Telemedicine Programs in Respiratory Diseases

Telemedicine programs are widely used in respiratory diseases, more often in patients with chronic obstructive pulmonary diseases (COPD). Telemedicine platforms use several devices to measure vital signs such as heart rate, respiratory rate, pulsioximetry or blood pressure between others. It is not unusual that patients could do questionnaires about clinical situation or communicate with their nurses via telephone, video-calling and/or Skype. The majority of results has been positive, with reduction in the number of emergency visits, hospitalizations and noninvasive ventilations. Despite their promising results, telemedicine programs/platforms are slow to implement. In this chapter, we reviewed some of the factors related to telemedicine implementation such as patients’ adherence, impact of telemedicine design and professionals\u27 resistance to change between others

Telemonitorización domiciliaria en pacientes con enfermedad pulmonar obstructiva crónica grave

Tesis doctoral inédita leída en la Universidad Autónoma de Madrid, Facultad de Medicina, Departamento de Medicina. Fecha de lectura: 31 de Julio de 201

Altmetrics analysis of Archivos de Bronconeumología from 2014 to 2018

Introduction: Alternative metrics or altmetrics are non-traditional measurements of scientific production that reflect a publication's influence in social networks and similar channels of dissemination. The aim of this study was to analyze the media impact of ARCHIVOS DE BRONCONEUMOLOGÍA according to 2 altmetric aggregators and website visits. Methods: This was an observational study of the original articles and review and consensus articles published in ARCHIVOS DE BRONCONEUMOLOGÍA during the period 2014-2018. Data from the PlumX Metrics and Altmetric aggregators and visits to the ARCHIVOS DE BRONCONEUMOLOGÍA website were analyzed. Five comparisons were made: by specialty area, by funding received, by number of participating centers, by document type, and by topic. In a subanalysis, altmetrics were correlated with the conventional citation system. Results: We analyzed 273 papers, of which 186 were original articles (68.1%). The papers that achieved greater media impact in the 2 aggregators analyzed, and in terms of website visits, were pulmonology papers and review and consensus articles. The mean Altmetric Attention Score was 1.9 ± 4.4 (range 0-59), which is above average for the date of publication of the paper. A statistically significant weak to moderate correlation was identified between altmetrics and conventional citations. Conclusions: Review articles, consensus documents, and pulmonology papers had a greater media impact. Mean Altmetric Attention Score was higher than the average based on the date of publication. A weak to moderate correlation between altmetrics and conventional citations was identified.Introducción: Las métricas alternativas o altmetrics son todas aquellas mediciones de la producción científica diferentes a los indicadores clásicos y recogen su influencia mediática en redes sociales y canales de difusión similares. El objetivo del estudio fue analizar el impacto mediático de Archivos de Bronconeumología en 2 agregadores de altmetrics y de las visitas a su página web. Métodos: Estudio observacional de los artículos originales, de revisión y de consenso de Archivos de Bronconeumología durante el periodo 2014-2018. Se analizaron los agregadores PlumX Metrics y Altmetric, y las visitas a la página web de Archivos de Bronconeumología. Se realizaron 5 comparaciones: por especialidad firmante, por financiación recibida, por número de centros participantes, por tipología documental y por área temática. Como subanálisis, se correlacionaron las altmetrics con las citaciones convencionales. Resultados: Se analizaron 273 publicaciones de las que 186 fueron artículos originales (68,1%). Las publicaciones de Neumología y las de revisión y consenso obtuvieron mayor impacto mediático en los 2 agregadores analizados, así como en las visitas a la página web. El score medio de atención de Altmetric fue de 1,9 ± 4,4 (rango 0-59), por encima del promedio para la antigüedad de la publicación. Se documentó una correlación estadísticamente significativa débil a moderada entre las altmetrics y las citaciones clásicas. Conclusiones: Las publicaciones de revisión, de consenso y las de Neumología tuvieron mayor impacto mediático. El score medio de atención de Altmetric fue superior al promedio en función de la antigüedad de las publicaciones. Se objetivó una correlación débil a moderada de las altmetrics con las citaciones convencionale

Clinical Outcomes of Home Telemonitoring in Severe COPD

Introduction: Aim of this study was to sum up clinical evidence about telemedicine programs in severe COPD patients. Methodology: We conducted a clinical review about telemedicine programs in severe COPD patients. Our search strategy was based in selected all clinical trials published since 2000 about this topic. Results: Finally, we include 13 articles. In telemedicine group the number of Accident and Emergency Department visits and number of hospitalizations were lower than usual care group. Conclusions: Home telemonitoring appears to have a positive effect in reducing respiratory exacerbations and hospitalizations and improving quality of life.Depto. de MedicinaFac. de MedicinaTRUEpu