Effect of telemonitoring on quality of life for patients with chronic obstructive pulmonary disease: A randomized controlled trial

Maria L. Køpfli, Sanne Børgesen, Michael Skov Jensen, Charlotte Hyldgaard*, Cathrine Bell, Frank D. Andersen

*Corresponding author for this work

    Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

    Abstract

    INTRODUCTION: Patients with chronic obstructive pulmonary disease (COPD) often experience severe physical limitations and psychological distress, which can lead to a deterioration in quality of life (QoL). Telemonitoring (TM) may improve QoL and reduce the number of hospitalizations and readmissions, but results from previous studies have been conflicting. The aim of this study was to assess the effect of TM on QoL in patients with moderate to severe COPD recruited during hospitalization for acute exacerbation (AECOPD). METHODS: We conducted a randomized controlled trial at Silkeborg and Viborg Regional Hospitals in Denmark. Participants were recruited during hospitalization for AECOPD and randomized to a six-month telemonitoring service in addition to standard COPD care or standard COPD care alone. Patients were followed for 24 months. QoL was measured by the Hospital Anxiety and Depression Scale (HADS), and St Georges Respiratory Questionnaire (SGRQ) at 3-, 6-, 12-, and 24-months follow-up. The main outcome was QoL at 6 months. RESULTS: In total, 101 patients were randomized to the TM intervention and 97 to standard care. The between-group difference in SGRQ at 6 months was -2.0 (-8.5; 4.5), in HADS-Anxiety -0.3 (-2.0; 1.4) and in HADS-depression 0.2 (-1.0; 1.4) corresponding to no significant difference in health-related QoL for patients receiving TM compared to standard care. No difference was seen at 12-24 months follow-up either. DISCUSSION: TM in addition to standard care did not improve QoL in patients with moderate to severe COPD. Other means of improving management and QoL in severe COPD are urgently needed.

    Original languageEnglish
    JournalChronic Respiratory Disease
    Volume20
    ISSN1479-9723
    DOIs
    Publication statusPublished - Jan 2023

    Keywords

    • Chronic obstructive pulmonary disease
    • quality of life
    • randomized controlled trial
    • surveys and questionnaires
    • telemedicine
    • Hospitals
    • Humans
    • Pulmonary Disease, Chronic Obstructive
    • Quality of Life
    • Surveys and Questionnaires
    • Hospitalization

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