TY - T1的家庭维护tele-rehabilitation reduces the risk for acute exacerbations of COPD, hospitalisations and emergency department visits JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.02129-2016 VL - 49 IS - 5 SP - 1602129 AU - Vasilopoulou, Maroula AU - Papaioannou, Andriana I. AU - Kaltsakas, Georgios AU - Louvaris, Zafeiris AU - Chynkiamis, Nikolaos AU - Spetsioti, Stavroula AU - Kortianou, Eleni AU - Genimata, Sofia Antiopi AU - Palamidas, Anastasios AU - Kostikas, Konstantinos AU - Koulouris, Nikolaos G. AU - Vogiatzis, Ioannis Y1 - 2017/05/01 UR - //www.qdcxjkg.com/content/49/5/1602129.abstract N2 - Pulmonary rehabilitation (PR) remains grossly underutilised by suitable patients worldwide. We investigated whether home-based maintenance tele-rehabilitation will be as effective as hospital-based maintenance rehabilitation and superior to usual care in reducing the risk for acute chronic obstructive pulmonary disease (COPD) exacerbations, hospitalisations and emergency department (ED) visits.Following completion of an initial 2-month PR programme this prospective, randomised controlled trial (between December 2013 and July 2015) compared 12 months of home-based maintenance tele-rehabilitation (n=47) with 12 months of hospital-based, outpatient, maintenance rehabilitation (n=50) and also to 12 months of usual care treatment (n=50) without initial PR.In a multivariate analysis during the 12-month follow-up, both home-based tele-rehabilitation and hospital-based PR remained independent predictors of a lower risk for 1) acute COPD exacerbation (incidence rate ratio (IRR) 0.517, 95% CI 0.389–0.687, and IRR 0.635, 95% CI 0.473–0.853), respectively, and 2) hospitalisations for acute COPD exacerbation (IRR 0.189, 95% CI 0.100–0.358, and IRR 0.375, 95% CI 0.207–0.681), respectively. However, only home-based maintenance tele-rehabilitation and not hospital-based, outpatient, maintenance PR was an independent predictor of ED visits (IRR 0.116, 95% CI 0.072–0.185).Home-based maintenance tele-rehabilitation is equally effective as hospital-based, outpatient, maintenance PR in reducing the risk for acute COPD exacerbation and hospitalisations. In addition, it encounters a lower risk for ED visits, thereby constituting a potentially effective alternative strategy to hospital-based, outpatient, maintenance PR.Home tele-rehabilitation reduces risk of COPD exacerbation; is effective alternative to in-hospital rehabilitation http://ow.ly/T17g30ap9cY ER -