Key result
Long-term telerehabilitation for COPD patients at home was feasible, with 100% retention after one year and a 27% reduction in COPD-related hospital costs.
Why the study?
Does a long-term telerehabilitation service improve feasibility and reduce healthcare utilization in patients with moderate or severe COPD?
Observational (n=10)
Does a long-term telerehabilitation service improve feasibility and reduce healthcare utilization in patients with moderate or severe COPD?
Long-term telerehabilitation at home is feasible for patients with moderate or severe COPD and may reduce healthcare utilization.
This is the authors' abstract. We don't add key points for this paper.
We investigated the feasibility of a long-term telerehabilitation service for COPD patients comprising exercise training at home, telemonitoring and education/self-management. The service was offered as a 2-year follow-up programme by a physiotherapist. Equipment included a treadmill, a pulse oximeter and a tablet computer. Participants had weekly videoconference sessions with the physiotherapist. A website was used to access a training programme and to fill in a daily diary and a training diary. Ten patients with moderate or severe COPD participated in a pilot study in Northern Norway. After more than one year, all participants were still participating actively and no drop-outs had occurred. On average, there were 2.0 training sessions/week, 3.3 measurements/week registered via the website and 0.5 videoconference contacts/week. There was a reduction of 27% in the COPD-related hospital costs. Feedback from the participants was very positive. Long-term telerehabilitation of COPD patients at home is feasible and interim results suggest that it reduces healthcare utilization.
Supports home telerehabilitation feasibility in moderate-severe COPD; leaves open confirmation of cost reductions in randomized trials.
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Zanaboni et al. (2013) conducted an observational in COPD (n=10). Long-term telerehabilitation was evaluated on Feasibility and healthcare utilization. Long-term telerehabilitation for COPD patients at home was feasible, with 100% retention after one year and a 27% reduction in COPD-related hospital costs.
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