title: Tele-assistance Respiratory card: feasibility of self-reporting in patients with severe COPD.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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<0.0001). A similar correlation was observed when data from patients with or without exacerbations and with high or poor adherence to the program were considered (p<0.0001). Patients' acceptance of the self-recording was good.
  
  
  CONCLUSIONS
  In patients with COPD with sufficient self-autonomy and followed up with tele-assistance, Respicard is a reliable system for recording symptoms of COPD and could be a good cost-cutting modality for continuing management of patients.
authors.affiliation: Respiratory Rehabilitative Division, Salvatore Maugeri Foundation, IRCCS, Lumezzane, Brescia, Italy. michele.vitacca@fsm.it
authors.forename: Michele
authors.initials: M
authors.lastname: Vitacca
authors.forename: Mariella
authors.initials: M
authors.lastname: Rossin
authors.forename: Giuliano
authors.initials: G
authors.lastname: Assoni
authors.forename: Doriana
authors.initials: D
authors.lastname: Baratti
authors.forename: Margherita
authors.initials: M
authors.lastname: Zanardini
authors.forename: Giuseppina
authors.initials: G
authors.lastname: Ruocco
authors.forename: Tiziana
authors.initials: T
authors.lastname: Quinto
authors.forename: Antonella
authors.initials: A
authors.lastname: Bernasconi
authors.forename: Simonetta
authors.initials: S
authors.lastname: Scalvini
authors.forename: Fausto
authors.initials: F
authors.lastname: Colombo
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D010349:Patient Compliance; D029424:Pulmonary Disease, Chronic Obstructive / Q000451:nursing*; D057566:Self Report; D012720:Severity of Illness Index; D013689:Telephone