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首页> 外文期刊>COPD: Journal of Chronic Obstructive Pulmonary Disease >Is There Any Additional Effect of Tele-Assistance on Long-Term Care Programmes in Hypercapnic COPD Patients? A Retrospective Study
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Is There Any Additional Effect of Tele-Assistance on Long-Term Care Programmes in Hypercapnic COPD Patients? A Retrospective Study

机译：远程协助对高碳酸血症COPD患者的长期护理计划是否有其他影响？回顾性研究

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摘要

The evidence for tele-assistance (TA) in hypercapnic chronic obstructive pulmonary disease (COPD) patients on long-term oxygen therapy (LTOT) is scarce. The aim of this study was to evaluate the effects of addition of long-term TA to LTOT with or without non-invasive ventilation (NIV) in these patients. Retrospective analysis of a previous randomised study of patients on LTOT. According to the care programme patients were divided into Group 1: LTOT; Group 2: LTOT + NIV; Group 3: LTOT + TA and Group 4: LTOT + NIV + TA. Primary outcomes: time to first exacerbation and hospitalisation during 12 months of long-term care. Risk of exacerbation was statistically different among groups (p = 0.0002). TA addition to NIV significantly reduced exacerbation risk when compared with that to all groups. Hospitalisation risk was statistically different among groups (p = 0.049). Addition of TA to LTOT but not to NIV significantly reduced hospitalisation risk when compared to Group 1 (p = 0.013). Risk of mortality did not differ among groups (p = 0.074). In chronically hypercapnic COPD patients on LTOT, 1. TA alone and with greater efficacy when combined with NIV may reduce the frequency of exacerbations and 2. TA added to LTOT, but not to NIV, may reduce the frequency of hospitalisations.
机译：长期接受氧疗（LTOT）的高碳酸血症性慢性阻塞性肺疾病（COPD）患者的远程协助（TA）证据很少。这项研究的目的是评估在有或没有无创通气（NIV）的情况下向LTOT添加长期TA的效果。以前对LTOT患者进行随机研究的回顾性分析。根据护理方案，将患者分为1组：LTOT;第2组：LTOT + NIV;第3组：LTOT + TA，第4组：LTOT + NIV + TA。主要结果：长期护理12个月内首次加重病情和住院的时间。各组之间加重的风险在统计学上是不同的（p = 0.0002）。与所有组相比，在NIV中添加TA显着降低了加重风险。各组之间的住院风险有统计学差异（p = 0.049）。与第1组相比，在LTOT而非NIV上添加TA显着降低了住院风险（p = 0.013）。各组之间的死亡风险没有差异（p = 0.074）。在接受LTOT的慢性高碳酸血症COPD患者中，1.单独使用TA并与NIV联合使用具有更高的疗效可能会降低病情加重的频率; 2.添加LTOT而不是NIV的TA可以减少住院的频率。

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