Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-analysis

Author:

Polisena Julie1,Tran Khai1,Cimon Karen1,Hutton Brian1,McGill Sarah1,Palmer Krisan2,Scott Richard E3

Affiliation:

1. Canadian Agency for Drugs and Technologies in Health (CADTH), Ottawa

2. Atlantic Health Sciences Corporation, Saint John

3. Centre for Innovation in Health Technology, Faculty of Medicine, University of Calgary, Calgary, Canada

Abstract

We conducted a systematic review of the literature about home telehealth for chronic obstructive pulmonary disease (COPD) compared with usual care. An electronic literature search identified 6241 citations. From these, nine original studies (10 references) relating to 858 patients were selected for inclusion in the review. Four studies compared home telemonitoring with usual care, and six randomized controlled trials compared telephone support with usual care. Clinical heterogeneity was present in many of the outcomes measured. Home telehealth (home telemonitoring and telephone support) was found to reduce rates of hospitalization and emergency department visits, while findings for hospital bed days of care varied between studies. However, the mortality rate was greater in the telephone-support group compared with usual care (risk ratio = 1.21; 95% CI: 0.84 to 1.75). Home telehealth interventions were similar or better than usual care for quality of life and patient satisfaction outcomes.

Publisher

SAGE Publications

Subject

Health Informatics

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