Telehealth mitigates COPD disease progression compared to standard of care: a randomized controlled crossover trial

Background We showed excellent adherence and satisfaction with our telehealth care (TC) approach for COPD. Here, the results of a consecutive randomized controlled trial are presented. Methods Patients were randomly assigned to TC or standard (SC). During TC, patients answered six daily questions online, focused on early recognition exacerbations, in addition SC. Results The mean increase COPD assessment test (CAT) was 1.8 vs. 3.6 points/year SC groups, respectively (P = 0.0015). Satisfaction (VAS) at baseline 8.2; end SC, 8.5 0.062); after 8.8 < 0.001). detected significantly more moderate exacerbations during TC. Conclusion Whilst receiving slope CAT – an indicator naturally progressive course reduced by 50%. increased higher number probably indicates diagnostic sensitivity than without