Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Elderly patients with COPD require more health care than elderly heart failure patients do in a hospital-based home care setting
Linköping University, Department of Medical and Health Sciences, Division of Cardiovascular Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Respiratory Medicine.
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Operations management Region Östergötland, Research and Development Unit.
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Operations management Region Östergötland, Research and Development Unit.
Linköping University, Department of Biomedical Engineering, Division of Biomedical Engineering. Linköping University, Faculty of Science & Engineering.
2019 (English)In: The International Journal of Chronic Obstructive Pulmonary Disease, ISSN 1176-9106, E-ISSN 1178-2005, Vol. 14, p. 1569-1581Article in journal (Refereed) Published
Abstract [en]

Background: Elderly patients with advanced stages of COPD or chronic heart failure (CHF) often require hospitalization due to exacerbations. We hypothesized that telemonitoring supported by hospital-based home care (HBHC) would detect exacerbations early, thus, reducing the number of hospitalization. We also speculated that patients with advanced COPD or CHF would present differences regarding exacerbation frequency and the need of HBHC. Methods: The Health Diary system, based on digital pen technology, was employed. Patients aged amp;gt;= 65 years with amp;gt;= 2 hospitalizations the previous year were included. Exacerbations were categorized and treated as either COPD or CHF exacerbation by an experienced physician. All HBHC contacts (home visits or telephone consultations) were registered. Results: Ninety-four patients with advanced diseases were enrolled (36 COPD and 58 CHF subjects) of which 53 subjects (19 COPD and 34 CHF subjects) completed the 1-year study period. Death was the major reason for not finalizing the study. Compared to the 1-year prior inclusion, the intervention significantly reduced hospitalization. Although COPD subjects were younger with less comorbidity, exacerbations and HBHC contacts were significantly greater in this group. Conclusions: COPD subjects exhibit exacerbations more frequently, mainly due to disease characteristics, thus, demanding much more HBHC.

Place, publisher, year, edition, pages
DOVE MEDICAL PRESS LTD , 2019. Vol. 14, p. 1569-1581
Keywords [en]
home care services; hospital-based; telemedicine; digital pen; exacerbation; hospitalization
National Category
Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:liu:diva-159294DOI: 10.2147/COPD.S207621ISI: 000476826000001OAI: oai:DiVA.org:liu-159294DiVA, id: diva2:1341111
Note

Funding Agencies|county council of Ostergotland (Region Ostergotland); European Regional Development Fund through the NovaMedTech venture; RISE Research Institutes of Sweden AB

Available from: 2019-08-07 Created: 2019-08-07 Last updated: 2019-11-14

Open Access in DiVA

fulltext(1195 kB)5 downloads
File information
File name FULLTEXT01.pdfFile size 1195 kBChecksum SHA-512
44668147e0d91656abea2d59e35ce42212f077016963e9bd0a7ca35b2dd5b0ddc70fa1ee565d733e2e537a20a98a8e998519ff9368ffe414fc29704789f85a77
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Persson, LennartLyth, JohanWiréhn, Ann-BrittLind, Leili
By organisation
Division of Cardiovascular MedicineFaculty of Medicine and Health SciencesDepartment of Respiratory MedicineDivision of Health Care AnalysisResearch and Development UnitDivision of Biomedical EngineeringFaculty of Science & Engineering
In the same journal
The International Journal of Chronic Obstructive Pulmonary Disease
Respiratory Medicine and Allergy

Search outside of DiVA

GoogleGoogle Scholar
Total: 5 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 98 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf