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Home monitoring of breathing rate in people with chronic obstructive pulmonary disease: observational study of feasibility, acceptability, and change after exacerbation

Telehealth programs to promote early identification and timely self-management of acute exacerbations of chronic obstructive pulmonary diseases (AECOPDs) have yielded disappointing results, in part, because parameters monitored (symptoms, pulse oximetry, and spirometry) are weak predictors of exacer...

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Autores principales: Rubio, Noah, Parker, Richard A, Drost, Ellen M, Pinnock, Hilary, Weir, Christopher J, Hanley, Janet, Mantoani, Leandro C, MacNee, William, McKinstry, Brian, Rabinovich, Roberto A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5404493/
https://www.ncbi.nlm.nih.gov/pubmed/28458534
http://dx.doi.org/10.2147/COPD.S120706
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author Rubio, Noah
Parker, Richard A
Drost, Ellen M
Pinnock, Hilary
Weir, Christopher J
Hanley, Janet
Mantoani, Leandro C
MacNee, William
McKinstry, Brian
Rabinovich, Roberto A
author_facet Rubio, Noah
Parker, Richard A
Drost, Ellen M
Pinnock, Hilary
Weir, Christopher J
Hanley, Janet
Mantoani, Leandro C
MacNee, William
McKinstry, Brian
Rabinovich, Roberto A
author_sort Rubio, Noah
collection PubMed
description Telehealth programs to promote early identification and timely self-management of acute exacerbations of chronic obstructive pulmonary diseases (AECOPDs) have yielded disappointing results, in part, because parameters monitored (symptoms, pulse oximetry, and spirometry) are weak predictors of exacerbations. PURPOSE: Breathing rate (BR) rises during AECOPD and may be a promising predictor. Devices suitable for home use to measure BR have recently become available, but their accuracy, acceptability, and ability to detect changes in people with COPD is not known. PATIENTS AND METHODS: We compared five BR monitors, which used different monitoring technologies, with a gold standard (Oxycon Mobile(®); CareFusion(®), a subsidiary of Becton Dickinson, San Diego, CA, USA). The monitors were validated in 21 stable COPD patients during a 57-min “activities of daily living protocol” in a laboratory setting. The two best performing monitors were then tested in a 14-day trial in a home setting in 23 stable COPD patients to determine patient acceptability and reliability of signal. Acceptability was explored in qualitative interviews. The better performing monitor was then given to 18 patients recruited during an AECOPD who wore the monitor to observe BR during the recovery phase of an AECOPD. RESULTS: While two monitors demonstrated acceptable accuracy compared with the gold standard, some participants found them intrusive particularly when ill with an exacerbation, limiting their potential utility in acute situations. A reduction in resting BR during the recovery from an AECOPD was observed in some, but not in all participants and there was considerable day-to-day individual variation. CONCLUSION: Resting BR shows some promise in identifying exacerbations; however, further prospective study to assess this is required.
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spelling pubmed-54044932017-04-28 Home monitoring of breathing rate in people with chronic obstructive pulmonary disease: observational study of feasibility, acceptability, and change after exacerbation Rubio, Noah Parker, Richard A Drost, Ellen M Pinnock, Hilary Weir, Christopher J Hanley, Janet Mantoani, Leandro C MacNee, William McKinstry, Brian Rabinovich, Roberto A Int J Chron Obstruct Pulmon Dis Original Research Telehealth programs to promote early identification and timely self-management of acute exacerbations of chronic obstructive pulmonary diseases (AECOPDs) have yielded disappointing results, in part, because parameters monitored (symptoms, pulse oximetry, and spirometry) are weak predictors of exacerbations. PURPOSE: Breathing rate (BR) rises during AECOPD and may be a promising predictor. Devices suitable for home use to measure BR have recently become available, but their accuracy, acceptability, and ability to detect changes in people with COPD is not known. PATIENTS AND METHODS: We compared five BR monitors, which used different monitoring technologies, with a gold standard (Oxycon Mobile(®); CareFusion(®), a subsidiary of Becton Dickinson, San Diego, CA, USA). The monitors were validated in 21 stable COPD patients during a 57-min “activities of daily living protocol” in a laboratory setting. The two best performing monitors were then tested in a 14-day trial in a home setting in 23 stable COPD patients to determine patient acceptability and reliability of signal. Acceptability was explored in qualitative interviews. The better performing monitor was then given to 18 patients recruited during an AECOPD who wore the monitor to observe BR during the recovery phase of an AECOPD. RESULTS: While two monitors demonstrated acceptable accuracy compared with the gold standard, some participants found them intrusive particularly when ill with an exacerbation, limiting their potential utility in acute situations. A reduction in resting BR during the recovery from an AECOPD was observed in some, but not in all participants and there was considerable day-to-day individual variation. CONCLUSION: Resting BR shows some promise in identifying exacerbations; however, further prospective study to assess this is required. Dove Medical Press 2017-04-20 /pmc/articles/PMC5404493/ /pubmed/28458534 http://dx.doi.org/10.2147/COPD.S120706 Text en © 2017 Rubio et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Rubio, Noah
Parker, Richard A
Drost, Ellen M
Pinnock, Hilary
Weir, Christopher J
Hanley, Janet
Mantoani, Leandro C
MacNee, William
McKinstry, Brian
Rabinovich, Roberto A
Home monitoring of breathing rate in people with chronic obstructive pulmonary disease: observational study of feasibility, acceptability, and change after exacerbation
title Home monitoring of breathing rate in people with chronic obstructive pulmonary disease: observational study of feasibility, acceptability, and change after exacerbation
title_full Home monitoring of breathing rate in people with chronic obstructive pulmonary disease: observational study of feasibility, acceptability, and change after exacerbation
title_fullStr Home monitoring of breathing rate in people with chronic obstructive pulmonary disease: observational study of feasibility, acceptability, and change after exacerbation
title_full_unstemmed Home monitoring of breathing rate in people with chronic obstructive pulmonary disease: observational study of feasibility, acceptability, and change after exacerbation
title_short Home monitoring of breathing rate in people with chronic obstructive pulmonary disease: observational study of feasibility, acceptability, and change after exacerbation
title_sort home monitoring of breathing rate in people with chronic obstructive pulmonary disease: observational study of feasibility, acceptability, and change after exacerbation
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5404493/
https://www.ncbi.nlm.nih.gov/pubmed/28458534
http://dx.doi.org/10.2147/COPD.S120706
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