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Journal of Telemedicine and Telecare

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J Telemed Telecare 2005;11:86-88
doi:10.1258/1357633054461697
© 2005 Royal Society of Medicine Press

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Telemedicine-assisted home support for patients with advanced chronic obstructive pulmonary disease: preliminary results after nine-month follow-up

Th Vontetsianos, P Giovas, Th Katsaras, A Rigopoulou, G Mpirmpa, P Giaboudakis, S Koyrelea, G Kontopyrgias and B Tsoulkas


Special Telemedicine Unit, Sotiria Chest Diseases Hospital of Athens, Athens, Greece; Special Telemedicine Unit, Sotiria Chest Diseases Hospital of Athens, Athens, Greece; Special Telemedicine Unit, Sotiria Chest Diseases Hospital of Athens, Athens, Greece; Special Telemedicine Unit, Sotiria Chest Diseases Hospital of Athens, Athens, Greece; Special Telemedicine Unit, Sotiria Chest Diseases Hospital of Athens, Athens, Greece; Special Telemedicine Unit, Sotiria Chest Diseases Hospital of Athens, Athens, Greece; Special Telemedicine Unit, Sotiria Chest Diseases Hospital of Athens, Athens, Greece; Special Telemedicine Unit, Sotiria Chest Diseases Hospital of Athens, Athens, Greece; Special Telemedicine Unit, Sotiria Chest Diseases Hospital of Athens, Athens, Greece

Eighteen well motivated patients with advanced chronic obstructive pulmonary disease, who had had at least four hospitalizations during the previous two years, were included in a home-based telemedicine study. A visiting nurse was equipped with a case containing a laptop computer and a number of medical devices, including an electrocardiogram recorder, spirometer, oximeter and blood pressure monitor. It also contained a videoconference camera, for realtime audiovisual connection with the hospital using the patient's TV set. A single ISDN line (128 kbit/s) was installed in each house before the study began. After nine months, there was a decrease in hospitalizations, emergency department visits and use of health services. The patient's disease knowledge and self-management also improved. It seems likely that adopting telemedicine in everyday clinical practice could substantially improve the care of chronically ill patients.


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