A multicentre, randomized controlled trial of telehealth for the management of COPD
Open accessAbstract
Background Evidence is needed to determine the role of telehealth (TH) in COPD management.Methods PROMETE II was a multicentre, randomized, 12-month trial. Severe COPD patients in stable condition were randomized to a specific monitoring protocol with TH or routine clinical practice (RCP). The primary objective was to reduce the number of COPD exacerbations leading to ER visits/hospital admissions between groups.Results Overall, 237 COPD patients were screened, and 229 (96.6%) were randomized to TH (n = 115) or RCP (n = 114), with age of 71 ± 8 years and 80% were men. Overall, 169 completed the full follow-up period. There were no statistical differences at one year between groups in the proportion of participants who had a COPD exacerbation (60% in TH vs. 53.5% in RCP; p = 0.321). There was, however, a marked but non-significant trend towards a shorter duration of hospitalization and days in ICU in the TH group (18.9 ± 16.0 and 6.0 ± 4.6 days) compared to the RCP group (22.4 ± 19.5 and 13.3 ± 11.1 days). The number of all-cause deaths was comparable between groups (12 in TH vs. 13 in RCP) as was total resource utilization cost (7912€ in TH vs. 8918€ in RCP). Telehealth was evaluated highly positively by patients and doctors.Conclusions Remote patient management did not reduce COPD-related ER visits or hospital admissions compared to RCP within 12 months.
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The large heterogeneity found in the present review is not unusually large when compared with similar reviews.
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From The Effectiveness of Telemedicine Solutions for the Management of Type 2 Diabetes: A Systematic Review, Meta-Analysis, and Meta-Regression (2023) · cites this paper as [286]
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- Authors
- Soriano, J. B., García-Río, F., Vázquez-Espinosa, E., Conforto, J. I., Hernando-Sanz, A., López-Yepes, L., Galera-Martínez, R., Peces-Barba, G., Gotera-Rivera, C. M., Pérez-Warnisher, M. T., Segrelles-Calvo, G., Zamarro, C., González-Ponce, P., Ramos, M. I., Jafri, S., & Ancochea, J.
- Affiliations
- Hospital Universitario de La Princesa (ES)
- Hospital Universitario 12 De Octubre (ES)
- Hospital Universitario La Paz (ES)
- Hospital Universitario Rey Juan Carlos (ES)
- Linde (Germany) (DE)
- Corresponding author
- Soriano, Joan B.
- Vázquez-Espinosa, Emma
- Conforto, Jose Ignacio
- Hernando-Sanz, Ascensión
- Galera-Martínez, Raúl
- Ramos, M. Inmaculata
- Jafri, Syed
- Ancochea, Julio
- ORCID
- Venue
- Respiratory Medicine
- Publisher
- Elsevier BV
- Published
- 2018-11
- Volume
- 144
- Pages
- 74-81
- ISSN
- 0954-6111 (ISSN-L)
- OpenAlex
- W2898071577
- Cited by
- 59
- References
- 26
- Citations by year
- 2026: 9 · 2025: 7 · 2024: 6 · 2023: 11 · 2022: 11 · 2021: 11 · 2020: 3 · 2019: 1
- FWCI
- 2.86
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Respiratory Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fundación Teófilo Hernando
- Universidad Autónoma de Madrid
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Keywords
- telemedicine, chronic obstructive pulmonary disease, COPD exacerbations, remote patient monitoring, hospitalization, emergency department visits, length of hospital stay, all-cause mortality, healthcare resource utilization, patient satisfaction
- MeSH terms
- Aged, Aged, 80 and over, Ambulatory Care, Cause of Death, Emergency Service, Hospital, Female, Follow-Up Studies, Health Resources, Humans, Length of Stay, Male, Middle Aged, Patient Acceptance of Health Care, Severity of Illness Index, Time Factors, Health Care Costs, Telemedicine, Disease Progression, Pulmonary Disease, Chronic Obstructive
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