Home monitoring for lung transplant candidates.
Home monitoring by lung transplant recipients has been effective for early detection of clinical problems. This study used an electronic diary for home monitoring by lung transplant candidates to improve communication between candidates and the transplant team. Candidates were randomized into control (52 subjects following standard telephone reporting procedures) and intervention (67 subjects using an electronic diary to record and transmit a range of health-related measures) groups. Outcome measures were monitoring adherence and level of communication (for monitor acceptability and utilization), hospital length of stay after transplantation and survival at 4 months (for clinical effectiveness). Subjects used the diary without difficulty and with good adherence. Subjects and coordinator contacts were similar between groups; intervention group subjects were positive regarding contact based on diary use. There were no significant differences in clinical outcomes between groups. Changing diary questions might improve the effectiveness of electronic monitoring for lung transplant candidates.
Mullan
Beth
B
University of Minnesota, Minneapolis, Minn, USA.
Snyder
Mariah
M
Lindgren
Bruce
B
Finkelstein
Stanley M
SM
Hertz
Marshall I
MI
D000328:Adult; D003142:Communication; D005260:Female; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D007902:Length of Stay; D016040:Lung Transplantation / Q000401:mortality / Q000451:nursing / Q000523:psychology; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D015146:Midwestern United States; D008991:Monitoring, Physiologic / Q000379:methods*; D009723:Nurse-Patient Relations; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D011300:Preoperative Care / Q000379:methods; D011788:Quality of Life; D016019:Survival Analysis; D017216:Telemedicine / Q000458:organization & administration*; D013689:Telephone; D014850:Waiting Lists