array:24 [
  "pii" => "S0873215915301422"
  "issn" => "08732159"
  "doi" => "10.1016/S0873-2159(15)30142-2"
  "estado" => "S350"
  "fechaPublicacion" => "2009-05-01"
  "aid" => "4"
  "copyright" => "Sociedade Portuguesa de Pneumologia/SPP"
  "copyrightAnyo" => "2009"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "fla"
  "cita" => "Rev Port Pneumol. 2009;15:385-417"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2592
    "formatos" => array:3 [
      "EPUB" => 222
      "HTML" => 1718
      "PDF" => 652
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0873215915301434"
    "issn" => "08732159"
    "doi" => "10.1016/S0873-2159(15)30143-4"
    "estado" => "S350"
    "fechaPublicacion" => "2009-05-01"
    "aid" => "5"
    "copyright" => "Sociedade Portuguesa de Pneumologia/SPP"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Port Pneumol. 2009;15:419-31"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2138
      "formatos" => array:3 [
        "EPUB" => 224
        "HTML" => 1164
        "PDF" => 750
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original&#47;Original Article</span>"
      "titulo" => "S&#237;ndroma de apneia obstrutiva do sono como causa de acidentes de via&#231;&#227;o"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "419"
          "paginaFinal" => "431"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Obstructive sleep apnoea syndrome as a cause of road traffic accidents"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46; Aguiar, J&#46; Valen&#231;a, M&#46; Felizardo, F&#46; Caeiro, S&#46; Moreira, R&#46; Staats, A&#46;A&#46; Bugalho de Almeida"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Aguiar"
            ]
            1 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Valen&#231;a"
            ]
            2 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Felizardo"
            ]
            3 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Caeiro"
            ]
            4 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Moreira"
            ]
            5 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Staats"
            ]
            6 => array:2 [
              "nombre" => "A&#46;A&#46;"
              "apellidos" => "Bugalho de Almeida"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301434?idApp=UINPBA00004E"
    "url" => "/08732159/0000001500000003/v1_201509151500/S0873215915301434/v1_201509151500/pt/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0873215915301410"
    "issn" => "08732159"
    "doi" => "10.1016/S0873-2159(15)30141-0"
    "estado" => "S350"
    "fechaPublicacion" => "2009-05-01"
    "aid" => "3"
    "copyright" => "Sociedade Portuguesa de Pneumologia&#47;SPP"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Port Pneumol. 2009;15:367-83"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2042
      "formatos" => array:3 [
        "EPUB" => 228
        "HTML" => 1195
        "PDF" => 619
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original&#47;Original Article</span>"
      "titulo" => "Internamento e mortalidade intra-hospitalar por asma em Portugal continental &#40;2000-2007&#41;"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "367"
          "paginaFinal" => "383"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Asthma hospital admission and mortality in mainland Portugal 2000-2007"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; Bugalho de Almeida, A&#46; Covas, L&#46; Prates, E&#46; Fragoso"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Bugalho de Almeida"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Covas"
            ]
            2 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Prates"
            ]
            3 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Fragoso"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301410?idApp=UINPBA00004E"
    "url" => "/08732159/0000001500000003/v1_201509151500/S0873215915301410/v1_201509151500/pt/main.assets"
  ]
  "pt" => array:16 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original&#47;Original Article</span>"
    "titulo" => "Telemonitoriza&#231;&#227;o domicili&#225;ria de insuficientes respirat&#243;rios cr&#243;nicos graves e de doentes asm&#225;ticos"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "385"
        "paginaFinal" => "417"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Manuela Zamith, Teresa Cardoso, Isabel Matias, Maria Jo&#227;o Marques Gomes"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "Manuela"
            "apellidos" => "Zamith"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "af0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Teresa"
            "apellidos" => "Cardoso"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">2</span>"
                "identificador" => "af0010"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;&#42;"
                "identificador" => "fn0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Isabel"
            "apellidos" => "Matias"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">3</span>"
                "identificador" => "af0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Maria Jo&#227;o Marques"
            "apellidos" => "Gomes"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">4</span>"
                "identificador" => "af0020"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "fn0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:4 [
          0 => array:3 [
            "entidad" => "Mestre em Patologia do Aparelho Respirat&#243;rio pela Faculdade de Ci&#234;ncias M&#233;dicas da Universidade Nova de Lisboa&#46; Assistente Hospitalar Graduada de Pneumologia&#46; Unidade de Reabilita&#231;&#227;o Respirat&#243;ria&#46; Hospital de Pulido Valente&#44; Lisboa &#47; <span class="elsevierStyleItalic">MA&#44; Respiratory Apparatus Pathology&#44; Lisbon University School of Medical Sciences&#46; Consultant&#44; Specialist&#44; Pulmonology&#46; Respiratory Rehabilitation Unit&#44; Hospital Pulido Valente&#44; Lisbon</span>"
            "etiqueta" => "1"
            "identificador" => "af0005"
          ]
          1 => array:3 [
            "entidad" => "Assistente Hospitalar Graduada de Pneumologia&#46; Hospital do Esp&#237;rito Santo&#46; &#201;vora &#47; <span class="elsevierStyleItalic">Consultant&#44; Specialist&#44; Pulmonology&#46; Hospital do Esp&#237;rito Santo&#46; &#201;vora</span>"
            "etiqueta" => "2"
            "identificador" => "af0010"
          ]
          2 => array:3 [
            "entidad" => "Enfermeira Graduada&#46; Unidade de Reabilita&#231;&#227;o Respirat&#243;ria&#46; Hospital de Pulido Valente&#44; Lisboa &#47; <span class="elsevierStyleItalic">Consultant Nurse&#44; Respiratory Rehabilitation Unit&#44; Hospital Pulido Valente&#44; Lisbon</span>"
            "etiqueta" => "3"
            "identificador" => "af0015"
          ]
          3 => array:3 [
            "entidad" => "Professora Catedr&#225;tica da Faculdade de Ci&#234;ncias M&#233;dicas da Universidade Nova de Lisboa&#46; Coordenadora do Centro de Estudos de Doen&#231;as Cr&#243;nicas da Funda&#231;&#227;o para a Ci&#234;ncia e Tecnologia&#46; Chefe de Servi&#231;o de Pneumologia&#46; Hospital de Pulido Valente&#44; Lisboa &#47; <span class="elsevierStyleItalic">Cathedratic Professor&#44; Lisbon Nova University School of Medical Sciences&#46; Coordinator&#44; Centre for the Study of Chronic Diseases&#44; Science and Technology Foundation&#46; Head&#44; Pulmonology Service&#44; Hospital Pulido Valente&#44; Lisbon</span>"
            "etiqueta" => "4"
            "identificador" => "af0020"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Home telemonitoring of severe chronic respiratory insufficient and asthmatic patients"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2008-12-04"
    "fechaAceptado" => "2009-01-12"
    "PalabrasClave" => array:2 [
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chaves"
          "identificador" => "xpalclavsec570255"
          "palabras" => array:4 [
            0 => "Asma"
            1 => "DPOC"
            2 => "cuidados ambulat&#243;rios"
            3 => "telemedicina"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key-words"
          "identificador" => "xpalclavsec570254"
          "palabras" => array:4 [
            0 => "Asthma"
            1 => "severe chronic respiratory failure"
            2 => "ambulatory care"
            3 => "telemedicine"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Durante nove meses avali&#225;mos um dispositivo port&#225;til para transfer&#234;ncia de dados pela Internet entre doentes e profissionais de sa&#250;de&#58; oximetria&#44; ECG&#44; respostas a question&#225;rios e mensagens&#46; Foram inclu&#237;dos 51 insuficientes respirat&#243;rios cr&#243;nicos &#40;IRC&#41; graves acompanhados no Hospital de Pulido Valente &#40;Lisboa&#41; e no Hospital do Esp&#237;rito Santo &#40;&#201;vora&#41; e 21 asm&#225;ticos deste &#250;ltimo hospital&#46; A utiliza&#231;&#227;o e a aceita&#231;&#227;o deste dispositivo foram avaliadas atrav&#233;s de question&#225;rios que registaram a opi-ni&#227;o dos doentes e dos profissionais de sa&#250;de&#46; Nos IRC de Lisboa avaliou-se a repercuss&#227;o deste programa sobre internamentos hospitalares e qualidade de vida dos doentes&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Aprender a utilizar o sistema foi mais dif&#237;cil para os doentes IRC&#59; a maioria &#40;80&#37;&#41; teve problemas com o equipamento&#44; qualificados como raros&#47;ocasionais em 62&#37; dos casos&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Para 31 doentes IRC seguidos no hospital de Lisboa&#44; a utiliza&#231;&#227;o do sistema foi classificada como correcta em12 doentes&#44; incorrecta em 7 e razo&#225;vel em12 doentes&#46; Os primeiros tiveram redu&#231;&#227;o do n&#250;mero e dura&#231;&#227;o dos internamentos em rela&#231;&#227;o a igual per&#237;odo anterior ao programa de telemonitoriza&#231;&#227;o e melhoria da qualidade de vida&#44; em particular no dom&#237;nio da actividade&#46; Com este sistema de telemonitoriza&#231;&#227;o 80&#37; dos doentes IRC sentiram-se mais&#47;muito mais apoiados e 33 &#40;75&#37;&#41; utilizariam este sistema no futuro&#44; se ele estivesse dispon&#237;vel&#46; No grupo de doentes asm&#225;ticos&#44; 81&#37; gostariam de manter este tipo de vigil&#226;ncia&#46; O servi&#231;o foi considerado &#250;til pelos investigadores&#46; Conclu&#237;mos que a telemonitoriza&#231;&#227;o domicili&#225;ria constitui uma contribui&#231;&#227;o positiva para a gest&#227;o dos doentes cr&#243;nicos e a sua divulga&#231;&#227;o dever&#225; ser considerada no futuro&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;3&#41;&#58; 385-418</span></p></span>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">For 9 months we evaluated a portable device to transfer patient-clinician data by Internet&#58; oximetry&#44; ECG&#44; clinical questionnaires and messages from the doctor&#46; Fifty-one patients with severe chronic respiratory insufficiency &#40;CRI&#41; were followed at the hospital Pulido Valente and Esp&#237;rito Santo and 21 asthmatics &#40;A&#41; were followed at the latter hospital&#46; The use and acceptance of this device was evaluated through questionnaires soliciting patients&#8217; and health professio-nals&#8217; opinions&#46; Patients with CRI followed in Lisbon were also asked about hospital admissions and quality of life compared with a nine month period before the monitoring programme&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">CRI patients found learning to use the system more difficult&#59; the majority &#40;80&#37;&#41; reported problems with the equipment&#44; qualified as rare&#47;occasional in 62&#37; of the cases&#46; For 31 CRI patients followed in Lisbon&#44; the use of the system was classified as correct in 12 patients&#44; incorrect in 7 and reasonable in 12 patients&#46; The first group had a reducded number and duration of hospital admissions and also improved quality of life&#46; With this remote monitoring system 80&#37; of CRI patients reported they were more&#47;much more supported and 33 patients &#40;75&#37;&#41; would use this system in the future&#46; 81&#37; of asthmatic patients would also like to maintain this type of monitoring&#46; The service was considered useful by the researchers&#46; We concluded that home telemonitoring was a positive contribution to the management of chronic patients and raised awareness of it should be considered in the future&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;3&#41;&#58; 385-418</span></p></span>"
      ]
    ]
    "NotaPie" => array:2 [
      0 => array:3 [
        "etiqueta" => "&#42;"
        "nota" => "<p class="elsevierStyleNotepara" id="np0005">Departamento de Pneumologia do Hospital de Pulido Valente &#40;Directora&#58; Prof&#46; Doutora Maria Jo&#227;o Marques Gomes&#41; Alameda das Linhas de Torres 117 &#8211; Lisboa&#46;</p>"
        "identificador" => "fn0005"
      ]
      1 => array:3 [
        "etiqueta" => "&#42;&#42;"
        "nota" => "<p class="elsevierStyleNotepara" id="np0010">Servi&#231;o de Especialidades M&#233;dicas &#40;Directora&#58; Dra&#46; Teresa Cardoso&#41; do Hospital do Esp&#237;rito Santo Largo Senhor da Pobreza &#8211; 7000-811 &#201;vora&#46;</p>"
        "identificador" => "fn0010"
      ]
    ]
    "lecturaRecomendada" => array:1 [
      0 => array:3 [
        "vista" => "all"
        "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia&#47;Bibliography</span>"
        "seccion" => array:1 [
          0 => array:2 [
            "vista" => "all"
            "bibliografiaReferencia" => array:23 [
              0 => array:3 [
                "identificador" => "bb0005"
                "etiqueta" => "1&#46;"
                "referencia" => array:1 [
                  0 => array:1 [
                    "referenciaCompleta" => "WHO &#47; NIHLD&#46; Global Initiative For Asthma &#8211; GINA&#58; <a href="http://www.ginasthma.com">www&#46;ginasthma&#46;com</a>&#46;"
                  ]
                ]
              ]
              1 => array:3 [
                "identificador" => "bb0010"
                "etiqueta" => "2&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Global Initiative For Chronic Obstructive Lung Disease &#8211; GOLD"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "WHO &#47; NIHLD"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "WWW" => array:2 [
                          "link" => "www&#46;goldcopd&#46;com"
                          "fecha" => "2004"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              2 => array:3 [
                "identificador" => "bb0015"
                "etiqueta" => "3&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:1 [
                        "titulo" => "Programa nacional de preven&#231;&#227;o e controlo da Doen&#231;a Pulmonar Obstrutiva Cr&#243;nica"
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:2 [
                          "tituloSerie" => "Direc&#231;&#227;o-Geral de Sa&#250;de"
                          "fecha" => "2005"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              3 => array:3 [
                "identificador" => "bb0020"
                "etiqueta" => "4&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Burden of disease &#8211; Implications for future research"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "C&#46;M&#46; Michaud"
                              1 => "C&#46;J&#46; Murray"
                              2 => "B&#46;R&#46; Bloom"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "JAMA"
                          "fecha" => "2001"
                          "volumen" => "285"
                          "paginaInicial" => "535"
                          "paginaFinal" => "539"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11176854"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              4 => array:3 [
                "identificador" => "bb0025"
                "etiqueta" => "5&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Pharma-coeconomic evaluation of COPD"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => true
                            "autores" => array:3 [
                              0 => "D&#46;E&#46; Hilleman"
                              1 => "N&#46; Dewan"
                              2 => "M&#46; Malesker"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Chest"
                          "fecha" => "2000"
                          "volumen" => "118"
                          "paginaInicial" => "1278"
                          "paginaFinal" => "1285"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11083675"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              5 => array:3 [
                "identificador" => "bb0030"
                "etiqueta" => "6&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Medication adherence patterns in chronic obstructive pulmonary disease"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:6 [
                              0 => "J&#46;J&#46; Dolce"
                              1 => "C&#46; Crisp"
                              2 => "B&#46; Manzella"
                              3 => "J&#46;M&#46; Richards"
                              4 => "J&#46;M&#46; Hardin"
                              5 => "W&#46;C&#46; Bailey"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Chest"
                          "fecha" => "1991"
                          "volumen" => "99"
                          "paginaInicial" => "837"
                          "paginaFinal" => "841"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2009784"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              6 => array:3 [
                "identificador" => "bb0035"
                "etiqueta" => "7&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Factors associated with medicatio nonadherence in patients with COPD"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "J&#46; George"
                              1 => "D&#46;C&#46;M&#46; Kong"
                              2 => "R&#46; Thoman"
                              3 => "K&#46; Stewart"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1378/chest.128.5.3198"
                        "Revista" => array:6 [
                          "tituloSerie" => "Chest"
                          "fecha" => "2005"
                          "volumen" => "128"
                          "paginaInicial" => "3198"
                          "paginaFinal" => "3204"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16304262"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              7 => array:3 [
                "identificador" => "bb0040"
                "etiqueta" => "8&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "How does patient education and self-management among asthmatics and patients with chronic obstructive pulmonary disease affect medication&#63;"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:2 [
                              0 => "F&#46; Gallefost"
                              1 => "P&#46;S&#46; Bakke"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1164/ajrccm.160.6.9901028"
                        "Revista" => array:6 [
                          "tituloSerie" => "Am J Respir Crit Care Med"
                          "fecha" => "1999"
                          "volumen" => "160"
                          "paginaInicial" => "2000"
                          "paginaFinal" => "2005"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10588620"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              8 => array:3 [
                "identificador" => "bb0045"
                "etiqueta" => "9&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Bell&#8217;s first call &#8211; not the first telemedicine consultation"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "Hjelm"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1258/1357633054068900"
                        "Revista" => array:5 [
                          "tituloSerie" => "J Telemed Telecare"
                          "fecha" => "2005"
                          "volumen" => "11"
                          "paginaInicial" => "216"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15969799"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              9 => array:3 [
                "identificador" => "bb0050"
                "etiqueta" => "10&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Use of peak flow-based self-management plans by adult asthmatic patients"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:2 [
                              0 => "D&#46; Fishwick"
                              1 => "R&#46; Beasley"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Eur Respir J"
                          "fecha" => "1996"
                          "volumen" => "9"
                          "paginaInicial" => "861"
                          "paginaFinal" => "865"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8793442"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              10 => array:3 [
                "identificador" => "bb0055"
                "etiqueta" => "11&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Compliance with and accuracy of daily self-assessment of peak expiratory flows &#40;PEF&#41; in asthmatic subjects over a three month period"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => true
                            "autores" => array:3 [
                              0 => "P&#46; Verschelden"
                              1 => "A&#46; Cartier"
                              2 => "J&#46; L&#8217;Archev&#234;que"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Eur Respir J"
                          "fecha" => "1996"
                          "volumen" => "9"
                          "paginaInicial" => "880"
                          "paginaFinal" => "885"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8793446"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              11 => array:3 [
                "identificador" => "bb0060"
                "etiqueta" => "12&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Pulmonary function electronic monitoring devices&#58; A randomized agreement study"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:7 [
                              0 => "J&#46; Fonseca"
                              1 => "A&#46; Costa-Pereira"
                              2 => "L&#46; Delgado"
                              3 => "L&#46; Silva"
                              4 => "M&#46; Magalh&#227;es"
                              5 => "M&#46; Castel-Branco"
                              6 => "M&#46; Vaz"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1378/chest.128.3.1258"
                        "Revista" => array:6 [
                          "tituloSerie" => "Chest"
                          "fecha" => "2005"
                          "volumen" => "128"
                          "paginaInicial" => "1258"
                          "paginaFinal" => "1265"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16162716"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              12 => array:3 [
                "identificador" => "bb0065"
                "etiqueta" => "13&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Mobile phone technology in the management of asthma"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "D&#46; Ryan"
                              1 => "W&#46; Cobern"
                              2 => "D&#46; Price"
                              3 => "L&#46; Tarassenko"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1258/1357633054461714"
                        "Revista" => array:7 [
                          "tituloSerie" => "J Telemed Telecare"
                          "fecha" => "2005"
                          "volumen" => "11"
                          "numero" => "Supl 1"
                          "paginaInicial" => "43"
                          "paginaFinal" => "46"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16035991"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              13 => array:3 [
                "identificador" => "bb0070"
                "etiqueta" => "14&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Internet&#8211;Based Home asthma telemonitoring&#58; can patients handle the technology&#63;"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "J&#46; Finkelstein"
                              1 => "M&#46;R&#46; Cabrera"
                              2 => "G&#46; Hripcsak"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Chest"
                          "fecha" => "2000"
                          "volumen" => "117"
                          "paginaInicial" => "148"
                          "paginaFinal" => "155"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10631213"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              14 => array:3 [
                "identificador" => "bb0075"
                "etiqueta" => "15&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "A long-term&#44; randomized clinical study of 300 asthmatic subjects"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "L&#46;M&#46; Rasmussen"
                              1 => "K&#46; Phanareth"
                              2 => "H&#46; Nolte"
                              3 => "V&#46; Baker"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1016/j.jaci.2005.03.030"
                        "Revista" => array:6 [
                          "tituloSerie" => "J Allergy Clin Immunol"
                          "fecha" => "2005"
                          "volumen" => "115"
                          "paginaInicial" => "1137"
                          "paginaFinal" => "1142"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15940125"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              15 => array:3 [
                "identificador" => "bb0080"
                "etiqueta" => "16&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Novas tecnologias de informa&#231;&#227;o em Pneumologia"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:2 [
                              0 => "M&#46; Zamith"
                              1 => "M&#46;J&#46; Marques-Gomes"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Rev Port Pneumol"
                          "fecha" => "2005"
                          "volumen" => "9"
                          "numero" => "3&#40;Supl 1&#41;"
                          "paginaInicial" => "21"
                          "paginaFinal" => "28"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              16 => array:3 [
                "identificador" => "bb0085"
                "etiqueta" => "17&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Does quality of live of copd patients as measured by the generic euroqol five-dimension questionnaire differentiate between COPD severity stages&#63;"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:6 [
                              0 => "P&#46;M&#46;H&#46; Maureen"
                              1 => "Rutten-van-M&#246;lken"
                              2 => "J&#46;B&#46; Oostenbrink"
                              3 => "D&#46;P&#46; Tashkin"
                              4 => "D&#46; Burkhart"
                              5 => "B&#46;U&#46; Monz"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1378/chest.130.4.1117"
                        "Revista" => array:6 [
                          "tituloSerie" => "Chest"
                          "fecha" => "2006"
                          "volumen" => "130"
                          "paginaInicial" => "1117"
                          "paginaFinal" => "1128"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17035446"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              17 => array:3 [
                "identificador" => "bb0090"
                "etiqueta" => "18&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Health-related quality of life&#44; utility&#44; and productivity outcomes instruments&#58; ease of completation by subjects with COPD"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:6 [
                              0 => "E&#46; St&#229;hl"
                              1 => "S&#46;A&#46; Jansson"
                              2 => "A&#46;C&#46; Jonsson"
                              3 => "K&#46; Svensson"
                              4 => "B&#46; Lun-db&#228;ck"
                              5 => "F&#46; Andersson"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1186/1477-7525-1-18"
                        "Revista" => array:6 [
                          "tituloSerie" => "Health Quality of Life Outcomes"
                          "fecha" => "2003"
                          "volumen" => "1"
                          "numero" => "1"
                          "paginaInicial" => "18"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12809558"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              18 => array:3 [
                "identificador" => "bb0095"
                "etiqueta" => "19&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Health-related quality of life in individuals with asthma related symptoms"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "M&#46; Hazell"
                              1 => "T&#46; Frank"
                              2 => "P&#46; Franj"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Respir Med"
                          "fecha" => "2003"
                          "volumen" => "97"
                          "paginaInicial" => "1211"
                          "paginaFinal" => "1218"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14635976"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              19 => array:3 [
                "identificador" => "bb0100"
                "etiqueta" => "20&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Psychometric and utily-based measures of health status of asthmatic patients with different disease control levels"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "A&#46; Szende"
                              1 => "K&#46; Svensson"
                              2 => "A&#46; Mezaros"
                              3 => "G&#46;Y&#46; Berta"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Pharmacoeconomics"
                          "fecha" => "2004"
                          "volumen" => "22"
                          "paginaInicial" => "537"
                          "paginaFinal" => "547"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15217309"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              20 => array:3 [
                "identificador" => "bb0105"
                "etiqueta" => "21&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Interdisciplinary approach to the rehabilitation of an 18-year-old patient with bronchopulmonary dysplasia&#44; using telerehabilitation technology"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "S&#46;G&#46; Marshall"
                              1 => "D&#46;K&#46; Shaw"
                              2 => "G&#46;L&#46; Honles"
                              3 => "K&#46;E&#46; Sparks"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "Respir Care"
                          "fecha" => "2008"
                          "volumen" => "53"
                          "numero" => "3"
                          "paginaInicial" => "346"
                          "paginaFinal" => "350"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18291051"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              21 => array:3 [
                "identificador" => "bb0110"
                "etiqueta" => "22&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "The role of telecare in the management of exacerbations of chronic obstructive pulmonary disease in the home"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:5 [
                              0 => "F&#46;S&#46; Mair"
                              1 => "M&#46; Wilkinson"
                              2 => "S&#46;A&#46; Bonnar"
                              3 => "R&#46; Wootton"
                              4 => "R&#46;M&#46; Angus"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "J Telemed Telecare"
                          "fecha" => "1999"
                          "volumen" => "5"
                          "numero" => "Supl 1"
                          "paginaInicial" => "66"
                          "paginaFinal" => "67"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              22 => array:3 [
                "identificador" => "bb0115"
                "etiqueta" => "23&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Telemedicine-assisted home support for patients with advanced chronic obstructive pulmonary disease&#58; preliminary results after nine-month follow-up"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:9 [
                              0 => "Th Vontetsianos"
                              1 => "P&#46; Giovas"
                              2 => "T&#46;H&#46; Katsaras"
                              3 => "A&#46; Rigopoulou"
                              4 => "G&#46; Mpirmpa"
                              5 => "P&#46; Giaboudakis"
                              6 => "S&#46; Koyrelea"
                              7 => "G&#46; Konto-pyrgias"
                              8 => "B&#46; Tsoulkas"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1258/1357633054461697"
                        "Revista" => array:7 [
                          "tituloSerie" => "J Telemed Telecare"
                          "fecha" => "2005"
                          "volumen" => "11"
                          "numero" => "Supl 1"
                          "paginaInicial" => "86"
                          "paginaFinal" => "88"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16036007"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/08732159/0000001500000003/v1_201509151500/S0873215915301422/v1_201509151500/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9575"
    "tipo" => "SECCION"
    "pt" => array:2 [
      "titulo" => "Artigos originais"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "pt"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001500000003/v1_201509151500/S0873215915301422/v1_201509151500/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301422?idApp=UINPBA00004E"
]
Share
Journal Information
Vol. 15. Issue 3.
Pages 385-417 (May - June 2009)
Share
Share
Download PDF
More article options
Vol. 15. Issue 3.
Pages 385-417 (May - June 2009)
Artigo Original/Original Article
Open Access
Telemonitorização domiciliária de insuficientes respiratórios crónicos graves e de doentes asmáticos
Home telemonitoring of severe chronic respiratory insufficient and asthmatic patients
Visits
6169
Manuela Zamith1, Teresa Cardoso2,**, Isabel Matias3, Maria João Marques Gomes4,*
1 Mestre em Patologia do Aparelho Respiratório pela Faculdade de Ciências Médicas da Universidade Nova de Lisboa. Assistente Hospitalar Graduada de Pneumologia. Unidade de Reabilitação Respiratória. Hospital de Pulido Valente, Lisboa / MA, Respiratory Apparatus Pathology, Lisbon University School of Medical Sciences. Consultant, Specialist, Pulmonology. Respiratory Rehabilitation Unit, Hospital Pulido Valente, Lisbon
2 Assistente Hospitalar Graduada de Pneumologia. Hospital do Espírito Santo. Évora / Consultant, Specialist, Pulmonology. Hospital do Espírito Santo. Évora
3 Enfermeira Graduada. Unidade de Reabilitação Respiratória. Hospital de Pulido Valente, Lisboa / Consultant Nurse, Respiratory Rehabilitation Unit, Hospital Pulido Valente, Lisbon
4 Professora Catedrática da Faculdade de Ciências Médicas da Universidade Nova de Lisboa. Coordenadora do Centro de Estudos de Doenças Crónicas da Fundação para a Ciência e Tecnologia. Chefe de Serviço de Pneumologia. Hospital de Pulido Valente, Lisboa / Cathedratic Professor, Lisbon Nova University School of Medical Sciences. Coordinator, Centre for the Study of Chronic Diseases, Science and Technology Foundation. Head, Pulmonology Service, Hospital Pulido Valente, Lisbon
This item has received

Under a Creative Commons license
Article information
Resumo

Durante nove meses avaliámos um dispositivo portátil para transferência de dados pela Internet entre doentes e profissionais de saúde: oximetria, ECG, respostas a questionários e mensagens. Foram incluídos 51 insuficientes respiratórios crónicos (IRC) graves acompanhados no Hospital de Pulido Valente (Lisboa) e no Hospital do Espírito Santo (Évora) e 21 asmáticos deste último hospital. A utilização e a aceitação deste dispositivo foram avaliadas através de questionários que registaram a opi-nião dos doentes e dos profissionais de saúde. Nos IRC de Lisboa avaliou-se a repercussão deste programa sobre internamentos hospitalares e qualidade de vida dos doentes.

Aprender a utilizar o sistema foi mais difícil para os doentes IRC; a maioria (80%) teve problemas com o equipamento, qualificados como raros/ocasionais em 62% dos casos.

Para 31 doentes IRC seguidos no hospital de Lisboa, a utilização do sistema foi classificada como correcta em12 doentes, incorrecta em 7 e razoável em12 doentes. Os primeiros tiveram redução do número e duração dos internamentos em relação a igual período anterior ao programa de telemonitorização e melhoria da qualidade de vida, em particular no domínio da actividade. Com este sistema de telemonitorização 80% dos doentes IRC sentiram-se mais/muito mais apoiados e 33 (75%) utilizariam este sistema no futuro, se ele estivesse disponível. No grupo de doentes asmáticos, 81% gostariam de manter este tipo de vigilância. O serviço foi considerado útil pelos investigadores. Concluímos que a telemonitorização domiciliária constitui uma contribuição positiva para a gestão dos doentes crónicos e a sua divulgação deverá ser considerada no futuro.

Rev Port Pneumol 2009; XV (3): 385-418

Palavras-chaves:
Asma
DPOC
cuidados ambulatórios
telemedicina
Abstract

For 9 months we evaluated a portable device to transfer patient-clinician data by Internet: oximetry, ECG, clinical questionnaires and messages from the doctor. Fifty-one patients with severe chronic respiratory insufficiency (CRI) were followed at the hospital Pulido Valente and Espírito Santo and 21 asthmatics (A) were followed at the latter hospital. The use and acceptance of this device was evaluated through questionnaires soliciting patients’ and health professio-nals’ opinions. Patients with CRI followed in Lisbon were also asked about hospital admissions and quality of life compared with a nine month period before the monitoring programme.

CRI patients found learning to use the system more difficult; the majority (80%) reported problems with the equipment, qualified as rare/occasional in 62% of the cases. For 31 CRI patients followed in Lisbon, the use of the system was classified as correct in 12 patients, incorrect in 7 and reasonable in 12 patients. The first group had a reducded number and duration of hospital admissions and also improved quality of life. With this remote monitoring system 80% of CRI patients reported they were more/much more supported and 33 patients (75%) would use this system in the future. 81% of asthmatic patients would also like to maintain this type of monitoring. The service was considered useful by the researchers. We concluded that home telemonitoring was a positive contribution to the management of chronic patients and raised awareness of it should be considered in the future.

Rev Port Pneumol 2009; XV (3): 385-418

Key-words:
Asthma
severe chronic respiratory failure
ambulatory care
telemedicine
Full text is only aviable in PDF
Bibliografia/Bibliography
[1.]
WHO / NIHLD. Global Initiative For Asthma – GINA: www.ginasthma.com.
[2.]
WHO / NIHLD.
Global Initiative For Chronic Obstructive Lung Disease – GOLD.
[3.]
Programa nacional de prevenção e controlo da Doença Pulmonar Obstrutiva Crónica.
Direcção-Geral de Saúde, (2005),
[4.]
C.M. Michaud, C.J. Murray, B.R. Bloom.
Burden of disease – Implications for future research.
JAMA, 285 (2001), pp. 535-539
[5.]
D.E. Hilleman, N. Dewan, M. Malesker, et al.
Pharma-coeconomic evaluation of COPD.
Chest, 118 (2000), pp. 1278-1285
[6.]
J.J. Dolce, C. Crisp, B. Manzella, J.M. Richards, J.M. Hardin, W.C. Bailey.
Medication adherence patterns in chronic obstructive pulmonary disease.
Chest, 99 (1991), pp. 837-841
[7.]
J. George, D.C.M. Kong, R. Thoman, K. Stewart.
Factors associated with medicatio nonadherence in patients with COPD.
Chest, 128 (2005), pp. 3198-3204
[8.]
F. Gallefost, P.S. Bakke.
How does patient education and self-management among asthmatics and patients with chronic obstructive pulmonary disease affect medication?.
Am J Respir Crit Care Med, 160 (1999), pp. 2000-2005
[9.]
Hjelm.
Bell’s first call – not the first telemedicine consultation.
J Telemed Telecare, 11 (2005), pp. 216
[10.]
D. Fishwick, R. Beasley.
Use of peak flow-based self-management plans by adult asthmatic patients.
Eur Respir J, 9 (1996), pp. 861-865
[11.]
P. Verschelden, A. Cartier, J. L’Archevêque, et al.
Compliance with and accuracy of daily self-assessment of peak expiratory flows (PEF) in asthmatic subjects over a three month period.
Eur Respir J, 9 (1996), pp. 880-885
[12.]
J. Fonseca, A. Costa-Pereira, L. Delgado, L. Silva, M. Magalhães, M. Castel-Branco, M. Vaz.
Pulmonary function electronic monitoring devices: A randomized agreement study.
Chest, 128 (2005), pp. 1258-1265
[13.]
D. Ryan, W. Cobern, D. Price, L. Tarassenko.
Mobile phone technology in the management of asthma.
J Telemed Telecare, 11 (2005), pp. 43-46
[14.]
J. Finkelstein, M.R. Cabrera, G. Hripcsak.
Internet–Based Home asthma telemonitoring: can patients handle the technology?.
Chest, 117 (2000), pp. 148-155
[15.]
L.M. Rasmussen, K. Phanareth, H. Nolte, V. Baker.
A long-term, randomized clinical study of 300 asthmatic subjects.
J Allergy Clin Immunol, 115 (2005), pp. 1137-1142
[16.]
M. Zamith, M.J. Marques-Gomes.
Novas tecnologias de informação em Pneumologia.
Rev Port Pneumol, 9 (2005), pp. 21-28
[17.]
P.M.H. Maureen, Rutten-van-Mölken, J.B. Oostenbrink, D.P. Tashkin, D. Burkhart, B.U. Monz.
Does quality of live of copd patients as measured by the generic euroqol five-dimension questionnaire differentiate between COPD severity stages?.
Chest, 130 (2006), pp. 1117-1128
[18.]
E. Ståhl, S.A. Jansson, A.C. Jonsson, K. Svensson, B. Lun-dbäck, F. Andersson.
Health-related quality of life, utility, and productivity outcomes instruments: ease of completation by subjects with COPD.
Health Quality of Life Outcomes, 1 (2003), pp. 18
[19.]
M. Hazell, T. Frank, P. Franj.
Health-related quality of life in individuals with asthma related symptoms.
Respir Med, 97 (2003), pp. 1211-1218
[20.]
A. Szende, K. Svensson, A. Mezaros, G.Y. Berta.
Psychometric and utily-based measures of health status of asthmatic patients with different disease control levels.
Pharmacoeconomics, 22 (2004), pp. 537-547
[21.]
S.G. Marshall, D.K. Shaw, G.L. Honles, K.E. Sparks.
Interdisciplinary approach to the rehabilitation of an 18-year-old patient with bronchopulmonary dysplasia, using telerehabilitation technology.
Respir Care, 53 (2008), pp. 346-350
[22.]
F.S. Mair, M. Wilkinson, S.A. Bonnar, R. Wootton, R.M. Angus.
The role of telecare in the management of exacerbations of chronic obstructive pulmonary disease in the home.
J Telemed Telecare, 5 (1999), pp. 66-67
[23.]
Th Vontetsianos, P. Giovas, T.H. Katsaras, A. Rigopoulou, G. Mpirmpa, P. Giaboudakis, S. Koyrelea, G. Konto-pyrgias, B. Tsoulkas.
Telemedicine-assisted home support for patients with advanced chronic obstructive pulmonary disease: preliminary results after nine-month follow-up.
J Telemed Telecare, 11 (2005), pp. 86-88

Departamento de Pneumologia do Hospital de Pulido Valente (Directora: Prof. Doutora Maria João Marques Gomes) Alameda das Linhas de Torres 117 – Lisboa.

Serviço de Especialidades Médicas (Directora: Dra. Teresa Cardoso) do Hospital do Espírito Santo Largo Senhor da Pobreza – 7000-811 Évora.

Copyright © 2009. Sociedade Portuguesa de Pneumologia/SPP
Download PDF
Pulmonology
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?