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.
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.
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.
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.