Publicaciones científicas
A multicentre, randomized controlled trial of telehealth for the management of COPD
Soriano JB (1), García-Río F (2), Vázquez-Espinosa E (3), Conforto JI (4), Hernando-Sanz A (5), López-Yepes L (6), Galera-Martínez R (7), Peces-Barba G (8), Gotera-Rivera CM (9), Pérez-Warnisher MT (10), Segrelles-Calvo G (11), Zamarro C (12), González-Ponce P (13), Ramos MI (14), Jafri S (15), Ancochea J (16).
BACKGROUND:
Evidence is needed to determine the role of telehealth (TH) in COPD management.
METHODS:
PROMETE II was a multicentre, randomized, 12-month trial. Severe COPD patients in stable condition were randomized to a specific monitoring protocol with TH or routine clinical practice (RCP). The primary objective was to reduce the number of COPD exacerbations leading to ER visits/hospital admissions between groups.
RESULTS:
Overall, 237 COPD patients were screened, and 229 (96.6%) were randomized to TH (n = 115) or RCP (n = 114), with age of 71 ± 8 years and 80% were men. Overall, 169 completed the full follow-up period. There were no statistical differences at one year between groups in the proportion of participants who had a COPD exacerbation (60% in TH vs. 53.5% in RCP; p = 0.321). There was, however, a marked but non-significant trend towards a shorter duration of hospitalization and days in ICU in the TH group (18.9 ± 16.0 and 6.0 ± 4.6 days) compared to the RCP group (22.4 ± 19.5 and 13.3 ± 11.1 days). The number of all-cause deaths was comparable between groups (12 in TH vs. 13 in RCP) as was total resource utilization cost (7912€ in TH vs. 8918€ in RCP). Telehealth was evaluated highly positively by patients and doctors.
CONCLUSIONS:
Remote patient management did not reduce COPD-related ER visits or hospital admissions compared to RCP within 12 months.
CITA DEL ARTÍCULO Respir Med. 2018 Nov;144:74-81. doi: 10.1016/j.rmed.2018.10.008.
Nuestros autores
