People undertaking pulmonary rehabilitation are willing and able to provide accurate data via a remote pulse oximetry system: a multicentre observational study

Tristan Bonnevie; Francis-Edouard Gravier; Mark Elkins; Johan Dupuis; Guillaume Prieur; Yann Combret; Catherine Viacroze; David Debeaumont; Aurora Robleda-Quesada; Jean Quieffin; Bouchra Lamia; Maxime Patout; Antoine Cuvelier; Jean-François Muir; Clement Medrinal; Catherine Tardif

doi:10.1016/j.jphys.2018.11.002

People undertaking pulmonary rehabilitation are willing and able to provide accurate data via a remote pulse oximetry system: a multicentre observational study

J Physiother. 2019 Jan;65(1):28-36. doi: 10.1016/j.jphys.2018.11.002. Epub 2018 Dec 17.

Authors

Tristan Bonnevie¹, Francis-Edouard Gravier², Mark Elkins³, Johan Dupuis⁴, Guillaume Prieur⁵, Yann Combret⁶, Catherine Viacroze⁷, David Debeaumont⁸, Aurora Robleda-Quesada⁹, Jean Quieffin⁹, Bouchra Lamia¹⁰, Maxime Patout¹¹, Antoine Cuvelier¹¹, Jean-François Muir¹², Clement Medrinal⁵, Catherine Tardif¹³

Affiliations

¹ ADIR Association, Rouen University Hospital, Rouen, France; UPRES EA 3830 Haute Normandie Research and Biomedical Innovation, Normandie University, Rouen, France. Electronic address: [email protected].
² ADIR Association, Rouen University Hospital, Rouen, France; UPRES EA 3830 Haute Normandie Research and Biomedical Innovation, Normandie University, Rouen, France.
³ Sydney Medical School, University of Sydney, Sydney, Australia; Centre for Education and Workforce Development, Sydney Local Health District, Sydney, Australia.
⁴ ADIR Association, Rouen University Hospital, Rouen, France.
⁵ UPRES EA 3830 Haute Normandie Research and Biomedical Innovation, Normandie University, Rouen, France; Service de réanimation médico-chirurgicale, Groupe Hospitalier du Havre - Hôpital Jacques Monod, Montivilliers, France.
⁶ Service de kinésithérapie, Groupe Hospitalier du Havre - Hôpital Jacques Monod, Montivilliers, France; Institut de Recherche Expérimentale et Clinique (IREC), Pôle de Pneumologie, ORL & Dermatologie, Université Catholique de Louvain, Brussels, Belgium.
⁷ Pulmonary, Thoracic Oncology and Respiratory Intensive Care Department, Rouen University Hospital, Rouen, France.
⁸ Physiology Department, Rouen University Hospital, Rouen, France.
⁹ Service de réanimation médico-chirurgicale, Groupe Hospitalier du Havre - Hôpital Jacques Monod, Montivilliers, France.
¹⁰ UPRES EA 3830 Haute Normandie Research and Biomedical Innovation, Normandie University, Rouen, France; Service de réanimation médico-chirurgicale, Groupe Hospitalier du Havre - Hôpital Jacques Monod, Montivilliers, France; Pulmonary, Thoracic Oncology and Respiratory Intensive Care Department, Rouen University Hospital, Rouen, France.
¹¹ UPRES EA 3830 Haute Normandie Research and Biomedical Innovation, Normandie University, Rouen, France; Pulmonary, Thoracic Oncology and Respiratory Intensive Care Department, Rouen University Hospital, Rouen, France.
¹² ADIR Association, Rouen University Hospital, Rouen, France; UPRES EA 3830 Haute Normandie Research and Biomedical Innovation, Normandie University, Rouen, France; Pulmonary, Thoracic Oncology and Respiratory Intensive Care Department, Rouen University Hospital, Rouen, France.
¹³ ADIR Association, Rouen University Hospital, Rouen, France; UPRES EA 3830 Haute Normandie Research and Biomedical Innovation, Normandie University, Rouen, France; Physiology Department, Rouen University Hospital, Rouen, France.

PMID: 30573441
DOI: 10.1016/j.jphys.2018.11.002

Abstract

Questions: Can people referred to pulmonary rehabilitation easily learn to use a system for remote transmission of oximetry data? Do they consider remote transmission of oximetry data to be satisfactory? Are the transmitted data valid compared with locally stored data?

Design: Multicentre, prospective, observational study.

Participants: One hundred and five adults with chronic respiratory disease who were referred to pulmonary rehabilitation.

Intervention: At an initial session, participants were taught to record and transmit their oximetry data to a remote server. At subsequent testing session(s), participants were requested to independently activate and use the oximetry monitoring system for a period of exercise on a cycle ergometer, until autonomy with the system was demonstrated. A subgroup of five participants undertook five 45-minute training sessions to generate a dataset to assess whether the transmitted data were valid compared with the locally stored data.

Outcome measures: Outcome measures included the number of sessions needed to become autonomous, participant satisfaction with the system, and measures of the validity of the transmitted data.

Results: Participants became autonomous quickly: 86% at the first testing session and 100% within three testing sessions. At least 98% of participants agreed that the system was easy to use and they would be willing to use it throughout pulmonary rehabilitation. The system transmitted usable data from 98% (95% CI 96 to 100) of sessions and introduced minimal artefact. Mean absolute differences were 0.365 beats/minute for heart rate and 0.133% for oxyhaemoglobin saturation. For heart rate, exact agreement was 72% (SD 9) and similar agreement (within 3 beats/minute) was 99% (SD 1). For oxyhaemoglobin saturation, exact agreement was 87% (SD 3) and similar agreement (within 3%) was 100% (SD 0).

Conclusion: The telemonitoring system used in this study was sufficiently valid and acceptable for use in at-home pulmonary rehabilitation by people with chronic respiratory disease.

Study registration: ClinicalTrials.gov NCT03295474 and NCT03004716 (subgroup study).

Keywords: Exercise; Physical therapy; Pulmonary rehabilitation; Telemonitoring; Telerehabilitation.

Publication types

Multicenter Study
Observational Study

MeSH terms

Aged
Exercise Therapy*
Female
Humans
Male
Middle Aged
Oximetry*
Patient Satisfaction
Prospective Studies
Pulmonary Disease, Chronic Obstructive / rehabilitation*
Telerehabilitation*

Associated data

ClinicalTrials.gov/NCT03295474
ClinicalTrials.gov/NCT03004716