Patients involved: 100
Patients in the intervention group will be equipped with wireless pulse oximeters. In addition, the nurses who are visiting patients within the residential home and nursing care programmes are equipped with wireless flow spirometers. Pulse oximetry is obtained through patient (or caregiver-assisted) self-monitoring, with a frequency according to the indications of the patient's respiratory medicine specialist or respiratory nurse. FEV1- and FEV1/VC values are obtained by nurses when they visit a patient with COPD with a frequency of one weekly measurement. On the occasion of the nurse visit, a simple questionnaire (CAT) is performed using a mobile PC provided to the nurses. All measured values are collected once a week through a portable care station. Measured values are collected and transmitted to a central health portal where the records of individual patients can be assessed by their GP or lung specialist. GPs and lung specialists also receive an automated fax report on abnormal or worsening values in order to trigger eventual changes in medication, oxygen therapy or a call for a specialist visit.
Other cluster of Berlin: Cluster 2