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

BACKGROUND: Several 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 i...

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Autores principales: Lippi, Lorenzo, Turco, Alessio, Folli, Arianna, D’Abrosca, Francesco, Curci, Claudio, Mezian, Kamal, de Sire, Alessandro, Invernizzi, Marco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10034255/
https://www.ncbi.nlm.nih.gov/pubmed/36952118
http://dx.doi.org/10.1007/s40520-023-02381-3
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author Lippi, Lorenzo
Turco, Alessio
Folli, Arianna
D’Abrosca, Francesco
Curci, Claudio
Mezian, Kamal
de Sire, Alessandro
Invernizzi, Marco
author_facet Lippi, Lorenzo
Turco, Alessio
Folli, Arianna
D’Abrosca, Francesco
Curci, Claudio
Mezian, Kamal
de Sire, Alessandro
Invernizzi, Marco
author_sort Lippi, Lorenzo
collection PubMed
description BACKGROUND: Several 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. AIM: To assess the effects of tele-monitoring devices on HR-QoL in older adults with COPD. METHODS: On 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. RESULTS: A 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. DISCUSSION: Although 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. CONCLUSION: Tele-monitoring solutions might be considered as sustainable strategies to implement HR-QoL in the long-term management of older patients with COPD. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s40520-023-02381-3.
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spelling pubmed-100342552023-03-23 Technological advances and digital solutions to improve quality of life in older adults with chronic obstructive pulmonary disease: a systematic review Lippi, Lorenzo Turco, Alessio Folli, Arianna D’Abrosca, Francesco Curci, Claudio Mezian, Kamal de Sire, Alessandro Invernizzi, Marco Aging Clin Exp Res Review BACKGROUND: Several 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. AIM: To assess the effects of tele-monitoring devices on HR-QoL in older adults with COPD. METHODS: On 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. RESULTS: A 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. DISCUSSION: Although 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. CONCLUSION: Tele-monitoring solutions might be considered as sustainable strategies to implement HR-QoL in the long-term management of older patients with COPD. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s40520-023-02381-3. Springer International Publishing 2023-03-23 2023 /pmc/articles/PMC10034255/ /pubmed/36952118 http://dx.doi.org/10.1007/s40520-023-02381-3 Text en © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Review
Lippi, Lorenzo
Turco, Alessio
Folli, Arianna
D’Abrosca, Francesco
Curci, Claudio
Mezian, Kamal
de Sire, Alessandro
Invernizzi, Marco
Technological advances and digital solutions to improve quality of life in older adults with chronic obstructive pulmonary disease: a systematic review
title Technological advances and digital solutions to improve quality of life in older adults with chronic obstructive pulmonary disease: a systematic review
title_full Technological advances and digital solutions to improve quality of life in older adults with chronic obstructive pulmonary disease: a systematic review
title_fullStr Technological advances and digital solutions to improve quality of life in older adults with chronic obstructive pulmonary disease: a systematic review
title_full_unstemmed Technological advances and digital solutions to improve quality of life in older adults with chronic obstructive pulmonary disease: a systematic review
title_short Technological advances and digital solutions to improve quality of life in older adults with chronic obstructive pulmonary disease: a systematic review
title_sort technological advances and digital solutions to improve quality of life in older adults with chronic obstructive pulmonary disease: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10034255/
https://www.ncbi.nlm.nih.gov/pubmed/36952118
http://dx.doi.org/10.1007/s40520-023-02381-3
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