使用电子日记和腕带加速度计来检测COPD的恶化和活动水平:可行性研究
Lydia J Finney1,2, Stefan Avey3,2, Dexter Wiseman1
1National Heart and Lung Institute, Imperial College London, London, UK.
ERJ open research
|December 28, 2023
概括
电子日记和活动监控器等数字健康工具可用于监测慢性阻塞性肺病 (COPD) 患者. 这项技术可以帮助跟踪症状和活动,可能有助于早期检测恶化.
科学领域:
- 数字健康数字健康
- 呼吸系统药物 呼吸系统药物
- 医学技术 医学技术 医学技术
背景情况:
- 早期发现COPD急性恶化 (慢性阻塞性肺病) 对于及时治疗和预防入院至关重要.
- 已开发出用于症状监测的电子日记和用于活动跟踪的加速度计.
- 这些技术在COPD患者群体中的可用性仍然不清楚.
研究的目的:
- 评估通过MoreCare应用程序使用电子日记 (eDiary) 进行症状报告的可行性.
- 评估Garmin Vivofit 2活动监测器在COPD患者活动监测中的可用性.
主要方法:
- 从伦敦COPD队列中招募了25名COPD患者.
- 参与者使用了Garmin Vivofit 2活动监视器和安卓平板电脑与MoreCare应用程序连接3个月.
- 收集了关于电子日记遵守,活动水平和恶化预测指标的数据.
主要成果:
- 遵守电子日记并未受到年龄,性别,疾病严重程度或恶化频率的影响.
- 在每天非常活跃的分钟和预测的FEV1 % (ρ=0.62,p=0.005) 之间观察到中等的正相关性.
- 在恶化和恢复期间,每日步数减少. 恶化的关键预测因素包括唾液颜色变化,步数变化,感冒严重程度,恶化史和救援药物的使用.
结论:
- 在COPD患者中,使用数字技术进行症状和活动监测是可行的.
- 需要进一步进行大规模研究,以确定电子日记是否可以识别患有恶化风险的患者,并指导早期干预.
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