title: Using Home Spirometry for Follow up of Lung Transplant Recipients: "A Pilot Study".
abstract: BACKGROUND
  Lung transplantation is considered the ultimate treatment for some patients, but due to the specific condition of patients undergoing it, follow up is a major concern. The aim of this study was to evaluate the role of home spirometry in follow up of lung transplant recipients and early detection of complications in these patients.
  
  
  METHODS
  A PC-based portable spirometry set was used to evaluate the well being of two lung transplant recipients on a regular daily basis for a 6-month period. Patient satisfaction and compliance, and device sensitivity in detecting complications were evaluated. Results of follow up were compared with 2 matched control patients.
  
  
  RESULTS
  Patient adherence to home spirometry was 80% in one and 61% in the other patient and both patients were satisfied with the method, although this satisfaction declined towards the end of the study period. The main reason for low adherence was insufficient internet access. This method succeeded in early detection of infectious complications.
  
  
  CONCLUSIONS
  Home spirometry seems to be a reliable method for follow up of lung transplant recipients, but further studies in a larger group of patients is recommended.
authors.affiliation: Telemedicine Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of medical Sciences.
authors.forename: Lida
authors.initials: L
authors.lastname: Fadaizadeh
authors.affiliation: Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of medical Sciences, Tehran, Iran.
authors.forename: Katayoun
authors.initials: K
authors.lastname: Najafizadeh
authors.affiliation: Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of medical Sciences, Tehran, Iran.
authors.forename: Shadi
authors.initials: S
authors.lastname: Shafaghi
authors.affiliation: Telemedicine Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of medical Sciences.
authors.forename: Mahsa Sadat
authors.initials: MS
authors.lastname: Hosseini
authors.affiliation: Telemedicine Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of medical Sciences.
authors.forename: Azadeh
authors.initials: A
authors.lastname: Ghoroghi
keywords: Home spirometry; Lung transplant complications; Lung transplantation follow up; Pulmonary function tests; Telemedicine