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Can a telemonitoring system lead to decreased hospital admissions in elderly patients?
Region Östergötland, Regionstyrelsen, Enheten för forskningsstöd Ledningsstaben.
Linköpings universitet, Institutionen för medicinsk teknik, Avdelningen för medicinsk teknik. Linköpings universitet, Tekniska fakulteten.
The National Board of Health and Welfare, Department for Knowledge-Based Policy of Social Services, eHealth and Structured Information Unit, Stockholm, Sweden.
Region Östergötland, Centrum för kirurgi, ortopedi och cancervård, Lungmedicinska kliniken US.
Visa övriga samt affilieringar
2018 (Engelska)Konferensbidrag, Muntlig presentation med publicerat abstract (Refereegranskat)
Abstract [en]

Background: Populations of elderly patients with chronic obstructive pulmonary disease (COPD) or heart failure (HF) are growing. To prevent exacerbations leading to inpatient care, a 4 year (2013-2017) telehealth intervention non-randomized single-centre clinical study was performed. We hypothesized that the patients, grouped by advanced COPD or HF, would exhibit decreased need of hospital admissions.

Objective: To study hospital admissions in patients with COPD or HF using a telemonitoring system, the Health Diary.

Methods: A telemonitoring system, the Health Diary, based on digital pen technology, was employed. Patients with COPD or HF treated at the University Hospital in Linköping were included if they had at least 2 hospital admissions the previous year. Data on hospital admissions was obtained from the administrative healthcare database. Expected number of hospital admissions for the study year was calculated using 5-year data for a group of patients with matching diagnosis and history of hospital admissions and was compared to the actual value in the intervention group using Poisson regression.

Results: Together with the included patients, 159 HF and 136 COPD non-intervention patients was used to calculate the expected values for hospital admissions. For the 58 included HF patients, the average number of hospital admissions of 0.81 was 32.8 percent (p=0.04) lower than expected. For the 36 included COPD patients, the average number of hospital admissions of 1.44 was 37.0 percent (p=0.02) lower than expected.

Conclusions: Use of the telemonitoring system, the Health Diary, decreases hospital admissions in elderly with COPD and HF.

Ort, förlag, år, upplaga, sidor
2018.
Nationell ämneskategori
Lungmedicin och allergi
Identifikatorer
URN: urn:nbn:se:liu:diva-153784DOI: 10.1183/13993003.congress-2018.PA1998OAI: oai:DiVA.org:liu-153784DiVA, id: diva2:1277333
Konferens
ERS International Congress 2018, Paris, France, 15-19 September, 2018
Tillgänglig från: 2019-01-10 Skapad: 2019-01-10 Senast uppdaterad: 2019-01-17Bibliografiskt granskad

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Lyth, JohanLind, LeiliKarlsson, DanielPersson, Lennart HansWiréhn, Ann-Britt
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Enheten för forskningsstöd LedningsstabenAvdelningen för medicinsk teknikTekniska fakultetenLungmedicinska kliniken US
Lungmedicin och allergi

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