Impact of telemonitoring on readmissions in pacientes with COPD after hospital discharge

Introduction: There is limited data regarding the impact of telemonitoring over the outcomes in COPD patients after hospital discharge. Methods: Prospective, cohort study in a tertiary hospital between 7/1/2013- 1/8/2015.Inclusion:1)age > 40 ,2)smoker/former,3)FEV1/FVC Main outcome :% of patients readmitted at 30-day. Secondary outcomes :% patients readmitted at 90-day and time to readmission at 90-day. X 2 for categoric variables comparison among groups.Kaplan-Meier curves and log-rank for comparing time to readmission.Logistic regression and Cox proportional hazard ratio for multivariate analysis. Results: 181 were analysed (TMON=61 [33.7%]).Less patients from TMON were readmitted at 30-days:4(6.6%) vs.29(24.2%);OR=0.22 (IQR: 0.07-0.66;p=0.007).TMON patients had less % of readmission at 90-days (18% vs. 43.3%; p<0.01).TMON patients had higher time to readmission at 90-days compared with controls ;HR:0.37 ;CI95%: 0.22-0.63;p<0.001. After adjusting by age, gender,Charlson, FEV1,DECAF and no admission previous year, all this differences remained significant. Conclusions: Compared with regular care, telemonitoring after discharge for COPD patients is related with better outcomes in terms of lower readmission.