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<p>Chronic obstructive pulmonary disease (COPD) leads to high rates of emergency department (ED) visits and hospitalizations. This study evaluated a community-based digital health intervention’s association with acute care utilization among patients with moderate to severe COPD. In a decentralized, nonrandomized trial, participants received biometric monitoring, symptom tracking, on-demand paramedic services, and digital pulmonary rehabilitation for 6 months. Outcomes were compared to a synthetic control group using weighted optimal matching and multivariable-adjusted regression. The primary outcome was hospitalization; secondary outcomes included readmission rates, ED visits, length of stay, and mortality. Eighty-eight intervention participants (mean age 67 (SD 10)) were compared to a weighted control group of 14,492 (mean age 69 (SD 11)). Intervention participants had lower odds of hospitalization (OR 0.67, 95% CI: 0.46–0.98) and 30-day readmission (OR 0.38, 95% CI: 0.17–0.84). This digital and mobile intervention was associated with reduced acute care use and supports further evaluation of hybrid care models for COPD.</p>

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Evaluation of an integrated digital and mobile intervention to improve outcomes for patients with moderate to severe COPD

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月17日

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  • Laurel O’Connor,
  • Biqi Wang,
  • Zehao Ye,
  • Stephanie Behar,
  • Seanan Tarrant,
  • Pamela Stamegna,
  • Caitlin Pretz,
  • Leah Dunkel,
  • Brandon Savage,
  • Thomas Scornavacca,
  • Jeanne Shirshac,
  • Tracey Wilkie,
  • Shaun Toomey,
  • Marie Mullen,
  • Kimberly Fisher,
  • Emil Tigas,
  • Steven Wong,
  • David D. McManus,
  • Eric Alper,
  • Fernando Martinez,
  • Allan Walkey,
  • Peter K. Lindenauer,
  • Eric Dickson,
  • John P. Broach,
  • Vik Kheterpal,
  • Apurv Soni

摘要

Chronic obstructive pulmonary disease (COPD) leads to high rates of emergency department (ED) visits and hospitalizations. This study evaluated a community-based digital health intervention’s association with acute care utilization among patients with moderate to severe COPD. In a decentralized, nonrandomized trial, participants received biometric monitoring, symptom tracking, on-demand paramedic services, and digital pulmonary rehabilitation for 6 months. Outcomes were compared to a synthetic control group using weighted optimal matching and multivariable-adjusted regression. The primary outcome was hospitalization; secondary outcomes included readmission rates, ED visits, length of stay, and mortality. Eighty-eight intervention participants (mean age 67 (SD 10)) were compared to a weighted control group of 14,492 (mean age 69 (SD 11)). Intervention participants had lower odds of hospitalization (OR 0.67, 95% CI: 0.46–0.98) and 30-day readmission (OR 0.38, 95% CI: 0.17–0.84). This digital and mobile intervention was associated with reduced acute care use and supports further evaluation of hybrid care models for COPD.