Technological advances and digital solutions to improve quality of life in older adults with chronic obstructive pulmonary disease: a systematic review

被引:18
作者
Lippi, Lorenzo [1 ,2 ]
Turco, Alessio [1 ]
Folli, Arianna [1 ]
D'Abrosca, Francesco [1 ]
Curci, Claudio [3 ]
Mezian, Kamal [4 ,5 ]
de Sire, Alessandro [6 ,7 ,8 ]
Invernizzi, Marco [1 ,2 ]
机构
[1] Univ Piemonte Orientale, Dept Hlth Sci, Novara, Italy
[2] Azienda Ospedaliera SS Antonio & Biagio & Cesare A, Dipartimento Attvita Integrate Ric & Innovaz DAIRI, Translat Med, Alessandria, Italy
[3] ASST Carlo Poma, Dept Neurosci, Phys Med & Rehabil Unit, Mantua, Italy
[4] Charles Univ Prague, Fac Med 1, Dept Rehabil Med, Prague, Czech Republic
[5] Gen Univ Hosp Prague, Prague, Czech Republic
[6] Univ Catanzaro Magna Graecia, Dept Med & Surg Sci, Viale Europa, I-88100 Catanzaro, CZ, Italy
[7] Charles Univ Prague, Fac Med 2, Dept Rehabil & Sports Med, Prague, Czech Republic
[8] Univ Hosp Motol, Prague, Czech Republic
关键词
Aging; Chronic obstructive pulmonary disease; Pulmonary rehabilitation; Frailty; Telemedicine; Quality of life; LONG-TERM MORTALITY; PHYSICAL-ACTIVITY; ELDERLY-PATIENTS; REHABILITATION; COPD; FRAILTY; PEOPLE;
D O I
10.1007/s40520-023-02381-3
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
BackgroundSeveral technological advances and digital solutions have been proposed in the recent years to face the emerging need for tele-monitoring older adults with Chronic Obstructive Pulmonary Disease (COPD). However, several challenges have negatively influenced an evidence-based approach to improve Health-Related Quality of Life (HR-QoL) in these patients.AimTo assess the effects of tele-monitoring devices on HR-QoL in older adults with COPD.MethodsOn November 11, 2022, PubMed, Scopus, Web of Science, and Cochrane were systematically searched for randomized controlled trials (RCTs) consistent with the following PICO model: older people with COPD as participants, tele-monitoring devices as intervention, any comparator, and HR-QoL as the primary outcome. Functional outcomes, sanitary costs, safety, and feasibility were considered secondary outcomes. The quality assessment was performed in accordance with the Jadad scale.ResultsA total of 1845 records were identified and screened for eligibility. As a result, 5 RCTs assessing 584 patients (423 males and 161 females) were included in the systematic review. Tele-monitoring devices were ASTRI telecare system, WeChat social media, Pedometer, SweetAge monitoring system, and CHROMED monitoring platform. No significant improvements in terms of HR-QoL were reported in the included studies. However, positive effects were shown in terms of the number of respiratory events and hospitalization in patients telemonitored by SweetAge system and CHROMED platform.DiscussionAlthough a little evidence supports the role of tele-monitoring devices in improving HR-QoL in older patients, positive effects were reported in COPD exacerbation consequences and functional outcomes.ConclusionTele-monitoring solutions might be considered as sustainable strategies to implement HR-QoL in the long-term management of older patients with COPD.
引用
收藏
页码:953 / 968
页数:16
相关论文
共 48 条
[1]  
Abbafati C, 2020, LANCET, V396, P1204
[2]   Acceptance, adherence and dropout rates of individuals with COPD approached in telehealth interventions: a protocol for systematic review and meta-analysis [J].
Alghamdi, Saeed Mardy ;
Janaudis-Ferreira, Tania ;
Alhasani, Rehab ;
Ahmed, Sara .
BMJ OPEN, 2019, 9 (04)
[3]  
Apostolovic S, 2011, AGING CLIN EXP RES, V23, P337, DOI [10.1007/BF03337759, 10.3275/7291]
[4]  
Attwell L, 2017, GERIATRICS-BASEL, V2, DOI 10.3390/geriatrics2010009
[5]   A feasibility study to investigate the acceptability and potential effectiveness of a telecare service for older people with chronic obstructive pulmonary disease [J].
Chau, Janita Pak-Chun ;
Lee, Diana Tze-Fan ;
Yu, Doris Sau-Fung ;
Chow, Alice Yeung-Ming ;
Yu, Wai-Cho ;
Chair, Sek-Ying ;
Lai, Adela S. F. ;
Chick, Yuk-Ling .
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2012, 81 (10) :674-682
[6]   Relationship between FEV1 and arterial stiffness in elderly people with chronic obstructive pulmonary disease [J].
Costanzo, Luisa ;
Pedone, Claudio ;
Battistoni, Fabrizio ;
Chiurco, Domenica ;
Santangelo, Simona ;
Antonelli-Incalzi, Raffaele .
AGING CLINICAL AND EXPERIMENTAL RESEARCH, 2017, 29 (02) :157-164
[7]   Home telemonitoring in COPD: A systematic review of methodologies and patients' adherence [J].
Cruz, Joana ;
Brooks, Dina ;
Marques, Alda .
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2014, 83 (04) :249-263
[8]   Pharmacological, Nutritional, and Rehabilitative Interventions to Improve the Complex Management of Osteoporosis in Patients with Chronic Obstructive Pulmonary Disease: A Narrative Review [J].
de Sire, Alessandro ;
Lippi, Lorenzo ;
Aprile, Vittorio ;
Calafiore, Dario ;
Folli, Arianna ;
D'Abrosca, Francesco ;
Moalli, Stefano ;
Lucchi, Marco ;
Ammendolia, Antonio ;
Invernizzi, Marco .
JOURNAL OF PERSONALIZED MEDICINE, 2022, 12 (10)
[9]   A Telerehabilitation Approach to Chronic Facial Paralysis in the COVID-19 Pandemic Scenario: What Role for Electromyography Assessment? [J].
de Sire, Alessandro ;
Marotta, Nicola ;
Agostini, Francesco ;
Ferrante, Vera Drago ;
Demeco, Andrea ;
Ferrillo, Martina ;
Inzitari, Maria Teresa ;
Pellegrino, Raffaello ;
Russo, Ilaria ;
Taskiran, Ozden Ozyemisci ;
Bernetti, Andrea ;
Ammendolia, Antonio .
JOURNAL OF PERSONALIZED MEDICINE, 2022, 12 (03)
[10]   Rehabilitation and COVID-19: the Cochrane Rehabilitation 2020 rapid living systematic review. Update as of August 31st, 2020 [J].
de Sire, Alessandro ;
Andrenelli, Elisa ;
Negrini, Francesco ;
Lazzarini, Stefano G. ;
Patrini, Michele ;
Ceravolo, Maria G. .
EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE, 2020, 56 (06) :839-845