scholarly journals In chronic obstructive pulmonary disease, home-based maintenance telerehabilitation reduced the risk of exacerbations, hospitalisations and emergency visits [commentary]

2018 ◽  
Vol 64 (1) ◽  
pp. 56
Author(s):  
Michael K Stickland
Author(s):  
Fernanda Dias ◽  
Malosa Luciana Maria Malosa Sampaio ◽  
Graziela Alves da Silva ◽  
Evelim LF Dantas Gomes ◽  
Eloisa Sanches Pereira do Nascimento ◽  
...  

2022 ◽  
Vol 10 (1) ◽  
pp. 353-360
Author(s):  
Filip Dosbaba ◽  
Martin Hartman ◽  
Ladislav Batalik ◽  
Kristian Brat ◽  
Marek Plutinsky ◽  
...  

2005 ◽  
Vol 11 (1_suppl) ◽  
pp. 86-88 ◽  
Author(s):  
Th Vontetsianos ◽  
P Giovas ◽  
Th Katsaras ◽  
A Rigopoulou ◽  
G Mpirmpa ◽  
...  

Eighteen well motivated patients with advanced chronic obstructive pulmonary disease, who had had at least four hospitalizations during the previous two years, were included in a home-based telemedicine study. A visiting nurse was equipped with a case containing a laptop computer and a number of medical devices, including an electrocardiogram recorder, spirometer, oximeter and blood pressure monitor. It also contained a videoconference camera, for realtime audiovisual connection with the hospital using the patient's TV set. A single ISDN line (128 kbit/s) was installed in each house before the study began. After nine months, there was a decrease in hospitalizations, emergency department visits and use of health services. The patient's disease knowledge and self-management also improved. It seems likely that adopting telemedicine in everyday clinical practice could substantially improve the care of chronically ill patients.


BMJ ◽  
2019 ◽  
pp. l2191 ◽  
Author(s):  
Caroline R Richardson ◽  
Barry Franklin ◽  
Marilyn L Moy ◽  
Elizabeth A Jackson

Abstract Much of the burden on healthcare systems is related to the management of chronic conditions such as cardiovascular disease and chronic obstructive pulmonary disease. Although conventional outpatient cardiopulmonary rehabilitation programs significantly decrease morbidity and mortality and improve function and health related quality of life for people with chronic diseases, rehabilitation programs are underused. Barriers to enrollment are multifactorial and include failure to recommend and refer patients to these services; poor communication with patients about potential benefits; and patient factors including logistical and financial barriers, comorbidities, and competing demands that make participation in facility based programs difficult. Recent advances in rehabilitation programs that involve remotely delivered technology could help deliver services to more people who might benefit. Problems with intensity, adherence, and safety of home based programs have been investigated in recent clinical trials, and larger dissemination and implementation trials are under way. This review summarizes the evidence for benefit of in-person cardiac and pulmonary rehabilitation programs. It also reviews the literature on newer developments, such as home based remotely mediated exercise programs developed to decrease cost and improve accessibility, high intensity interval training in cardiac rehabilitation, and alternative therapies such as tai chi and yoga for people with chronic obstructive pulmonary disease.


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