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. 2023 May 1;49(3):e20220067.
doi: 10.36416/1806-3756/e20220067. eCollection 2023.

Telehealth and telemedicine in the management of adult patients after hospitalization for COPD exacerbation: a scoping review

[Article in English, Portuguese]
Lilian Cristina Rezende  1 , Edmar Geraldo Ribeiro  1 , Laura Carvalho Parreiras  1 , Rayssa Assunção Guimarães  1 , Gabriela Maciel Dos Reis  1 , Adriana Fernandes Carajá  1 , Túlio Batista Franco  2 , Liliane Patrícia de Souza Mendes  1 , Valéria Maria Augusto  1 , Kênia Lara Silva  1
Affiliations

Telehealth and telemedicine in the management of adult patients after hospitalization for COPD exacerbation: a scoping review

[Article in English, Portuguese]
Lilian Cristina Rezende et al. J Bras Pneumol. .

Abstract
in English, Portuguese

Objective: A substantial number of people with COPD suffer from exacerbations, which are defined as an acute worsening of respiratory symptoms. To minimize exacerbations, telehealth has emerged as an alternative to improve clinical management, access to health care, and support for self-management. Our objective was to map the evidence of telehealth/telemedicine for the monitoring of adult COPD patients after hospitalization due to an exacerbation.

Methods: Bibliographic search was carried in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, Scopus, Biblioteca Virtual de Saúde/LILACS and Cochrane Library databases to identify articles describing telehealth and telemonitoring strategies in Portuguese, English, or Spanish published by December of 2021.

Results: Thirty-nine articles, using the following concepts (number of articles), were included in this review: telehealth (21); telemonitoring (20); telemedicine (17); teleconsultation (5); teleassistance (4); telehomecare and telerehabilitation (3 each); telecommunication and mobile health (2 each); and e-health management, e-coach, telehome, telehealth care and televideo consultation (1 each). All these concepts describe strategies which use telephone and/or video calls for coaching, data monitoring, and health education leading to self-management or self-care, focusing on providing remote integrated home care with or without telemetry devices.

Conclusions: This review demonstrated that telehealth/telemedicine in combination with telemonitoring can be an interesting strategy to benefit COPD patients after discharge from hospitalization for an exacerbation, by improving their quality of life and reducing re-hospitalizations, admissions to emergency services, hospital length of stay, and health care costs.

Objetivo:: Um número substancial de pessoas com DPOC sofre de exacerbações, definidas como uma piora aguda dos sintomas respiratórios. Para minimizar as exacerbações, a telessaúde surgiu como alternativa para melhorar o manejo clínico, o acesso aos cuidados de saúde e o apoio à autogestão. Nosso objetivo foi mapear as evidências de telessaúde/telemedicina para o monitoramento de pacientes adultos com DPOC após hospitalização por exacerbação.

Métodos:: Foi realizada uma pesquisa bibliográfica nos bancos de dados PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, Scopus, Biblioteca Virtual de Saúde/LILACS e Cochrane Library para identificar artigos que descrevessem estratégias de telessaúde e telemonitoramento em português, inglês, ou espanhol, publicados até dezembro de 2021.

Resultados:: Trinta e nove artigos, utilizando os seguintes conceitos (número de artigos), foram incluídos nesta revisão: telessaúde (21); telemonitoramento (20); telemedicina (17); teleconsulta (5); teleassistência (4); telecuidado domiciliar e telerreabilitação (3 cada); telecomunicação e saúde móvel (2 cada); e gestão de e-saúde, e-coach, teledomicílio, cuidados de telessaúde e tele/videoconsulta (1 cada). Todos esses conceitos descrevem estratégias que utilizam chamadas telefônicas e/ou de vídeo para coaching, monitoramento de dados e educação em saúde levando à autogestão ou autocuidado, com foco na prestação de cuidados domiciliares remotos integrados, com ou sem dispositivos de telemetria.

Conclusões:: Esta revisão demonstrou que a telessaúde/telemedicina associada ao telemonitoramento pode ser uma estratégia interessante para beneficiar pacientes com DPOC após a alta hospitalar por exacerbação, por meio da melhora da qualidade de vida e da redução das re-hospitalizações, admissões em serviços de emergência, tempo de internação hospitalar e custos de cuidados de saúde.

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Conflict of interest statement

CONFLICTS OF INTEREST: None declared.

Figures

Figure 1
Figure 1. Flow chart of study selection process for inclusion in the systematic review and meta-analysis in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses diagram.
Figure 2
Figure 2. Telemonitoring strategies identified in the studies included, according to technologies used, frequency, and intervention goals. NIV: noninvasive ventilation.
Figure 3
Figure 3. Telehealth mapping.
See this image and copyright information in PMC

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References

    1. Global Initiative for Chronic Obstructive Lung Disease [homepage on the Internet] Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease 2020 report. Bethesda: GOLD; https://goldcopd.org/wp-content/uploads/2019/12/GOLD-2020-FINAL-ver1.2-0...
    1. World Health Organization [homepage on the Internet] Chronic obstructive pulmonary disease (COPD) Geneva: WHO; https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pul...
    1. Viniol C, Vogelmeier CF. Exacerbations of COPD. Eur Respir Rev. 2018;27(147):170103–170103. https://doi.org/ https://doi.org/10.1183/16000617.0103-2017 - DOI - PMC - PubMed
    1. Ding H, Fatehi F, Maiorana A, Bashi N, Hu W, Edwards I. Digital health for COPD care the current state of play. J Thorac Dis. 2019;11(Suppl 17):S2210–S2220. doi: 10.21037/jtd.2019.10.17. - DOI - PMC - PubMed
    1. Blakey JD, Bender BG, Dima AL, Weinman J, Safioti G, Costello RW. Digital technologies and adherence in respiratory diseases the road ahead. Eur Respir J. 2018;52(5):1801147–1801147. doi: 10.1183/13993003.01147-2018. - DOI - PMC - PubMed

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