Impact of a Home Telehealth Program After a Hospitalized COPD Exacerbation: A Propensity Score Analysis.


INTRODUCTION:Currently there is lack of data regarding the impact of a home telehealth program on readmissions and mortality rate after a COPD exacerbation-related hospitalization. OBJECTIVE:To demonstrate if a tele-monitoring system after a COPD exacerbation admission could have a favorable effect in 1-year readmissions and mortality in a real-world setting. METHODS:This is an observational study where we compared an intervention group of COPD patients treated after hospitalization that conveyed a telehealth program with a followance period of 1 year with a control group of patients evaluated during one year before the intervention began. A propensity-score analyses was developed to control for confounders. The main clinical outcome was 1-year all-cause mortality or COPD-related readmission. RESULTS:The analysis comprised 351 telemonitoring patients and 495 patients in the control group. The intervention resulted in less mortality or readmission after 12 months (35.2% vs. 45.2%; hazard ratio [HR] 0.71 [95% CI=0.56-0.91]; p=0.007). This benefit was maintained after the propensity score analysis (HR=0.66 [95% CI=0.51-0.84]). This benefit, which was seen from the first month of the study and during its whole duration, is maintained when mortality (HR=0.54; 95% CI=[0.36-0.82]) or readmission (subdistribution hazard ratio [SHR] 0.66; 95% CI=[0.50-0.86]) are analyzed separately. CONCLUSION:Telemonitoring after a severe COPD exacerbation is associated with less mortality or readmissions at 12 months in a real world clinical setting.


Arch Bronconeumol


Marcos PJ,Represas Represas C,Ramos C,Cimadevila Álvarez B,Fernández Villar A,Fraga Liste A,Fernández Nocelo S,Quiles Del Río J,Zamarrón Sanz C,Golpe R,Abal Arca J,Calvo Álvarez U,Pértega S,García Comesaña J




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2020-06-26 00:00:00








  • [Videothoracoscopy in the surgical treatment of pneumothorax: report of 46 cases].

    abstract::We report our 3-years experience with video-thoracoscopy for pneumothorax. Forty-six endoscopies (34 men, 12 women; mean age 27 +/- 9 years) were performed. Patients were under general anesthesia and intubation was selective. The conventional approach was used, with 3 incisions through which the camera and endoscopic ...

    journal_title:Archivos de bronconeumologia

    pub_type: 临床试验,杂志文章


    authors: Izquierdo JM,Pac J,Casanova J,Mariñán M,Rojo R,Rumbero JC,Vara F

    更新日期:1996-02-01 00:00:00

  • Reliability and validity of a short version of the STAI anxiety measurement scale in respiratory patients.

    abstract:BACKGROUND:There is comorbidity between respiratory disease and anxiety. In order to measure the anxiety of hospitalized patients it is necessary to use reliable and valid, and preferably short questionnaires. OBJECTIVE:To analyze the reliability and validity of a shortened version of the state subscale of the “State-...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,多中心研究


    authors: Perpiñá-Galvañ J,Richart-Martínez M,Cabañero-Martínez MJ

    更新日期:2011-04-01 00:00:00

  • [Diffuse interstitial lung disease related to peribronchiolar metaplasia].

    abstract::Peribronchiolar metaplasia is a histologic lesion characterized by fibrosis and bronchiolar epithelial proliferation, affecting peribronchiolar alveolar septa and terminal bronchioles. It has been considered a nonspecific tissue reaction secondary to the action of external factors, such as tobacco smoke and microbes, ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Cano-Jiménez E,Molina-Molina M,Ramírez J,Sánchez M,Aliaga JL,Xaubet A

    更新日期:2009-01-01 00:00:00

  • [Sequential double lung transplant in Kartagener's syndrome].

    abstract::Very few cases of lung transplantation have been described for patients with Kartagener's syndrome. We report the first case to be published in Spain. A 15-year-old girl with complete Kartagener's syndrome underwent sequential transplantation of both lungs. Due to the unusual distribution of the organs in this syndrom...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Lama Martínez R,Santos Luna F,Salvatierra Velázquez A,Cerezo Madueño F,Algar Algar J,Alvarez Kindelán A

    更新日期:2000-02-01 00:00:00

  • [The clinical view through the Archives: the clinical notes of 2009].

    abstract::The Clinical Notes published in 2009 serve as a resource to reflect on clinical aspects relevant to different clinical entities. Through this review an attempt is likewise made to bring the reader closer to the clinical reality of our environment. ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Samolski D,Martín Robles I,Castillo Villegas D

    更新日期:2010-12-01 00:00:00

  • Fatty acid supplements improve respiratory, inflammatory and nutritional parameters in adults with cystic fibrosis.

    abstract:INTRODUCTION AND AIMS:Chronic inflammation plays a major role in lung deterioration in cystic fibrosis (CF) patients and anti-inflammatory strategies have beneficial effects. To study the changes seen after a one-year course of low-dose dietary supplements with a mixture of fatty acids in adult patients with CF in chro...

    journal_title:Archivos de bronconeumologia

    pub_type: 临床试验,杂志文章


    authors: Olveira G,Olveira C,Acosta E,Espíldora F,Garrido-Sánchez L,García-Escobar E,Rojo-Martínez G,Gonzalo M,Soriguer F

    更新日期:2010-02-01 00:00:00

  • [Recurrent pneumonia and empyema due to Klebsiella pneumoniae as a complication of laparoscopic cholecystectomy].

    abstract::We report a patient with pneumonia and empyema secondary to an abdominal abscess due to Klebsiella pneumoniae from stones released into the abdominal cavity during laparoscopic cholecystectomy. ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Villena Garrido V,Sánchez-Bustos Cobaleda F,Rey Terrón L,Menchén Trujillo B,Campano Cruz I

    更新日期:2001-05-01 00:00:00

  • Reliability of an analysis method for measuring diaphragm excursion by means of direct visualization with videofluoroscopy.

    abstract:OBJECTIVE:The purpose of this study was to verify the reproducibility between two different observers of an analysis method for diaphragmatic displacement measurements using direct visualization with videofluoroscopy. PATIENTS AND METHODS:29 mouth breathing children aged 5 to 12 years from both genders were analyzed. ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Yi LC,Nascimento OA,Jardim JR

    更新日期:2011-06-01 00:00:00

  • Diagnosis of Tuberculous Infection in Immunosuppressed Patients and/or Candidates for Biologics Using a Combination of 2 IGRA Tests: T-SPOT.TB/QuantiFERON TB Gold In-Tube vs. T-SPOT.TB/QuantiFERON TB Gold Plus.

    abstract:INTRODUCTION:The diagnosis of latent tuberculous infection (LTI) by IGRA continues to generate debate. Experience in the simultaneous use of 2 IGRA tests is scant. The aim of this study was to compare the results of 2 versions of QuantiFERON-TB Gold (In-Tube/Plus) with those of T-SPOT.TB, and to analyse the effectivene...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Fernández-Blázquez A,Argüelles Menéndez P,Sabater-Cabrera C,García-García JM,Asensi Álvarez V,Palacios Gutiérrez JJ,en representación de la Red de Laboratorios de Microbiología del SESPA.

    更新日期:2020-06-10 00:00:00

  • [Validation of a respiratory polygraphy system in the diagnosis of sleep apnea syndrome].

    abstract:OBJECTIVE:To validate a cardiorespiratory polygraphy system (BITMED NGP 140) by comparing it to conventional polysomnography in the diagnosis of sleep apnea-hypopnea syndrome. PATIENTS AND METHODS:Polysomnography and cardio-respiratory polygraphy were performed simultaneously on 103 consecutive patients referred becau...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Candela A,Hernández L,Asensio S,Sánchez-Payá J,Vila J,Benito N,Romero S

    更新日期:2005-02-01 00:00:00

  • [Validation of half-night polysomnography for sleep apnea/hypoapnea syndrome].

    abstract:UNLABELLED:A diagnosis of sleep apnea/hypopnea syndrome (SAHS) is based on clinical signs and nighttime polysomnograms. Brief polysomnography has been proposed as an alternative to all-night recording. OBJECTIVES:The aim of this study was to determine whether a polysomnograms obtained during the first half of the nigh...

    journal_title:Archivos de bronconeumologia

    pub_type: 临床试验,杂志文章


    authors: Alonso Alvarez ML,Fernández Martínez de Septiem C,Alonso Mediavilla C,Martínez González M,Teran Santos J,Rodríguez Pascual L,Cordero Guevara J

    更新日期:2000-04-01 00:00:00

  • Sleep apnea-hypopnea syndrome and type 2 diabetes. A reciprocal relationship?

    abstract::Epidemiological data suggest that sleep apnea-hypopnea syndrome (SAHS) is independently associated with the development of insulin resistance and glucose intolerance. Moreover, despite significant methodological limitations, some studies report a high prevalence of SAHS in patients with type 2 diabetes mellitus (DM2)....

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Martínez Cerón E,Casitas Mateos R,García-Río F

    更新日期:2015-03-01 00:00:00

  • Characteristics of candidates for lung transplantation due to chronic obstructive pulmonary disease and alpha-1 antitrypsin deficiency emphysema.

    abstract:INTRODUCTION:COPD and emphysema due to alpha-1 antitrypsin deficiency (AATD) are the first and fourth indications for lung transplantation worldwide, respectively. Despite this, there is little information regarding the health status of these patients at the time of transplantation. METHODS:Patients who received a lun...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Giacoboni D,Barrecheguren M,Esquinas C,Rodríguez E,Berastegui C,López-Meseguer M,Monforte V,Bravo C,Pirina P,Miravitlles M,Román A

    更新日期:2015-08-01 00:00:00

  • Neutrophil Count Percentage and Neutrophil-Lymphocyte Ratio as Prognostic Markers in Patients Hospitalized for Community-Acquired Pneumonia.

    abstract:INTRODUCTION:Community-acquired pneumonia (CAP) is a common serious infection. This study aimed to evaluate the prognostic utility of neutrophil count percentage (NCP) and neutrophil-lymphocyte ratio (NLR) in patients with CAP. METHODS:Retrospective study of hospitalized patients with CAP. Patients had a blood test at...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Curbelo J,Rajas O,Arnalich B,Galván-Román JM,Luquero-Bueno S,Ortega-Gómez M,Lancho A,Roy E,Sánchez Azofra A,Mateo Jiménez G,Gómez M,Moldenhauer F,Aspa J

    更新日期:2019-09-01 00:00:00

  • [Contribution of exhaled nitric oxide measurements to abbreviated bronchial challenge test protocols].

    abstract:OBJECTIVE:The bronchial challenge test is commonly used to diagnose asthma but it is a tedious, time-consuming procedure. Although in recent years, several shortened methods have been proposed, it has been shown that they can give rise to exaggerated bronchoconstriction. The aims of the present study were a) to determi...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Lloris Bayo A,Perpiñá Tordera M,Martínez Pérez E,Macián Gisbert V

    更新日期:2008-08-01 00:00:00

  • [A morphometric model of hypersensitivity pneumonitis in the aging rat].

    abstract::Our objective was to develop an experimental model of hypersensitivity pneumonitis in the aging rat. The following hypothesis was proposed: hypersensitivity pneumonitis in the aging rat will be evident in alterations in cells harvested by bronchoalveolar lavage (BAL) and in an increase in alveolar interstitial tissue....

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Escolar JD,Alfaro E,Roche PA,Almajano C,Gallego B

    更新日期:1995-06-01 00:00:00

  • [Archivos de Bronconeumología: among the 3 Spanish medical journals with the highest national impact factors].

    abstract:OBJECTIVE:Citation analysis elucidates patterns of information consumption within professional communities. The aim of this study was to analyze the citations of 87 Spanish medical journals by calculating their impact factors and immediacy indices for 2001, and to estimate the importance of Archivos de Bronconeumología...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Aleixandre Benavent R,Valderrama Zurián JC,Castellano Gómez M,Simó Meléndez R,Navarro Molina C

    更新日期:2004-12-01 00:00:00

  • [Massive hemoptysis secondary to cardiac insufficiency in a context of dilated myocardiopathy].

    abstract::Massive hemoptysis is a life-threatening emergency that rarely occurs in association with heart failure and is even less frequent when the underlying cause is dilated myocardiopathy. We report the case of a 69-year-old man with undiagnosed heart disease who presented with severe hemoptysis. Images showed evident cardi...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: López R,Abad A,De Miguel J,Juretshck M

    更新日期:2001-07-01 00:00:00

  • [Venous compression ultrasonography of the lower limbs: a diagnostic tool in the hands of pneumologists].

    abstract::Our objective was to study agreement between the compression ultrasound images taken in our respiratory medicine department and the duplex ultrasound images obtained by radiologists at our hospital for patients admitted to our ward with suspected diagnoses of venous thromboembolism.Seventy-eight consecutive patients a...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Arenas Gordillo M,Otero Candelera R,Cayuela Domínguez A,López Campos JL,Barrot Cortés E,González Brazo J,Verano Rodríguez A

    更新日期:2002-04-01 00:00:00

  • [Acute respiratory failure as the presentation of amyotrophic lateral sclerosis. Apropos a case].

    abstract::We report the case of a 61-year-old man with amyotrophic lateral sclerosis presenting with respiratory failure requiring long-term mechanical ventilation. Diagnostic difficulties are discussed along with the circumstances that give rise to suspicion of neuromuscular disease in a context of respiratory failure of unkno...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Hernández Borge J,García González L,Martín Arroyo Caballero JA,Ruiz Avalos A

    更新日期:1999-01-01 00:00:00

  • [Clinicopathological features of solitary fibrous tumors of the pleura: a case series and literature review].

    abstract::We assessed the clinicopathological features of solitary fibrous tumors of the pleura in a case series comprising 30 patients (20 women, 66.6%) with a mean age of 58.39 years. Forty-five percent of the cases were asymptomatic. In 70% of the cases the tumors arose in the visceral pleura. Twenty percent presented multip...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Sánchez-Mora N,Cebollero-Presmanes M,Monroy V,Carretero-Albiñana L,Herranz-Aladro M,Alvarez-Fernández E

    更新日期:2006-02-01 00:00:00

  • [Clinical efficacy of moxifloxacin in the treatment of exacerbations of chronic bronchitis: a systematic review and meta-analysis].

    abstract:OBJECTIVE:As the research undertaken to date on the efficacy of the new antibiotics in the treatment of exacerbations of chronic bronchitis has taken the form of trials designed to demonstrate equivalence, we have no data on the advantages associated with the use of these new drugs with greater bactericidal activity. O...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,meta分析,评审


    authors: Miravitlles M,Molina J,Brosa M

    更新日期:2007-01-01 00:00:00

  • [Effects of nasal positive airway pressure treatment on oxidative stress in patients with sleep apnea-hypopnea syndrome].

    abstract:OBJECTIVE:To analyze whether nasal continuous positive airway pressure (CPAP) reduces oxidative stress in patients with sleep apnea-hypopnea syndrome (SAHS). PATIENTS AND METHODS:Thirty-six patients with SAHS requiring nasal CPAP treatment and 10 controls in whom SAHS was ruled out were enrolled. Oxidative stress was ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Hernández C,Abreu J,Abreu P,Colino R,Jiménez A

    更新日期:2006-03-01 00:00:00

  • P4 medicine: the future around the corner.

    abstract::Traditional medical practice has been "reactive" (doctor takes part when disease appears). The theoretical (scale free networks and complex systems), technological (high efficiency "omic" technologies) and conceptual (biology systems) advances throughout the last decade, allow us to anticipate the transition to an "an...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Sobradillo P,Pozo F,Agustí A

    更新日期:2011-01-01 00:00:00

  • Differences in clinical features of two immigrant populations with tuberculosis.

    abstract::A study was performed to assess differences in the clinical presentation of tuberculosis between two groups of immigrants. Ninety-four patients seen in the emergency room for newly diagnosed tuberculosis between 2006 and 2012 were included. Forty-nine patients were from Asian countries and 45 from Latin America. Mean ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Supervía A,Pallàs O,Piccari L,Herrera Fernández S,Domínguez Álvarez M,Cirera I,del Baño F

    更新日期:2015-06-01 00:00:00

  • A population-based cohort study on chronic obstructive pulmonary disease in Latin America: methods and preliminary results. The PLATINO Study Phase II.

    abstract:BACKGROUND:The PLATINO baseline study, conducted from 2003-2005 in five Latin American cities (São Paulo, Mexico City, Montevideo, Santiago, Caracas), showed a high prevalence of chronic obstructive pulmonary disease (COPD). METHODS/DESIGN:A follow-up study was conducted in three out of the five centers (Montevideo, S...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,多中心研究


    authors: Menezes AM,Muiño A,López-Varela MV,Valdivia G,Lisboa C,Jardim JR,Montes de Oca M,Tálamo C,Wehrmeister FC,Perez-Padilla R,Equipo del estudio Platino.

    更新日期:2014-01-01 00:00:00

  • [Pulmonary mycetoma].

    abstract::Ten cases of pulmonary mycetoma diagnosed in our service between 1985-1992 were retrospectively studied. Clinical methodology followed in the study is commented and the different therapeutic options are reviewed, so the literature concerning this process. The unspecificity of serum precipitins with Aspergillus is emph...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Rodríguez García JC,Baloira Villar A,García García JC,Argüelles Riera Y

    更新日期:1994-08-01 00:00:00

  • [The shuttle run test is not valid for the detection of asthma in school physical education programs].

    abstract:OBJECTIVE:Certain sporting activities may trigger asthma exacerbations of varying intensity in children. Such exacerbations may lead to limitations in and rejection of such activities. During school hours, teachers are in a good position to observe these phenomena. The aim of the present study was to evaluate the shutt...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Oñate E,González Pérez-Yarza E,de la Paz AF,Aldasoro A,Aramendi JF,Bardagi S,Emparanza JI

    更新日期:2006-11-01 00:00:00

  • [The primary ciliary dyskinesia syndrome. A frequent pathology].

    abstract::The prevalence of primary ciliary dyskinesia syndrome (PCDS) in Western countries is of 1/40,000 but is 13% in patients with bronchiectasis. The aim of this study was to determine the prevalence of PCDS in patients with bronchiectasis and sinusitis, including whether or not these patients present specific clinical sig...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Barranco MJ,Armengot M,Cardá C,Císcar MA,Peris R,Ramón M,Juan G

    更新日期:1994-01-01 00:00:00

  • Evaluating respiratory patient disability.

    abstract::The evaluation of the disabilities of patients with respiratory disease is regulated by the Spanish Ministry of Labor and Social Security, as are disabilities of any other type. We believe, however, that in respiratory pathologies this evaluation is especially complicated because, as they are chronic processes, they i...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Ruiz Manzano J,Alfageme Michavila I,Chiner Vives E,Martínez González C

    更新日期:2012-08-01 00:00:00