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Remote patient monitoring strategies and wearable technology in chronic obstructive pulmonary disease

Chronic obstructive pulmonary disease (COPD) is highly prevalent and is associated with a heavy burden on patients and health systems alike. Exacerbations of COPD (ECOPDs) are a leading cause of acute hospitalization among all adult chronic diseases. There is currently a paradigm shift in the way th...

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Autores principales: Coutu, Felix-Antoine, Iorio, Olivia C., Ross, Bryan A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470466/
https://www.ncbi.nlm.nih.gov/pubmed/37663662
http://dx.doi.org/10.3389/fmed.2023.1236598
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author Coutu, Felix-Antoine
Iorio, Olivia C.
Ross, Bryan A.
author_facet Coutu, Felix-Antoine
Iorio, Olivia C.
Ross, Bryan A.
author_sort Coutu, Felix-Antoine
collection PubMed
description Chronic obstructive pulmonary disease (COPD) is highly prevalent and is associated with a heavy burden on patients and health systems alike. Exacerbations of COPD (ECOPDs) are a leading cause of acute hospitalization among all adult chronic diseases. There is currently a paradigm shift in the way that ECOPDs are conceptualized. For the first time, objective physiological parameters are being used to define/classify what an ECOPD is (including heart rate, respiratory rate, and oxygen saturation criteria) and therefore a mechanism to monitor and measure their changes, particularly in an outpatient ambulatory setting, are now of great value. In addition to pre-existing challenges on traditional ‘in-person’ health models such as geography and seasonal (ex. winter) impacts on the ability to deliver in-person visit-based care, the COVID-19 pandemic imposed additional stressors including lockdowns, social distancing, and the closure of pulmonary function labs. These health system stressors, combined with the new conceptualization of ECOPDs, rapid advances in sophistication of hardware and software, and a general openness by stakeholders to embrace this technology, have all influenced the propulsion of remote patient monitoring (RPM) and wearable technology in the modern care of COPD. The present article reviews the use of RPM and wearable technology in COPD. Context on the influences, factors and forces which have helped shape this health system innovation is provided. A focused summary of the literature of RPM in COPD is presented. Finally, the practical and ethical principles which must guide the transition of RPM in COPD into real-world clinical use are reviewed.
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spelling pubmed-104704662023-09-01 Remote patient monitoring strategies and wearable technology in chronic obstructive pulmonary disease Coutu, Felix-Antoine Iorio, Olivia C. Ross, Bryan A. Front Med (Lausanne) Medicine Chronic obstructive pulmonary disease (COPD) is highly prevalent and is associated with a heavy burden on patients and health systems alike. Exacerbations of COPD (ECOPDs) are a leading cause of acute hospitalization among all adult chronic diseases. There is currently a paradigm shift in the way that ECOPDs are conceptualized. For the first time, objective physiological parameters are being used to define/classify what an ECOPD is (including heart rate, respiratory rate, and oxygen saturation criteria) and therefore a mechanism to monitor and measure their changes, particularly in an outpatient ambulatory setting, are now of great value. In addition to pre-existing challenges on traditional ‘in-person’ health models such as geography and seasonal (ex. winter) impacts on the ability to deliver in-person visit-based care, the COVID-19 pandemic imposed additional stressors including lockdowns, social distancing, and the closure of pulmonary function labs. These health system stressors, combined with the new conceptualization of ECOPDs, rapid advances in sophistication of hardware and software, and a general openness by stakeholders to embrace this technology, have all influenced the propulsion of remote patient monitoring (RPM) and wearable technology in the modern care of COPD. The present article reviews the use of RPM and wearable technology in COPD. Context on the influences, factors and forces which have helped shape this health system innovation is provided. A focused summary of the literature of RPM in COPD is presented. Finally, the practical and ethical principles which must guide the transition of RPM in COPD into real-world clinical use are reviewed. Frontiers Media S.A. 2023-08-17 /pmc/articles/PMC10470466/ /pubmed/37663662 http://dx.doi.org/10.3389/fmed.2023.1236598 Text en Copyright © 2023 Coutu, Iorio and Ross. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Coutu, Felix-Antoine
Iorio, Olivia C.
Ross, Bryan A.
Remote patient monitoring strategies and wearable technology in chronic obstructive pulmonary disease
title Remote patient monitoring strategies and wearable technology in chronic obstructive pulmonary disease
title_full Remote patient monitoring strategies and wearable technology in chronic obstructive pulmonary disease
title_fullStr Remote patient monitoring strategies and wearable technology in chronic obstructive pulmonary disease
title_full_unstemmed Remote patient monitoring strategies and wearable technology in chronic obstructive pulmonary disease
title_short Remote patient monitoring strategies and wearable technology in chronic obstructive pulmonary disease
title_sort remote patient monitoring strategies and wearable technology in chronic obstructive pulmonary disease
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470466/
https://www.ncbi.nlm.nih.gov/pubmed/37663662
http://dx.doi.org/10.3389/fmed.2023.1236598
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