ChronicOnline: Implementing a mHealth solution for monitoring and early alerting in chronic obstructive pulmonary disease

2016 ◽  
Vol 23 (3) ◽  
pp. 197-207 ◽  
Author(s):  
Marina Bitsaki ◽  
Christos Koutras ◽  
George Koutras ◽  
Frank Leymann ◽  
Frank Steimle ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Service Oriented Architecture ◽  
Low Cost ◽  
National Health System ◽  
Chronic Obstructive ◽  
Chronic Patients ◽  
Obstructive Pulmonary Disease ◽  
Cloud Computing Service ◽  
Service Oriented

Lack of time or economic difficulties prevent chronic obstructive pulmonary disease patients from communicating regularly with their physicians, thus inducing exacerbation of their chronic condition and possible hospitalization. Enhancing Chronic patients’ Health Online proposes a new, sustainable and innovative business model that provides at low cost and at significant savings to the national health system, a preventive health service for chronic obstructive pulmonary disease patients, by combining human medical expertise with state-of-the-art online service delivery based on cloud computing, service-oriented architecture, data analytics, and mobile applications. In this article, we implement the frontend applications of the Enhancing Chronic patients’ Health Online system and describe their functionality and the interfaces available to the users.

scholarly journals Electrocardiographic predictors of five years mortality in chronic obstructive pulmonary disease patients

2020 ◽  
pp. 104-104
Author(s):  
Biljana Lazovic ◽  
Nevena Jovicic ◽  
Vladimir Radlovic ◽  
Sanja Sarac ◽  
Rade Milic ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Right Bundle Branch Block ◽  
Low Cost ◽  
Screening Method ◽  
P Wave ◽  
Chronic Obstructive ◽  
Bundle Branch Block ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients

Introduction/Objective. Cardiovascular disease is one of the most common comorbidities among subjects with chronic obstructive pulmonary disease (COPD). The aim of this study is to evaluate ECG parameters and mortality predictors in COPD patients. Methods. A total of 835 consecutive patients were included. Patients were classified to suffer from COPD if in three consecutive postbronhodilatator measurements FEV1/FVC was <70%. Following ECG changes were observed: axis, p wave, low ORS complex, transitional zone, left bundle branch block (LBBB), right bundle branch block (RBBB), incomplete right bundle branch block, S1S2S3 configuration, negative T in V1-V3. Patients were followed up for mortality in a five years period. Results. Both survivors and non-survivors were similar age, gender and COPD status. FVC and FEV1 as well as GOLD stadium are significantly higher in surviving group (p<0.016, p<0.001, p<0.001 respectively). Normal axis was in significantly higher percentage in non-survived patients (p=0.020). Right RBBB and incomplete RBB are more frequent finding in patients who died as (p?0.001, p?0.05, respectively). LBBB, S1S2S3 configuration is in significantly higher percent in non survivors (p<0.016, p<0.001, respectively). In multivariable logistic model, patients with LBBB have two times higher chance of mortality compared to patients without LBBB. Contrary, patients with RBBB have 1.6 times lower chance to have death outcome. Conclusion. Main ECG predictors of COPD patients? five-year mortality are LBBB and RBBB, but according to statistical model, electrocardiogram should be further explored and possibly obligatory involved in a routine clinical practice as an easy and low-cost screening method.

scholarly journals Individualized, Low-Cost And Accessible Pulmonary Rehabilitation Program Based On Functional Clinical Tests For Individuals With Copd– A Study Protocol Of A Randomized Controlled Trial

2021 ◽  
Author(s):  
Marcela Maria Carvalho da SILVA ◽  
JULIANO FERREIRA ARCURI ◽  
VALERIA AMORIM PIRES DI LORENZO
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Low Cost ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Positive Effects ◽  
Rehabilitation Programs

Abstract Backgroud:Patients with Chronic Obstructive Pulmonary Disease (COPD) present pulmonary and extrapulmonary impairments. In order to mitigate these impairments, pulmonary rehabilitation programs (PRP) it is an important strategy but the access to PRP in specialized center is limited and the studied of low-cost home rehabilitation programs had non-individualized prescription, which might have led to insignificant positive effects. So, it is important to develop new low-cost protocols that involves individualized prescription, and the influence of physiotherapist supervision. The aim of this study was to describe an accessible, low-cost and individualized pulmonary rehabilitation protocol and compare its results when performing it with or without a weekly physiotherapist-supervised session on patients with COPD. Methods: This is a descriptive protocol of a clinical trial with parallel equivalent groups, conducted at the Spirometry and Respiratory Physical Therapy Laboratory of the Federal University of São Carlos (UFSCar). The trial was registered at Brazilian Clinical Trials Registry (ReBec) URL: http://www.ensaiosclinicos.gov.br/rg/RBR-533hht/ with Register Number RBR-533hht. The sample size was 40 patients and was calculated using the results of a pilot study.Discussion- potencial impact and significance of the study: It is expected that the low cost and new supervised rehabilitation program complemented with home exercises will present positive results especially on exercise capacity, which will make available a more accessible and effective PRP for patients with COPD.Trial registration: The name of the registry was Responsibility of functional tests on supervised rehabilitation program and education program in patients with chronic obstructive pulmonary disease,with registration number: RBR-533hht. The date of registration and start data was September 20, 2018.

Oral and Oropharyngeal Sensory Function in Adults With Chronic Obstructive Pulmonary Disease

2020 ◽  
Vol 29 (2) ◽  
pp. 864-872
Author(s):  
Fernanda Borowsky da Rosa ◽  
Adriane Schmidt Pasqualoto ◽  
Catriona M. Steele ◽  
Renata Mancopes
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Oral Cavity ◽  
Pulmonary Disease ◽  
Thermal Sensation ◽  
Sensory Function ◽  
Control Group ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Age Related ◽  
Copd Patients

Introduction The oral cavity and pharynx have a rich sensory system composed of specialized receptors. The integrity of oropharyngeal sensation is thought to be fundamental for safe and efficient swallowing. Chronic obstructive pulmonary disease (COPD) patients are at risk for oropharyngeal sensory impairment due to frequent use of inhaled medications and comorbidities including gastroesophageal reflux disease. Objective This study aimed to describe and compare oral and oropharyngeal sensory function measured using noninstrumental clinical methods in adults with COPD and healthy controls. Method Participants included 27 adults (18 men, nine women) with a diagnosis of COPD and a mean age of 66.56 years ( SD = 8.68). The control group comprised 11 healthy adults (five men, six women) with a mean age of 60.09 years ( SD = 11.57). Spirometry measures confirmed reduced functional expiratory volumes (% predicted) in the COPD patients compared to the control participants. All participants completed a case history interview and underwent clinical evaluation of oral and oropharyngeal sensation by a speech-language pathologist. The sensory evaluation explored the detection of tactile and temperature stimuli delivered by cotton swab to six locations in the oral cavity and two in the oropharynx as well as identification of the taste of stimuli administered in 5-ml boluses to the mouth. Analyses explored the frequencies of accurate responses regarding stimulus location, temperature and taste between groups, and between age groups (“≤ 65 years” and “> 65 years”) within the COPD cohort. Results We found significantly higher frequencies of reported use of inhaled medications ( p < .001) and xerostomia ( p = .003) in the COPD cohort. Oral cavity thermal sensation ( p = .009) was reduced in the COPD participants, and a significant age-related decline in gustatory sensation was found in the COPD group ( p = .018). Conclusion This study found that most of the measures of oral and oropharyngeal sensation remained intact in the COPD group. Oral thermal sensation was impaired in individuals with COPD, and reduced gustatory sensation was observed in the older COPD participants. Possible links between these results and the use of inhaled medication by individuals with COPD are discussed.

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