Tele-assistance Respiratory card: feasibility of self-reporting in patients with severe COPD.

Michele Vitacca, Mariella Rossin, Giuliano Assoni, Doriana Baratti, Margherita Zanardini, Giuseppina Ruocco, Tiziana Quinto, Antonella Bernasconi, Simonetta Scalvini, Fausto Colombo

Research output: Contribution to journalArticlepeer-review


Respicard is a clinical scoring system used during tele-assistance of patients with chronic obstructive pulmonary disease (COPD) in order to assess variations during nurse phone contacts. Strategies to prevent occurrence of unreported COPD exacerbations are needed. We evaluated (1) comparison between administration of Respicard by the nurse during phone calls with self-administration by the patient and (2) patient compliance with Respicard use. From January to June 2011, every week for 6 months, patients with COPD enrolled in a tele-assistance program in Italy were invited to fill in Respicard at home according to their symptoms. Concurrently, on a weekly basis, a nurse telephoned the patients and filled in a similar card. The scoring of both Respicards was compared. At the end of the study, the patient's subjective utility and ease in implementing or discomfort in recording Respicard was assessed. Results: In the 39 patients studied, the mean value of recorded nurse cards was 3.7±2.9, and the mean time spent by nurses to measure the first 52 cards was 7.7±2.7 min. Patient compliance was 78.2±33.4%. There was a significant positive correlation between nurse and patient card scores (R=0.98; p

Original languageEnglish
Pages (from-to)99-103
Number of pages5
JournalTelemedicine journal and e-health : the official journal of the American Telemedicine Association
Issue number2
Publication statusPublished - Feb 2013

ASJC Scopus subject areas

  • Medicine(all)


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