Zusammenfassung
Die enorme sozioökonomische Bedeutung der Volkskrankheit COPD ist international und national unbestritten. Telemonitoring kann potentiell die Versorgung gerade älterer COPD-Patienten – unabhängig vom Aufenthaltsort – in wichtigen Bereichen wie Behandlungsqualität und Qualitätsmanagement, Therapietreue und Selbstverantwortung sowie Lebensqualität und Sicherheit im Alltag verbessern. Auf der Basis aktueller, evidenzbasierter Analysen gibt die Arbeit einen Überblick zum therapeutischen Nutzen der Telemedizin bei COPD in Bezug auf wichtige Zielvariablen wie Zahl der Exazerbationen, Lebensqualität, Notwendigkeit stationärer Behandlungen und Mortalität.
Abstract
The enormous socioeconomic significance of chronic obstructive pulmonary disease (COPD) is nationally and internationally undisputed. Telemonitoring can potentially improve the routine treatment in important areas of treatment quality and quality management, patient compliance, self-responsibility, quality of life and safety, especially for older patients and independent of the location. On the basis of current evidence-based analyses this article gives an overview of the therapeutic benefits of telemedicine for COPD with respect to important target variables, such as the number of exacerbations, quality of life, necessity for inpatient treatment and mortality.
This is a preview of subscription content, log in via an institution to check access.
Literatur
WHO (1997) Health Telematics Policy: report of the WHO Group Consultation on health telematics. WHO, Genf
Polisena J, Tran K, Cimon K et al (2010) Home telehealth for chornic obstructive pulmonary disease: a systemic review and meta-analysis. J Telemed Telecare 16:120–127
Braun G, Braecklein M, Dehm J et al (2012) VDE-Studie Pro TeleMonitoring – Studienlage, Technik, Nutzen, Erstattung. VDE Initiative MikroMedizin. Frankfurt am Main
Knippel V, Windisch W, Bayarassou AH (2012) Epidemiologie von Lungenkrankheiten. Pneumologe 9:321–330
Nowak D, Dietrich ES, Oberender P et al (2004) Krankheitskosten von COPD in Deutschland. Pneumologie 58:837–844
McLean S, Nuramtov U, Liu JLY et al (2012) Telehealthcare for chronic obstructive pulmonary disease: Cochrane Review and meta-analysis. Br J Gen Pract 62:739–749
Bourbeau J, Julien M, Maltais F, Rouleau M et al (2003) Reduction of hospital utilization in patients with chronic obstructive pulmonary disease. Arch Intern Med 163:585–591
Vitacca M, Bianchi L, Guerra A et al (2009) Tele-assistance in chronic respiratory failure patients: a randomised clinical trial. Eur Respir J 33:411–418
Pinnock H, Hanley J, McCloughan L et al (2013) Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicenter, randomized controlled trial. BMJ 347:f6070
Cartwright M, Hirani SP, Rixon L et al (2013) Effect of telehealth on quality of life and psychological outcomes over 12 months (whole systems demonstrator telehealth questionnaire study): nested study of patient reported outcomes in a pragmatic, cluster randomised controlled trial. BMJ 346:f653
Sorknaes AD, Bech M, Madsen H et al (2013) The effect of real-time teleconsultations between hospital-based nurses and patients with severe copd discharged after an exacerbation. J Telemed Telecare 19:466–474
Toledo P de, Jimenez S, Pozo F et al (2006) Telemedicine experience for chronic care in COPD. IEEE Trans Inf Technol Biomed 10:567–573
Casas A, Troosters T, Garcia-Aymerich J et al (2006) Integrated care prevents hospitalisations for exacerbations in COPD patients. Eur Respir J 28:123–130
Wong KW, Wong FKY, Chan MF (2005) Effects of nurse-initiated telephone follow-up on self-efficacy among patients with chronic obstructive pulmonary disease. J Adv Nurs 49:210–222
Finkelstein SM, Speedie SM, Demiris G et al (2004) Telehomecare: quality, perception, satisfaction. Telemed J E Health 10:122–128
Garcia-Rio F, Rojo B, Casitas R et al (2012) Prognostic value of the objective measurement of daily physical activity in patients with COPD. Chest 142:338–346
Waschki B, Kirsten A, Holz O et al (2011) Physical activity is the strongest predictor of all-cause mortality in patients with COPD: a prospective cohort study. Chest 140:331–342
Watz H, Waschki B, Meyer T et al (2009) Physical activity in patients with COPD. Eur Respir J 33:262–272
Wootoon R (2012) Twenty years of telemedicine in chronic disease management – an evidence synthesis. J Telemed Telecare 18:211–220
Zanaboni P, Lien LA, Hjalmarsen A, Wootton R (2013) Long-term telerehabilitation of copd patients in their homes: interim results from a pilot study in northern Norway. J Telemed Telecare 19:425–429
Einhaltung ethischer Richtlinien
Interessenkonflikt. M. Kohlhäufl und M. Pfeifer geben an, dass kein Interessenskonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.
Author information
Authors and Affiliations
Corresponding authors
Rights and permissions
About this article
Cite this article
Kohlhäufl, M., Pfeifer, M. Telemedizin bei Patienten mit COPD – gibt es eine Evidenz?. Pneumologe 11, 214–218 (2014). https://doi.org/10.1007/s10405-013-0731-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10405-013-0731-2