Background: Studies on remote monitoring of COPD patients showed varying results.We aimed to evaluate whether a tablet system that monitors COPD related parameters (CAT, mMRC, oxygen saturation, blood pressure, pulse, weight and physical activity) could influence patient-related outcomes related quality of life.
Methods: 70 patients with GOLD D COPD (61% women, age 71±8 years, FEV1 41±13 % pred., CAT 19±7 points) were included and randomized to a tablet-based remote monitoring system (RM) or usual care (UC) for a 26-week period, after which patients had a four week ?washout? period before they crossed over to the alternative management for another 26 weeks.

SF-12 (primary outcome), CAT, mMRC, EQ5D, HADS were evaluated at four study visits. Repeated measurement analyses were performed using generalized estimating equations model including variables for time point and intervention.

Results: Fifty-nine patients completed the study. The change in SF-12 physical (PCS) and mental component summary (MCS) as well as in CAT, mMRC, EQ5D, EG5D VAS and HADS was similar in both intervention periods. Neither the follow-up period or the intervention significantly impacted on the measured outcomes (Table1).

Conclusions: A tablet-based remote monitoring system is feasible and safe but did not influence general health-related quality of life in patients with COPD GOLD D.