了系统回顾。电子文献检索识别出6241篇引文。从这些研究中，选择了涉及858例患者的9项原始研究（10篇参考文献）纳入综述。四项研究比较了家庭远程监护与常规护理，六项随机对照试验比较了电话支持与常规护理。临床异质性存在于许多测量的结果中。家庭远程医疗（家庭远程监护和电话支持）被发现可以降低住院率和急诊就诊率，而医院病床护理天数的研究结果在研究之间存在差异。然而，电话支持组的死亡率高于常规护理组（风险比= 1.21; 95%CI：0.84 - 1.75）。家庭远程保健干预措施在生活质量和患者满意度方面与常规护理相似或更好。
We conducted a systematic review of the literature about home telehealth for chronic obstructive pulmonary disease (COPD) compared with usual care. An electronic literature search identified 6241 citations. From these, nine original studies (10 references) relating to 858 patients were selected for inclusion in the review. Four studies compared home telemonitoring with usual care, and six randomized controlled trials compared telephone support with usual care. Clinical heterogeneity was present in many of the outcomes measured. Home telehealth (home telemonitoring and telephone support) was found to reduce rates of hospitalization and emergency department visits, while findings for hospital bed days of care varied between studies. However, the mortality rate was greater in the telephone-support group compared with usual care (risk ratio = 1.21; 95% CI: 0.84 to 1.75). Home telehealth interventions were similar or better than usual care for quality of life and patient satisfaction outcomes.