Imperial College London
Alternate

DrJillianRiley

Faculty of Medicine, National Heart & Lung Institute

Senior Teaching Fellow (Course Development)
 
 
 
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Contact

 

jillian.riley Website

 
 
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Location

 

Guy Scadding BuildingRoyal Brompton Campus

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Summary

 

Publications

Citation

BibTex format

@article{Chatwin:2016:10.1136/thoraxjnl-2015-207045,
author = {Chatwin, M and Hawkins, G and Panicchia, L and Woods, A and Hanak, A and Lucas, R and Baker, E and Ramhamdany, E and Mann, B and Riley, J and Cowie, MR and Simonds, AK},
doi = {10.1136/thoraxjnl-2015-207045},
journal = {Thorax},
pages = {305--311},
title = {Randomised crossover trial of telemonitoring in chronic respiratory patients (TeleCRAFT trial).},
url = {http://dx.doi.org/10.1136/thoraxjnl-2015-207045},
volume = {71},
year = {2016}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - OBJECTIVE: To assess the impact of home telemonitoring on health service use and quality of life in patients with severe chronic lung disease. DESIGN: Randomised crossover trial with 6months of standard best practice clinical care (control group) and 6months with the addition of telemonitoring. PARTICIPANTS: 68 patients with chronic lung disease (38 with COPD; 30 with chronic respiratory failure due to other causes), who had a hospital admission for an exacerbation within 6months of randomisation and either used long-term oxygen therapy or had an arterial oxygen saturation (SpO2) of <90% on air during the previous admission. Individuals received telemonitoring (second-generation system) via broadband link to a hospital-based care team. OUTCOME MEASURES: Primary outcome measure was time to first hospital admission for an acute exacerbation. Secondary outcome measures were hospital admissions, general practitioner (GP) consultations and home visits by nurses, quality of life measured by EuroQol-5D and hospital anxiety and depression (HAD) scale, and self-efficacy score (Stanford). RESULTS: Median (IQR) number of days to first admission showed no difference between the two groups-77 (114) telemonitoring, 77.5 (61) control (p=0.189). Hospital admission rate at 6months increased (0.63 telemonitoring vs 0.32 control p=0.026). Home visits increased during telemonitoring; GP consultations were unchanged. Self-efficacy fell, while HAD depression score improved marginally during telemonitoring. CONCLUSIONS: Telemonitoring added to standard care did not alter time to next acute hospital admission, increased hospital admissions and home visits overall, and did not improve quality of life in chronic respiratory patients. TRIAL REGISTRATION NUMBER: NCT02180919 (ClinicalTrials.gov).
AU  - Chatwin,M
AU  - Hawkins,G
AU  - Panicchia,L
AU  - Woods,A
AU  - Hanak,A
AU  - Lucas,R
AU  - Baker,E
AU  - Ramhamdany,E
AU  - Mann,B
AU  - Riley,J
AU  - Cowie,MR
AU  - Simonds,AK
DO  - 10.1136/thoraxjnl-2015-207045
EP  - 311
PY  - 2016///
SN  - 0040-6376
SP  - 305
TI  - Randomised crossover trial of telemonitoring in chronic respiratory patients (TeleCRAFT trial).
T2  - Thorax
UR  - http://dx.doi.org/10.1136/thoraxjnl-2015-207045
UR  - http://www.ncbi.nlm.nih.gov/pubmed/26962013
UR  - http://hdl.handle.net/10044/1/30735
VL  - 71
ER  -
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