{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T20:30:56Z","timestamp":1777494656093,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2015,1,6]],"date-time":"2015-01-06T00:00:00Z","timestamp":1420502400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:p> We aim to establish the value of telemonitoring in the early detection of chronic obstructive pulmonary disease exacerbations. We followed up patients undergoing chronic obstructive pulmonary disease telemonitoring for 4 months. We studied changes in the telemonitored data in the week prior to admission or to community chronic obstructive pulmonary disease exacerbation. A total of 183 patients were studied. In all, 30 chronic obstructive pulmonary disease-related hospital admissions and 68 chronic obstructive pulmonary disease community exacerbations were recorded. Changes in telehealth parameters occurred in 80 per cent (24\/30) of admissions and 82 per cent (56\/68) of community exacerbations. Although changes in telehealth data occurred in the majority of exacerbations, most individual symptoms was present in less than half the exacerbations and almost 20 per cent of exacerbations were not preceded by any change in telemonitoring data. Cough created significantly more alerts by those treated in the community (p = 0.008), whereas a drop in oxygen saturation created significantly more alerts pre-hospitalisation (p = 0.049). We conclude that further work is required to develop methods of identifying impending chronic obstructive pulmonary disease exacerbations with greater sensitivity and specificity. <\/jats:p>","DOI":"10.1177\/1460458214564434","type":"journal-article","created":{"date-parts":[[2015,1,7]],"date-time":"2015-01-07T04:50:34Z","timestamp":1420606234000},"page":"406-413","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["The value of telehealth in the early detection of chronic obstructive pulmonary disease exacerbations: A prospective observational study"],"prefix":"10.1177","volume":"22","author":[{"given":"Ghassan A","family":"Hamad","sequence":"first","affiliation":[{"name":"University of Hull, UK"}]},{"given":"Michael","family":"Crooks","sequence":"additional","affiliation":[{"name":"University of Hull, UK"}]},{"given":"Alyn H","family":"Morice","sequence":"additional","affiliation":[{"name":"University of Hull, UK"}]}],"member":"179","published-online":{"date-parts":[[2015,1,6]]},"reference":[{"key":"bibr1-1460458214564434","unstructured":"Health and Social Care Information Centre. Quality and outcomes framework achievement, prevalence and exceptions data 2012\/13, http:\/\/www.hscic.gov.uk\/catalogue\/PUB12262 (2013, accessed 10 May 2014)."},{"key":"bibr2-1460458214564434","unstructured":"British Thoracic Society. Burden of lung disease \u2013 a statistics report from the British Thoracic Society, https:\/\/www.brit-thoracic.org.uk\/document-library\/delivery-of-respiratory-care\/burden-of-lung-disease\/burden-of-lung-disease-2006\/ (2006, accessed 10 May 2014)."},{"key":"bibr3-1460458214564434","unstructured":"Department of Health. Supporting people with long term conditions: commissioning personalised care planning, http:\/\/webarchive.nationalarchives.gov.uk\/20130107105354\/http:\/\/www.dh.gov.uk\/prod_consum_dh\/groups\/dh_digitalassets\/documents\/digitalasset\/dh_093360.pdf (2009, accessed 16 December 2014)."},{"key":"bibr4-1460458214564434","unstructured":"Department of Health. Whole system demonstrator programme \u2013 headline findings, https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/215264\/dh_131689.pdf (2011, accessed 10 May 2014)."},{"key":"bibr5-1460458214564434","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e3874"},{"key":"bibr6-1460458214564434","unstructured":"Innes A, Morice A, Faruqi S. 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The COPD Assessment Test healthcare professional user guide: expert guidance on frequently asked questions, on behalf of the CAT Development Steering Group, http:\/\/www.catestonline.org\/images\/UserGuides\/CATHCPUser%20guideEn.pdf (2012, accessed 16 December 2014)."},{"key":"bibr15-1460458214564434","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-106-2-196"},{"key":"bibr16-1460458214564434","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201005-0762OC"},{"key":"bibr17-1460458214564434","doi-asserted-by":"publisher","DOI":"10.4104\/pcrj.2012.00068"},{"key":"bibr18-1460458214564434","doi-asserted-by":"publisher","DOI":"10.1378\/chest.07-1692"},{"key":"bibr19-1460458214564434","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.02.00269802"}],"container-title":["Health Informatics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458214564434","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1460458214564434","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458214564434","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T23:47:30Z","timestamp":1740872850000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1460458214564434"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,6]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["10.1177\/1460458214564434"],"URL":"https:\/\/doi.org\/10.1177\/1460458214564434","relation":{},"ISSN":["1460-4582","1741-2811"],"issn-type":[{"value":"1460-4582","type":"print"},{"value":"1741-2811","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,6]]}}}