2026-06-14T03:28:54Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/202952024-11-28T19:34:07Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967col_20.500.12105_16980
Repisalud
author
Alcazar, Bernardino
author
de Lucas, Pilar
author
Soriano, Joan B
author
Fernandez-Nistal, Alonso
author
Fuster Gomila, Antonia
author
Rodriguez Gonzalez-Moro, Jose Miguel
author
Arnedillo, Aurelio
author
Garcia Sidro, Patricia
author
Espinosa de los Monteros, Maria Jose
2024-07-09T09:14:21Z
2024-07-09T09:14:21Z
2016-11-08
Alcazar B, De Lucas P, Soriano JB, Fernandez-Nistal A, Fuster Gomila A, Rodriguez Gonzalez-Moro JM, et al. The evaluation of a remote support program on quality of life and evolution of disease in COPD patients with frequent exacerbations. BMC Pulm Med. 2016 Nov 08;16:140.
10.1186/s12890-016-0304-3
1471-2466
BMC Pulmonary Medicine
http://hdl.handle.net/20.500.13003/10089
27821164
L613098053
2-s2.0-84994406901
http://hdl.handle.net/20.500.12105/20295
387085500001
Background: Chronic obstructive pulmonary disease (COPD) patients often present considerable individual medical burden in their symptoms, limitations, and well-being that complicate medical treatment. To improve their overall health status, while reducing the number of exacerbations, a multidisciplinary approach including different elements of care is needed. The aim of this study was to evaluate the effects of a remote support program on COPD patients at high risk of experiencing worsening of their disease and other health-related outcomes. Methods: An observational, multicenter, prospective study aimed at evaluating the impact of a 7-month remote support program on COPD patients in exacerbations control and changes in health status measured with the COPD assessment test (CAT). Factors associated with a clinically relevant decrease in CAT were assessed using a logistic regression analysis. Results: A total of 114 subjects started the program. The majority of the study population were males (81.6 %), retired (70.2 %), without academic qualifications or with a low level of education (68.4 %), and ex-smokers (79.8 %). The mean +/- SD age was 69.6 +/- 9.1 years and the BMI was 27.8 +/- 5.5 Kg/m(2). Overall, 41.9 % (95 % CI 31.9-52.0) patients, significantly improved health status (CAT decrease >= 2 points). Univariate analysis showed that significant improvement in CAT was associated with baseline CAT scores [high CAT score 19.2 (+/- 7.5) vs. low CAT score 12.4 (+/- 6.4); OR = 1.15, 95 % CI: 1.07-1.24; p < 0.001] and with being non-compliant [62.5 % (15/24) of non-compliant vs 34.7 % (24/69) of compliant patients significantly improved CAT scores; OR = 3.13, 95 % CI: 1.19-8.19; p = 0.021). After controlling for the effect of all variables in a multivariable logistic regression model, the only factor that remained significant was baseline CAT score. The proportion of smokers in the total population remained constant during the study. There was a significant reduction in the number of exacerbations after entering this remote support program with median -1 (IQR: -2, 0), (p < 0.001). The Morisky-Green questionnaire showed an increase of treatment compliance, namely at baseline, 25.8 % (24/93) of patients were noncompliant while in the end 66.7 % (16/24) of them became compliant) (p = 0.053). Conclusions: A remote support program for high-risk COPD patients results in an improvement of the patients' health status, particularly in those with initially poor health status, and it helps to reduce COPD exacerbations.
eng
Chronic obstructive pulmonary disease
Education
Management
Quality of life
Exacerbations
The evaluation of a remote support program on quality of life and evolution of disease in COPD patients with frequent exacerbations
research article