Alcazar, Bernardinode Lucas, PilarSoriano, Joan BFernández-Nistal, AlonsoFuster, AntoniaGonzález-Moro, Jose Miguel RodríguezArnedillo, AurelioSidro, Patricia Garcíade Los Monteros, María José Espinosa2023-01-252023-01-252016-11-08http://hdl.handle.net/10668/10590Chronic obstructive pulmonary disease (COPD) patients often present considerable individual medical burden in their symptoms, limitations, and well-being that complicate medical treatment. To improve their overall health status, while reducing the number of exacerbations, a multidisciplinary approach including different elements of care is needed. The aim of this study was to evaluate the effects of a remote support program on COPD patients at high risk of experiencing worsening of their disease and other health-related outcomes. An observational, multicenter, prospective study aimed at evaluating the impact of a 7-month remote support program on COPD patients in exacerbations control and changes in health status measured with the COPD assessment test (CAT). Factors associated with a clinically relevant decrease in CAT were assessed using a logistic regression analysis. A total of 114 subjects started the program. The majority of the study population were males (81.6 %), retired (70.2 %), without academic qualifications or with a low level of education (68.4 %), and ex-smokers (79.8 %). The mean ± SD age was 69.6 ± 9.1 years and the BMI was 27.8 ± 5.5 Kg/m2. Overall, 41.9 % (95 % CI 31.9-52.0) patients, significantly improved health status (CAT decrease ≥ 2 points). Univariate analysis showed that significant improvement in CAT was associated with baseline CAT scores [high CAT score 19.2 (±7.5) vs. low CAT score 12.4 (±6.4); OR = 1.15, 95 % CI: 1.07-1.24; p  A remote support program for high-risk COPD patients results in an improvement of the patients' health status, particularly in those with initially poor health status, and it helps to reduce COPD exacerbations.enAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/Chronic obstructive pulmonary diseaseEducationExacerbationsManagementQuality of lifeAgedDisease ProgressionFemaleHealth StatusHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPatient CompliancePatient Education as TopicProgram EvaluationProspective StudiesPulmonary Disease, Chronic ObstructiveQuality of LifeSelf CareSeverity of Illness IndexSpainSurveys and QuestionnairesTelemedicineresearch article27821164open access10.1186/s12890-016-0304-31471-2466PMC5100103https://doi.org/10.1186/s12890-016-0304-3https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5100103/pdf