PT  - JOURNAL ARTICLE
AU  - Ahmed Al Rajeh
AU  - Michael C Steiner
AU  - Yousef Aldabayan
AU  - Abdulelah Aldhahir
AU  - Elisha Pickett
AU  - Shumonta Quaderi
AU  - John R Hurst
TI  - Use, utility and methods of telehealth for patients with COPD in England and Wales: a healthcare provider survey
AID  - 10.1136/bmjresp-2018-000345
DP  - 2019 Feb 01
TA  - BMJ Open Respiratory Research
PG  - e000345
VI  - 6
IP  - 1
4099  - http://bmjopenrespres.bmj.com/content/6/1/e000345.short
4100  - http://bmjopenrespres.bmj.com/content/6/1/e000345.full
SO  - BMJ Open Resp Res2019 Feb 01; 6
AB  - Introduction Although the effectiveness of domiciliary monitoring (telehealth) to improve outcomes in chronic obstructive pulmonary disease (COPD) is controversial, it is being used in the National Health Service (NHS).Aim To explore the use of teleheath for COPD across England and Wales, to assess the perceptions of clinicians employing telehealth in COPD and to summarise the techniques that have been used by healthcare providers to personalise alarm limits for patients with COPD enrolled in telehealth programmes.Methods A cross-sectional survey consisting of 14 questions was sent to 230 COPD community services in England and Wales. Questions were designed to cover five aspects of telehealth in COPD: purpose of use, equipment type, clinician perceptions, variables monitored and personalisation of alarm limits.Results 65 participants completed the survey from 52 different NHS Trusts. 46% of Trusts had used telehealth for COPD, and currently, 31% still provided telehealth services to patients with COPD. Telehealth is most commonly used for baseline monitoring and to allow early detection of exacerbations, with 54% believing it to be effective. The three most commonly monitored variables were oxygen saturation, heart rate and breathlessness. A variety of methods were used to set alarm limits with the majority of respondents believing that at least 40% of alarms were false.Conclusion Around one-third of responded community COPD services are using telehealth, believing it to be effective without robust evidence, with a variety of variables monitored, a variety of hardware and varying techniques to set alarm limits with high false alarm frequencies.