Evidence map›Paper›PMID 26366072›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease2015

Effect of tele health care on exacerbations and hospital admissions in patients with chronic obstructive pulmonary disease: a randomized clinical trial.

Thomas Ringbæk, Allan Green, Lars Christian Laursen, Ejvind Frausing, Eva Brøndum, Charlotte Suppli Ulrik

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International journal of chronic obstructive pulmonary disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 9 pooled it
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 9 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
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  7. A Systematic Review and Meta-Analysis of Telemonitoring Interventions on Severe COPD Exacerbations.International journal of environmental research and public health · 2021
    Pooled it
  8. Chronic Obstructive Pulmonary Disease Patients' Acceptance in E-Health Clinical Trials.International journal of environmental research and public health · 2021
    Pooled it
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  13. Effect of tele-health care on quality of life in patients with severe COPD: a randomized clinical trial.International journal of chronic obstructive pulmonary disease · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Thomas RingbækDepartment of Pulmonary Medicine, Hvidovre Hospital, Hvidovre, Denmark ; Institute of Clinical Medicine, University of Copenhagen, Herlev, Denmark.
Allan GreenDepartment of Pulmonary Medicine, Hvidovre Hospital, Hvidovre, Denmark.
Lars Christian LaursenInstitute of Clinical Medicine, University of Copenhagen, Herlev, Denmark ; Pulmonary Unit, Department of Internal Medicine, Herlev Hospital, Herlev, Denmark.
Ejvind FrausingDepartment of Pulmonary Medicine, Hvidovre Hospital, Hvidovre, Denmark.
Eva BrøndumDepartment of Pulmonary Medicine, Hvidovre Hospital, Hvidovre, Denmark.
Charlotte Suppli UlrikDepartment of Pulmonary Medicine, Hvidovre Hospital, Hvidovre, Denmark ; Institute of Clinical Medicine, University of Copenhagen, Herlev, Denmark.
Hvidovre Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveTele monitoring (TM) of patients with chronic obstructive pulmonary disease (COPD) has gained much interest, but studies have produced conflicting results. Our aim was to investigate the effect of TM with the option of video consultations on exacerbations and hospital admissions in patients with severe COPD. MATERIALS AND

methodsPatients with severe COPD at high risk of exacerbations were eligible for the study. Of 560 eligible patients identified, 279 (50%) declined to participate. The remaining patients were equally randomized to either TM (n=141) or usual care (n=140) for the 6-month study period. TM comprised recording of symptoms, saturation, spirometry, and weekly video consultations. Algorithms generated alerts if readings breached thresholds. Both groups received standard care. The primary outcome was number of hospital admissions for exacerbation of COPD during the study period.

resultsMost of the enrolled patients had severe COPD (forced expiratory volume in 1 second <50%pred in 86% and ≥hospital admission for COPD in the year prior to enrollment in 45%, respectively, of the patients). No difference in drop-out rate and mortality was found between the groups. With regard to the primary outcome, no significant difference was found in hospital admissions for COPD between the groups (P=0.74), and likewise, no difference was found in time to first admission or all-cause hospital admissions. Compared with the control group, TM group patients had more moderate exacerbations (ie, treated with antibiotics/corticosteroid, but not requiring hospital admission; P<0.001), whereas the control group had more visits to outpatient clinics (P<0.001).

conclusionOur study of patients with severe COPD showed that TM including video consultations as add-on to standard care did not reduce hospital admissions for exacerbated COPD, but TM may be an alternative to visits at respiratory outpatient clinics. Further studies are needed to establish the optimal role of TM in the management of severe COPD.

Indexed as

Patient AdmissionTelemetryAgedAlgorithmsAmbulatory CareAnthropometryAnti-Bacterial AgentsBody WeightDenmarkDisease ProgressionEmergency Service, HospitalFemaleForced Expiratory VolumeHumansLungMaleAnti-Bacterial AgentsSteroidsadmissionsCOPDexacerbationstele health carevideo consultations

Identifiers

PMID26366072
PMCPMC4562759
OpenAlexW2141960366

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.