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Remote monitoring of home non-invasive ventilation: a feasibility study

Julie Young, Nichola Ashforth, Katherine Price, Alex Wilson, Annabel Nickol
European Respiratory Journal 2018 52: PA1669; DOI: 10.1183/13993003.congress-2018.PA1669
Julie Young
1Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
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Nichola Ashforth
1Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
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Katherine Price
2OxfordUniversity Hospitals NHS Foundation Trust, Oxford, United Kingdom
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Alex Wilson
1Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
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Annabel Nickol
1Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
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Abstract

Introduction: Remote monitoring technology has the potential to guide adjustments in NIV therapy, monitor adherence to treatment and reduce the burden of hospital visits.

Aim: To determine the feasibility and impact of remote monitoring following outpatient NIV set-up.

Method: Between January and September 2016 new patients requiring NIV were offered monitoring of their NIV via modem.

A secure online system (EncoreAnywhere, Philips Respironics®) was used to monitor modem data. Modem data checks were planned three times weekly for 3 months following set-up.

Results: 18 patients with ventilatory failure due to neuromuscular weakness, chest wall deformity, obesity or COPD agreed to take part.

Modems were monitored for an average of 64 days following NIV set-up (range 4-138). Reasons for stopping monitoring included death, stability at first outpatient review and lack of staff time. Modems were checked every 5 days on average.

A total of 223 modem checks were performed, 60 (27%) required intervention; see Figure 1 for details. Eleven of these actions were likely to have prevented a hospital visit.

Patient satisfaction questionnaires were returned from 7 patients and were strongly positive.

Conclusion: Remote monitoring reduced the requirment for hospital visits and was liked by patients. Our planned frequency of data review was unrealistic, and further work is required to determine the optimal frequency and length of monitoring.

Footnotes

Cite this article as: European Respiratory Journal 2018 52: Suppl. 62, PA1669.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2018
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Remote monitoring of home non-invasive ventilation: a feasibility study
Julie Young, Nichola Ashforth, Katherine Price, Alex Wilson, Annabel Nickol
European Respiratory Journal Sep 2018, 52 (suppl 62) PA1669; DOI: 10.1183/13993003.congress-2018.PA1669

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Remote monitoring of home non-invasive ventilation: a feasibility study
Julie Young, Nichola Ashforth, Katherine Price, Alex Wilson, Annabel Nickol
European Respiratory Journal Sep 2018, 52 (suppl 62) PA1669; DOI: 10.1183/13993003.congress-2018.PA1669
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