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Elderly patients with COPD require more health care than elderly heart failure patients do in a hospital-based home care setting

International Journal of COPD Jul 19, 2019

Persson HL, et al. - Given that hospitalization due to exacerbations is frequent among elderly patients with advanced stages of COPD or chronic heart failure (CHF), researchers investigated if an early detection of exacerbations, resulting in decreased number of hospitalization, is possible by telemonitoring supported by hospital-based home care (HBHC). They also compared patients with advanced COPD or CHF in terms of exacerbation frequency and the requirement for HBHC. They employed the Health Diary system, based on digital pen technology. This study was performed on patients aged ≥65 years with ≥2 hospitalizations the previous year. Hospitalization was significantly attenuated due to the intervention vs 1-year prior inclusion. Based on the findings, they concluded that exacerbations are more frequent in COPD subjects, mainly because of disease features, therefore, much more HBHC is required in these subjects.
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