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Multidisciplinary Respiratory Medicine
Published in:

Open Access 01-12-2017 | Review

Tele-medicine in respiratory diseases

Authors: Nicolino Ambrosino, Dewi Nurul Makhabah, Yusup Subagio Sutanto

Published in: Multidisciplinary Respiratory Medicine | Issue 1/2017

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Abstract

Information and Communication Technologies applied to health care and advances in sensor and data transmission technology allowed tele-medicine based programs of care also for patients with respiratory diseases.
Different sensors, transmission devices and interventions are used in tele-medicine for some indications. Patients suffering from Chronic Obstructive Pulmonary Disease, asthma, neuromuscular diseases, ventilator assisted individuals and those undergoing pulmonary rehabilitation programs may benefit from this approach.
The legal problems are still unsolved. Economic advantages for health care systems, though potentially high, are still poorly investigated.
Despite the hopes, we need more evidence before this modality can be considered as a real progress in the management of patients with respiratory diseases. On one hand, these technologies can improve the care of patients with difficult access to services, particularly those in rural/remote areas, on the other hand, there is the risk that they will be used only to reduce standard services in health systems of developed countries.
Literature
1.
Kontis V, Bennett JE, Mathers CD, Li G, Foreman K, Ezzati M. Future life expectancy in 35 industrialised countries: projections with a Bayesian model ensemble. Lancet. 2017. [Epub ahead of print].
2.
Keehan SP, Stone DA, Poisal JA. National health expenditure projections, 2016–25: price increases, aging push sector to 20 percent of economy. Health Aff (Millwood). 2017;36:553–63.CrossRef
3.
4.
Wiseman V, Mitton C, Doyle-Waters MM, Drake T, Conteh L, Newall AT, et al. Using economic evidence to set healthcare priorities in low-income and lower-middle-income countries: a systematic review of methodological frameworks. Health Econ. 2016;25(Suppl 1):140–61.CrossRefPubMedPubMedCentral
5.
Andreu-Perez J, Leff DR, Yang GZ. From wearable sensors to smart implants. Toward pervasive and personalized healthcare. IEEE Trans Biomed Eng. 2015;62:275–6.CrossRef
6.
Ambrosino N, Vitacca M, Dreher M, Isetta V, Montserrat JM, Tonia T, et al. Tele-monitoring of ventilator-dependent patients: a European Respiratory Society Statement. Eur Respir J. 2016;48:648–63.CrossRefPubMed
7.
Daniel H, Sulmasy LS, Health and Public Policy Committee of the American College of Physicians. Policy recommendations to guide the use of telemedicine in primary care settings: an American College of Physicians position paper. Ann Intern Med. 2015;163:787–9.CrossRefPubMed
8.
Wang Z, Yang Z, Dong T. A review of wearable technologies for elderly care that can accurately track indoor position, recognize physical activities and monitor vital signs in real time. Sensors (Basel). 2017;17(2).
9.
Liu WT, Huang CD, Wang CH, Lee KY, Lin SM, Kuo HP. A mobile telephone-based interactive self-care system improves asthma control. Eur Respir J. 2011;37:310–7.CrossRefPubMed
10.
Yardley L, Joseph J, Michie S, Weal M, Wills G, Little P. Evaluation of a Web-based intervention providing tailored advice for self-management of minor respiratory symptoms: exploratory randomized controlled trial. J Med Internet Res. 2010;12:e66.CrossRefPubMedPubMedCentral
11.
Zanaboni P, Hoaas H, Aarøen Lien L, Hjalmarsen A, Wootton R. Long-term exercise maintenance in COPD via telerehabilitation: a two-year pilot study. J Telemed Telecare. 2017;23:74–82.CrossRefPubMed
12.
Vasilopoulou M, Papaioannou AI, Kaltsakas G, Louvaris Z, Chynkiamis N, Spetsioti S, et al. Home-based maintenance tele-rehabilitation reduces the risk for acute exacerbations of COPD hospitalizations and emergency department visits. Eur Respir J. 2017. in press.
13.
14.
Vagheggini G, Mazzoleni S, Ambrosino N. Tele-assistance in pulmonary diseases: current status and open issues. SOB. 2013;2:80–3.
15.
16.
Lundell S, Holmner A, Rehn B, Nyberg A, Wadell K. Telehealthcare in COPD: a systematic review and meta-analysis on physical outcomes and dyspnea. Respir Med. 2015;109:11–26.CrossRefPubMed
17.
Burgos F, Disdier C, de Santamaria EL, Galdiz B, Roger N, Rivera ML, et al. Telemedicine enhances quality of forced spirometry in primary care. Eur Respir J. 2012;39:1313–8.CrossRefPubMed
18.
Segrelles Calvo G, Gomez-Suarez C, Soriano JB, Zamora E, Gónzalez-Gamarra A, González-Béjar M, et al. A home telehealth program for patients with severe COPD: The PROMETE study. Respir Med. 2014;108:453–62.CrossRefPubMed
19.
Vitacca M, Bianchi L, Guerra A, Fracchia C, Spanevello A, Balbi B, et al. Tele-assistance in chronic respiratory failure patients: a randomised clinical trial. Eur Respir J. 2009;33:411–8.CrossRefPubMed
20.
Vitacca M, Paneroni M, Grossetti F, Ambrosino N. Is there any additional effect of tele-assistance on long-term care programmes in hypercapnic COPD patients? A retrospective study. COPD. 2016;13:576–82.CrossRefPubMed
21.
Shany T, Hession M, Pryce D, Roberts M, Basilakis J, Redmond S, et al. A small-scale randomised controlled trial of home telemonitoring in patients with severe chronic obstructive pulmonary disease. J Telemed Telecare. 2016. [Epub ahead of print].
22.
Henderson C, Knapp M, Fernández JL, Beecham J, Hirani SP, Cartwright M, et al. Cost effectiveness of telehealth for patients with long term conditions (Whole Systems Demonstrator telehealth questionnaire study): nested economic evaluation in a pragmatic, cluster randomised controlled trial. BMJ. 2013;346:f1035.CrossRefPubMed
23.
Chatwin M, Hawkins G, Panicchia L, Woods A, Hanak A, Lucas R, et al. Randomised crossover trial of telemonitoring in chronic respiratory patients (TeleCRAFT trial). Thorax. 2016;71:305–11.CrossRefPubMedPubMedCentral
24.
Jayakody A, Bryant J, Carey M, Hobden B, Dodd N, Sanson-Fisher R. Effectiveness of interventions utilising telephone follow up in reducing hospital readmission within 30 days for individuals with chronic disease: a systematic review. BMC Health Serv Res. 2016;16:403.CrossRefPubMedPubMedCentral
25.
Gregersen TL, Green A, Frausing E, Rinbaek T, Brondum E, Suppli UC. Do telemedical interventions improve quality of life in patients with COPD? A systematic review. Int J COPD. 2016;11:809–22.
26.
Sicotte C, Pare G, Morin S, Potvin J, Moreault MP. Effects of home telemonitoring to support improved care for chronic obstructive pulmonary diseases. Telemed J E Health. 2011;17:95–103.CrossRefPubMed
27.
McLean G, Murray E, Band R, Moffat KR, Hanlon P, Bruton A, et al. Interactive digital interventions to promote self-management in adults with asthma: systematic review and meta-analysis. BMC Pulm Med. 2016;16:83.CrossRefPubMedPubMedCentral
28.
29.
Hui CY, Walton R, McKinstry B, Jackson T, Parker R, Pinnock H. The use of mobile applications to support self-management for people with asthma: a systematic review of controlled studies to identify features associated with clinical effectiveness and adherence. J Am Med Inform Assoc. 2016. doi: 10.​1093/​jamia/​ocw143. [Epub ahead of print].
30.
Garuti G, Bagatti S, Verucchi E, Massobrio M, Spagnolatti L, Vezzani G, et al. Pulmonary rehabilitation at home guided by telemonitoring and access to healthcare facilities for respiratory complications in patients with neuromuscular disease. Eur J Phys Rehabil Med. 2013;49:51–7.PubMed
31.
Adhikari NK, Fowler RA, Bhagwanjee S, Rubenfeld GD. Critical care and the global burden of critical illness in adults. Lancet. 2010;376(9749):1339–46.CrossRefPubMed
32.
Epstein SK. Size of the problem, what constitutes prolonged mechanical ventilation, natural history, epidemiology. In: Ambrosino N, Goldstein RS, editors. Ventilatory support in chronic respiratory failure. NY, USA: Informa Publisher; 2008. p. 39–57.
33.
Lloyd-Owen SJ, Donaldson GC, Ambrosino N, Escarabill J, Farre R, Fauroux B, et al. Patterns of home mechanical ventilation use in Europe: results from the Eurovent survey. Eur Respir J. 2005;25:1025–31.CrossRefPubMed
34.
Rose L, McKim DA, Katz SL, Leasa D, Nonoyama M, Pedersen C, et al. Home mechanical ventilation in Canada: a national survey. Respir Care. 2015;60:695–704.CrossRefPubMed
35.
Garner DJ, Berlowitz DJ, Douglas J, Harkness N, Howard M, McArdle N, et al. Home mechanical ventilation in Australia and New Zealand. Eur Respir J. 2013;41:39–45.CrossRefPubMed
36.
Escarrabill J, Tebé C, Espallargues M, Torrente E, Tresserras R, Argimón J. Variability in home mechanical ventilation prescription. Arch Bronconeumol. 2015;51:490–5.PubMed
37.
38.
Rose L, McKim D, Katz S, Leasa D, Nonoyama M, Pedersen C, et al. Institutional care for long-term mechanical ventilation in Canada: a national survey. Can Respir J. 2014;21:357–62.CrossRefPubMedPubMedCentral
39.
Vogelmeier CF, Criner GJ, Martinez FJ, Anzueto A, Barnes PJ, Bourbeau J, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 Report. Eur Respir J. 2017;49(3).
40.
Rosenbek Minet L, Hansen LW, Pedersen CD, Titlestad IL, Christensen JK, Kidholm K, et al. Early telemedicine training and counselling after hospitalization in patients with severe chronic obstructive pulmonary disease: a feasibility study. BMC Med Inform Decis Mak. 2015;15:3.CrossRefPubMedPubMedCentral
41.
Ringbaek TJ, Lavesen M, Lange P. Tablet computers to support outpatient pulmonary rehabilitation in patients with COPD. Eur Clin Respir J. 2016;3:310–6.CrossRef
42.
Greene J, Yellowlees PM. Electronic and remote prescribing: administrative, regulatory, technical, and clinical standards and guidelines, April 2013. Telemed J E Health. 2014;20:63–74.CrossRefPubMed
43.
Di Paolo M, Evangelisti L, Ambrosino N. Unexpected death of a ventilator-dependent ALS patient. Rev Port Pneumol. 2013;19:175–8.CrossRefPubMed
44.
45.
Boland MR, Tsiachristas A, Kruis AL, Chavannes NH, Rutten-van Mölken MP. The health economic impact of disease management programs for COPD: a systematic literature review and meta-analysis. BMC Pulm Med. 2013;13:40.CrossRefPubMedPubMedCentral
46.
Wade VA, Karnon J, Elshaug AG, Hiller JE. A systematic review of economic analyses of telehealth services using real time video communication. BMC Health Serv Res. 2010;10:233.CrossRefPubMedPubMedCentral
47.
Ambrosino N, Makhabah DN. Tele-medicine: a new promised land, just to save resources? Eur Resp J. 2017. in press.
48.
Marquis N, Larivée P, Saey D, Dubois MF, Tousignant M. In-Home pulmonary telerehabilitation for patients with Chronic Obstructive Pulmonary Disease: a pre-experimental study on effectiveness, satisfaction, and adherence. Telemed J E Health. 2015;21:870–9.CrossRefPubMed
Metadata
Title
Tele-medicine in respiratory diseases
Authors
Nicolino Ambrosino
Dewi Nurul Makhabah
Yusup Subagio Sutanto
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Multidisciplinary Respiratory Medicine / Issue 1/2017
Electronic ISSN: 2049-6958
DOI
https://doi.org/10.1186/s40248-017-0090-7

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