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Title: The evaluation of a remote support program on quality of life and evolution of disease in COPD patients with frequent exacerbations.
Authors: Alcazar, Bernardino
de Lucas, Pilar
Soriano, Joan B
Fernández-Nistal, Alonso
Fuster, Antonia
González-Moro, Jose Miguel Rodríguez
Arnedillo, Aurelio
Sidro, Patricia García
de Los Monteros, María José Espinosa
Keywords: Chronic obstructive pulmonary disease;Education;Exacerbations;Management;Quality of life
metadata.dc.subject.mesh: Aged
Disease Progression
Health Status
Logistic Models
Middle Aged
Multivariate Analysis
Patient Compliance
Patient Education as Topic
Program Evaluation
Prospective Studies
Pulmonary Disease, Chronic Obstructive
Quality of Life
Self Care
Severity of Illness Index
Surveys and Questionnaires
Issue Date: 8-Nov-2016
Abstract: Chronic obstructive pulmonary disease (COPD) patients often present considerable individual medical burden in their symptoms, limitations, and well-being that complicate medical treatment. To improve their overall health status, while reducing the number of exacerbations, a multidisciplinary approach including different elements of care is needed. The aim of this study was to evaluate the effects of a remote support program on COPD patients at high risk of experiencing worsening of their disease and other health-related outcomes. An observational, multicenter, prospective study aimed at evaluating the impact of a 7-month remote support program on COPD patients in exacerbations control and changes in health status measured with the COPD assessment test (CAT). Factors associated with a clinically relevant decrease in CAT were assessed using a logistic regression analysis. A total of 114 subjects started the program. The majority of the study population were males (81.6 %), retired (70.2 %), without academic qualifications or with a low level of education (68.4 %), and ex-smokers (79.8 %). The mean ± SD age was 69.6 ± 9.1 years and the BMI was 27.8 ± 5.5 Kg/m2. Overall, 41.9 % (95 % CI 31.9-52.0) patients, significantly improved health status (CAT decrease ≥ 2 points). Univariate analysis showed that significant improvement in CAT was associated with baseline CAT scores [high CAT score 19.2 (±7.5) vs. low CAT score 12.4 (±6.4); OR = 1.15, 95 % CI: 1.07-1.24; p  A remote support program for high-risk COPD patients results in an improvement of the patients' health status, particularly in those with initially poor health status, and it helps to reduce COPD exacerbations.
metadata.dc.identifier.doi: 10.1186/s12890-016-0304-3
Appears in Collections:Producción 2020

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