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Remote Patient Monitoring and Machine Learning in Acute Exacerbations of Chronic Obstructive Pulmonary Disease: Dual Systematic Literature Review and Narrative Synthesis

Remote Patient Monitoring and Machine Learning in Acute Exacerbations of Chronic Obstructive Pulmonary Disease: Dual Systematic Literature Review and Narrative Synthesis

Exacerbations increase airway and systemic inflammation and disease progression and cause a reduction in quality of life [5-11]. It is estimated that exacerbations in COPD account for 45% of COPD-related costs [12]. Patients who experience frequent acute exacerbations of COPD (AECOPD) have more primary care interactions, increased emergency department (ED) presentations, increased hospitalizations, and increased admissions to the intensive care unit [13].

Henry Mark Granger Glyde, Caitlin Morgan, Tom M A Wilkinson, Ian T Nabney, James W Dodd

J Med Internet Res 2024;26:e52143

A Pharmacy-Based eHealth Intervention Promoting Correct Use of Medication in Patients With Asthma and COPD: Nonrandomized Pre-Post Study

A Pharmacy-Based eHealth Intervention Promoting Correct Use of Medication in Patients With Asthma and COPD: Nonrandomized Pre-Post Study

The goal of this self-management intervention is to reduce the burden of lung disease and reduce exacerbations by stimulating correct use and adherence of inhaler medication in patients with asthma and COPD. SARA combines several interventions’ components, including education, self-management strategies, and as-needed follow-up care by a pharmacist.

Kyma Schnoor, Anke Versluis, Robbert Bakema, Sanne van Luenen, Marcel J Kooij, J Maurik van den Heuvel, Martina Teichert, Persijn J Honkoop, Job F M van Boven, Niels H Chavannes, Jiska J Aardoom

J Med Internet Res 2022;24(6):e32396

Revealing the Nature of Chronic Obstructive Pulmonary Disease Using Self-tracking and Analysis of Contact Patterns: Longitudinal Study

Revealing the Nature of Chronic Obstructive Pulmonary Disease Using Self-tracking and Analysis of Contact Patterns: Longitudinal Study

Most of the exacerbations were managed virtually in the context of the RCC (ECM2), and 69.4% (84/121) of the severe exacerbations were mitigated virtually (Table 5). Only 21.3% (54/254) of all exacerbations required more intensive diagnostics and follow-up with the majority of these belonging to the severe exacerbations. Only 7.1% (18/254) of the exacerbations required hospitalization and an equivalent number of exacerbations required hospitalization at home (ECM4).

Klaus Phanareth, Astrid Laura Dam, Martin A B C Hansen, Signe Lindskrog, Søren Vingtoft, Lars Kayser

J Med Internet Res 2021;23(10):e22567

eHealth Program to Reduce Hospitalizations Due to Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Retrospective Study

eHealth Program to Reduce Hospitalizations Due to Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Retrospective Study

After 6 months, there was a decrease in hospital admissions and exacerbations, and there was a tendency toward decreased number of days in the hospital and outpatient visits [13]. It is thought that patients with frequent exacerbations may benefit more from e Health programs [14-18]. Despite the promising results from previous studies, no e Health programs were incorporated in the latest COPD statement [6].

Amanda R van Buul, Caroline Derksen, Ouke Hoedemaker, Oscar van Dijk, Niels H Chavannes, Marise J Kasteleyn

JMIR Form Res 2021;5(3):e24726

Using Mobile Health Technology to Deliver a Community-Based Closed-Loop Management System for Chronic Obstructive Pulmonary Disease Patients in Remote Areas of China: Development and Prospective Observational Study

Using Mobile Health Technology to Deliver a Community-Based Closed-Loop Management System for Chronic Obstructive Pulmonary Disease Patients in Remote Areas of China: Development and Prospective Observational Study

Our secondary objectives were to determine if there were changes in exacerbations, hospitalizations, or clinic visits after implementation of the mobile app. We conducted a 6-month prospective observational study to explore the effect of the system in a community-based primary care setting. The study was performed in Yinchuan, Ningxia Hui Autonomous Region, China. Patient recruitment was performed between September 2017 and June 2018.

Ning Deng, Juan Chen, Yiyuan Liu, Shuoshuo Wei, Leiyi Sheng, Rong Lu, Zheyu Wang, Jiarong Zhu, Jiye An, Bei Wang, Hui Lin, Xiuyan Wang, Yumin Zhou, Huilong Duan, Pixin Ran

JMIR Mhealth Uhealth 2020;8(11):e15978

Once Daily Versus Overnight and Symptom Versus Physiological Monitoring to Detect Exacerbations of Chronic Obstructive Pulmonary Disease: Pilot Randomized Controlled Trial

Once Daily Versus Overnight and Symptom Versus Physiological Monitoring to Detect Exacerbations of Chronic Obstructive Pulmonary Disease: Pilot Randomized Controlled Trial

Individuals with COPD experience acute deteriorations in respiratory health called exacerbations [3], which profoundly affect quality of life and can lead to hospital admission [4]. Prevention and mitigation of exacerbations is a key goal in managing COPD. One method that might improve COPD outcomes is the early identification of exacerbations. Prompt access to therapy at exacerbation onset is associated with faster symptom recovery [5].

Ahmed M Al Rajeh, Yousef Saad Aldabayan, Abdulelah Aldhahir, Elisha Pickett, Shumonta Quaderi, Jaber S Alqahtani, Swapna Mandal, Marc CI Lipman, John R Hurst

JMIR Mhealth Uhealth 2020;8(11):e17597

Lung Function in Users of a Smoke-Free Electronic Device With HeatSticks (iQOS) Versus Smokers of Conventional Cigarettes: Protocol for a Longitudinal Cohort Observational Study

Lung Function in Users of a Smoke-Free Electronic Device With HeatSticks (iQOS) Versus Smokers of Conventional Cigarettes: Protocol for a Longitudinal Cohort Observational Study

In addition, these symptomatic current or former smokers with preserved pulmonary function had a higher risk of respiratory exacerbations or abnormalities on a chest computed tomography (CT) scan or shorter 6-minute walk distances than asymptomatic current or former smokers with preserved pulmonary function. The CAT is a clinically useful tool that can identify smokers at risk for exacerbations [11].

Almaz Sharman, Baurzhan Zhussupov, Dana Sharman, Irina Kim, Elmira Yerenchina

JMIR Res Protoc 2018;7(11):e10006