dc.contributor.author | Saleh, Safaa | en_US |
dc.contributor.author | Larsen, Jan Petter | en_US |
dc.contributor.author | Bergsåker-Aspøy, Johannes | en_US |
dc.contributor.author | Grundt, Heidi | en_US |
dc.date.accessioned | 2015-02-20T09:42:38Z | |
dc.date.available | 2015-02-20T09:42:38Z | |
dc.date.issued | 2014-01-30 | eng |
dc.identifier.issn | 1828-695X | |
dc.identifier.uri | https://hdl.handle.net/1956/9412 | |
dc.description.abstract | Background: Chronic obstructive pulmonary disease (COPD) is a major cause of acute hospital admissions. The main object of our study was to evaluate the effects of telemedicine video-consultation (TVC) on the frequency of hospital re-admissions due to COPD exacerbations. Our secondary aim was to assess the impact of TVC on the length of re-admission stays within 6 and 12 months follow up after TVC. Patient satisfaction was also evaluated. Methods: The study was a retrospective observational study of COPD patients who after hospital discharge or during outpatient treatment for acute COPD exacerbations, were monitored for 2 weeks by TVC at home by a specialist nurse at the hospital during a pilot project period. Retrospectively, we compared the frequencies (chi-square test) and durations of hospital re-admissions (paired t-test) due to COPD exacerbations within 6 and 12 months follow up after TVC to comparable events 6 and 12 months prior to TVC. Results: Among 99 patients followed for 6 months after TVC, 56 were followed for totally 12 months. The number of patients re-admitted and the number of re-admissions due to COPD exacerbations were not reduced within 6 or 12 months post-TVC, as compared to 6 and 12 months pre-TVC. The mean length of re-admission stays within 12 months post-TVC was markedly reduced as compared to pre-TVC. Patients hospitalised the last 6 and 12 months pre-TVC, had significantly shorter re-admission stays, p = 0.033 and p = 0.001, respectively. Patient satisfaction was high. Conclusion: Despite the failure to demonstrate reduced frequency of re-admissions within 6 and 12 months post-TVC, the re-admission length within 12 months post-TVC was markedly reduced as compared to pre-TVC. The patient satisfaction was high. Future prospective, randomised, controlled trials must be performed before TVC can be recommended in COPD management. | en_US |
dc.language.iso | eng | eng |
dc.publisher | BioMed Central | eng |
dc.rights | Attribution CC BY | eng |
dc.rights.uri | http://creativecommons.org/licenses/by/2.0 | eng |
dc.subject | Chronic obstructive pulmonary disease (COPD) | eng |
dc.subject | Hospital re-admission | eng |
dc.subject | Length of hospital stay | eng |
dc.subject | Patient satisfaction | eng |
dc.subject | Telemedicine video consultation (TVC) | eng |
dc.title | Re-admissions to hospital and patient satisfaction among patients with chronic obstructive pulmonary disease after telemedicine video consultation - a retrospective pilot study | en_US |
dc.type | Peer reviewed | |
dc.type | Journal article | |
dc.date.updated | 2014-02-04T12:03:20Z | |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Safaa Saleh et al.; licensee BioMed Central Ltd. | |
dc.rights.holder | Copyright 2014 Saleh et al.; licensee BioMed Central Ltd. | |
dc.source.articlenumber | 6 | |
dc.identifier.doi | https://doi.org/10.1186/2049-6958-9-6 | |
dc.identifier.cristin | 1164080 | |
dc.source.journal | Multidisciplinary Respiratory Medicine | |
dc.source.40 | 9 | |