Aging Clinical and Experimental Research · 8 authors, 6 centres
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This systematic review of 5 RCTs (584 older adults with COPD) found no significant improvements in health-related quality of life from tele-monitoring devices, though certain systems showed positive effects on respiratory events and hospitalizations.
A systematic review searched PubMed, Scopus, Web of Science, and Cochrane for RCTs evaluating tele-monitoring devices in older adults with COPD, with HR-QoL as the primary outcome. Five RCTs involving 584 patients were included after screening 1845 records. Quality was assessed using the Jadad scale. Across all included studies, no significant between-group differences in HR-QoL were found, whether measured by CRQ, CAT, EQ-5D, or PHQ-9. Pulmonary function outcomes also showed no significant inter-group differences. Two studies showed positive functional outcomes within intervention groups but no advantage over control. Two studies reported positive effects on respiratory events and hospitalization rates, with the CHROMED platform associated with a 54% reduction in repeat hospitalizations. Cost analysis in one study indicated lower mean costs per patient in the tele-monitoring group. Limitations include high heterogeneity in technologies used, small number of included studies, and limited evidence for older adults specifically.
