Although telehealth has a long history dating back to the invention of the telegraph and telephone in the 1800s, recent technological advancements have significantly expanded its scope. Telehealth now includes various modalities such as mobile health, video and audio technology, digital photography, and remote patient monitoring (RPM) (nejm.org, 2018). Remote patient monitoring allows healthcare providers to remotely track vital signs and symptoms, enabling informed treatment decisions. This paper aims to summarize research articles on remote patient monitoring and its impact on managing patients with chronic obstructive pulmonary disease (COPD).
Annotated Bibliography
Tomasic, I., Tomasic, N., Trobec, R., Krpan, M., & Kelava, T. (2018). Continuous remote
monitoring of COPD patients—justification and explanation of the requirements and a
survey of the available technologies. Medical & Biological Engineering & Computing,
56(4), 547–569. https://doi.org/10.1007/s11517-018-1798-z
In this article, Tomasic et al. discuss four possibilities for remote monitoring of COPD patients. These include continuous monitoring during daily activities to detect and predict exacerbation periods, remote monitoring during mild exacerbations for home-based treatment, monitoring oxygen therapy through transcutaneous CO2 measurements, and monitoring exercise to reduce the risk of lung function decline and hospitalizations. The study aligns with other research showing improved mortality rates, care quality, and reduced healthcare costs through remote monitoring.
NURS 5051 Week 8 Remote Patient Monitoring
Isaranuwatchai, W., Redwood, O., Schauer, A., Meer, T. V., Vallée, J., & Clifford, P. (2018). A
Remote Patient Monitoring Intervention for Patients With Chronic Obstructive Pulmonary
Disease and Chronic Heart Failure: Pre-Post Economic Analysis of the Smart Program.
JMIR Cardio, 2(2). https://doi.org/10.2196/10319
Isaranuwatchai et al. focus on reducing costs associated with COPD and chronic heart failure (CHF) through remote patient monitoring. They evaluate the Smart Program, an RPM intervention, and demonstrate reduced hospitalizations by 35% and a 68% decrease in emergency room visits among participants. These results indicate that RPM can effectively reduce hospitalizations, emergency room visits, and healthcare costs for COPD patients.
NURS 5051 Week 8 Remote Patient Monitoring
Shah, S. A., Velardo, C., Farmer, A., & Tarassenko, L. (2017). Exacerbations in Chronic
Obstructive Pulmonary Disease: Identification and Prediction Using a Digital Health
System. Journal of Medical Internet Research, 19(3). https://doi.org/10.2196/jmir.7207
Shah et al. aim to develop a reproducible method for identifying and tracking COPD exacerbations remotely. They use an RPM system called the EDGE system, which incorporates self-monitoring and self-management through a digital health system. The study shows that RPM, coupled with a predictive algorithm, can reduce the need for emergency room visits and hospitalizations. However, limitations include a small sample size and exclusion of certain exacerbation events from the data.
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Walker, R. C., Tong, A., Howard, K., & Palmer, S. C. (2019). Patient expectations and
experiences of remote monitoring for chronic diseases: Systematic review and thematic
synthesis of qualitative studies. International Journal of Medical Informatics
