Andrea Foppiani, Valeria Calcaterra, Chiara Montanari, Simona Bertoli, Alberto Battezzati, Gianvincenzo Zuccotti
{"title":"主动家庭监测系统（COD19）在慢性阻塞性肺病管理中的应用：COVID-19大流行经验的教训和未来展望","authors":"Andrea Foppiani, Valeria Calcaterra, Chiara Montanari, Simona Bertoli, Alberto Battezzati, Gianvincenzo Zuccotti","doi":"10.1177/17534666251346097","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic, telemedicine became crucial for monitoring chronic conditions, including respiratory diseases.</p><p><strong>Objectives: </strong>This study, part of a larger cohort of COVID-positive patients, focuses on individuals with chronic obstructive pulmonary disease (COPD) monitored through an active home surveillance system (COD19).</p><p><strong>Design: </strong>Longitudinal telematic active surveillance study.</p><p><strong>Methods: </strong>The study included COVID-19-positive patients in home isolation, quarantined workers, and those discharged from ASST hospitals or emergency departments. At discharge, patients received a letter with isolation guidelines, a COD19 kit (oxygen meter, thermometer, protective devices), and instructions for monitoring clinical parameters. Regular phone check-ins by physicians were conducted, starting within 12 h of activation. A secure platform COD19 enabled data collection and communication between patients, healthcare providers, and regional authorities.</p><p><strong>Results: </strong>The study involved 1288 patients, including 226 (17.5%) with COPD, who were older (<i>p</i> < 0.001), had a higher BMI (<i>p</i> = 0.006), and were more frequently admitted from home isolation (<i>p</i> < 0.001). COPD patients also had higher mean body temperature (<i>p</i> = 0.011) and respiratory rate (<i>p</i> = 0.035), with a non-significant trend toward lower SpO<sub>2</sub> values. Monitoring outcomes indicated that COPD patients were more likely to require higher levels of care (<i>p</i> < 0.001), and the only two deceased patients were from this group. The remote monitoring service received positive feedback, with a median answering ratio of 92%, reflecting strong patient participation and manageable monitoring processes.</p><p><strong>Conclusion: </strong>The findings underscore telemedicine's effectiveness in COPD management, ensuring continuity of care and smooth home-to-hospital transitions. The system enhanced accessibility, enabling consistent monitoring and timely interventions. As healthcare evolves, telemedicine remains a key tool in improving patient care and accessibility.</p>","PeriodicalId":22884,"journal":{"name":"Therapeutic Advances in Respiratory Disease","volume":"19 ","pages":"17534666251346097"},"PeriodicalIF":3.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334821/pdf/","citationCount":"0","resultStr":"{\"title\":\"Active home surveillance system (COD19) in managing chronic obstructive pulmonary disease: lessons and future perspectives from the COVID-19 pandemic experience.\",\"authors\":\"Andrea Foppiani, Valeria Calcaterra, Chiara Montanari, Simona Bertoli, Alberto Battezzati, Gianvincenzo Zuccotti\",\"doi\":\"10.1177/17534666251346097\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>During the COVID-19 pandemic, telemedicine became crucial for monitoring chronic conditions, including respiratory diseases.</p><p><strong>Objectives: </strong>This study, part of a larger cohort of COVID-positive patients, focuses on individuals with chronic obstructive pulmonary disease (COPD) monitored through an active home surveillance system (COD19).</p><p><strong>Design: </strong>Longitudinal telematic active surveillance study.</p><p><strong>Methods: </strong>The study included COVID-19-positive patients in home isolation, quarantined workers, and those discharged from ASST hospitals or emergency departments. At discharge, patients received a letter with isolation guidelines, a COD19 kit (oxygen meter, thermometer, protective devices), and instructions for monitoring clinical parameters. Regular phone check-ins by physicians were conducted, starting within 12 h of activation. A secure platform COD19 enabled data collection and communication between patients, healthcare providers, and regional authorities.</p><p><strong>Results: </strong>The study involved 1288 patients, including 226 (17.5%) with COPD, who were older (<i>p</i> < 0.001), had a higher BMI (<i>p</i> = 0.006), and were more frequently admitted from home isolation (<i>p</i> < 0.001). COPD patients also had higher mean body temperature (<i>p</i> = 0.011) and respiratory rate (<i>p</i> = 0.035), with a non-significant trend toward lower SpO<sub>2</sub> values. Monitoring outcomes indicated that COPD patients were more likely to require higher levels of care (<i>p</i> < 0.001), and the only two deceased patients were from this group. The remote monitoring service received positive feedback, with a median answering ratio of 92%, reflecting strong patient participation and manageable monitoring processes.</p><p><strong>Conclusion: </strong>The findings underscore telemedicine's effectiveness in COPD management, ensuring continuity of care and smooth home-to-hospital transitions. The system enhanced accessibility, enabling consistent monitoring and timely interventions. As healthcare evolves, telemedicine remains a key tool in improving patient care and accessibility.</p>\",\"PeriodicalId\":22884,\"journal\":{\"name\":\"Therapeutic Advances in Respiratory Disease\",\"volume\":\"19 \",\"pages\":\"17534666251346097\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334821/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Therapeutic Advances in Respiratory Disease\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/17534666251346097\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/8/8 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"RESPIRATORY SYSTEM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Therapeutic Advances in Respiratory Disease","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/17534666251346097","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/8 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
Active home surveillance system (COD19) in managing chronic obstructive pulmonary disease: lessons and future perspectives from the COVID-19 pandemic experience.
Background: During the COVID-19 pandemic, telemedicine became crucial for monitoring chronic conditions, including respiratory diseases.
Objectives: This study, part of a larger cohort of COVID-positive patients, focuses on individuals with chronic obstructive pulmonary disease (COPD) monitored through an active home surveillance system (COD19).
Design: Longitudinal telematic active surveillance study.
Methods: The study included COVID-19-positive patients in home isolation, quarantined workers, and those discharged from ASST hospitals or emergency departments. At discharge, patients received a letter with isolation guidelines, a COD19 kit (oxygen meter, thermometer, protective devices), and instructions for monitoring clinical parameters. Regular phone check-ins by physicians were conducted, starting within 12 h of activation. A secure platform COD19 enabled data collection and communication between patients, healthcare providers, and regional authorities.
Results: The study involved 1288 patients, including 226 (17.5%) with COPD, who were older (p < 0.001), had a higher BMI (p = 0.006), and were more frequently admitted from home isolation (p < 0.001). COPD patients also had higher mean body temperature (p = 0.011) and respiratory rate (p = 0.035), with a non-significant trend toward lower SpO2 values. Monitoring outcomes indicated that COPD patients were more likely to require higher levels of care (p < 0.001), and the only two deceased patients were from this group. The remote monitoring service received positive feedback, with a median answering ratio of 92%, reflecting strong patient participation and manageable monitoring processes.
Conclusion: The findings underscore telemedicine's effectiveness in COPD management, ensuring continuity of care and smooth home-to-hospital transitions. The system enhanced accessibility, enabling consistent monitoring and timely interventions. As healthcare evolves, telemedicine remains a key tool in improving patient care and accessibility.
期刊介绍：
Therapeutic Advances in Respiratory Disease delivers the highest quality peer-reviewed articles, reviews, and scholarly comment on pioneering efforts and innovative studies across all areas of respiratory disease.
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