Sengpiel Juliane, Fuehner Thomas, Kugler Christiane, Avsar Murat, Bodmann Isabelle, Boemke Annelies, Simon Andre, Welte Tobias, Gottlieb Jens
Hannover Medical School, Hannover, Germany.
Prog Transplant. 2010 Dec;20(4):310-7. doi: 10.1177/152692481002000402.
Complications often occur during the early phase after lung transplantation, and rapid diagnosis is vital. Home spirometry is used to detect early changes in graft function. Bluetooth-equipped cell phones are easy to use and facilitate data transfer from home spirometry.
To explore use of home spirometry with Bluetooth data transfer in outpatient lung transplant recipients.
Single-center prospective randomized controlled trial. Intervention-Fifty-six patients were randomized either to home spirometry with data transfer via Bluetooth-equipped cell phones or to home spirometry alone before discharge after lung transplantation. In the Bluetooth group, results were transferred to a database capable of generating alarm messages.
Time from onset of symptoms to physician consultation during the first 6 months after lung transplantation was the primary end point.
Adherence to home spirometry was 97.2% in the Bluetooth group and 95.3% in the home spirometry alone group (P = .73). Median time to first consultation (P = .60) and frequency of consultation (P = .06) did not differ significantly in the 2 groups. Mean scores on the Hospital Anxiety and Depression Scale were lower in patients in the Bluetooth group (1.5; range, 0.0-4.0) than in the home spirometry alone group (4.0; range, 2.0-6.0; P = .04).
Home spirometry with data transfer is feasible and safe in lung transplant recipients. Compared with home spirometry alone, additional data transfer was equally effective regarding the time interval from symptom onset to consultation. Patients in the Bluetooth group reported less anxiety, which may improve emotional well-being.
肺移植术后早期常出现并发症，快速诊断至关重要。家庭肺活量测定用于检测移植肺功能的早期变化。配备蓝牙的手机使用方便，便于从家庭肺活量测定仪传输数据。
探讨在门诊肺移植受者中使用具有蓝牙数据传输功能的家庭肺活量测定仪。
单中心前瞻性随机对照试验。干预措施——56例患者在肺移植出院前被随机分为两组，一组使用配备蓝牙手机进行数据传输的家庭肺活量测定仪，另一组仅使用家庭肺活量测定仪。在蓝牙组中，结果被传输到一个能够生成警报信息的数据库。
肺移植后前6个月从症状出现到咨询医生的时间为主要终点。
蓝牙组家庭肺活量测定的依从率为97.2%，仅使用家庭肺活量测定仪组为95.3%（P = 0.73）。两组首次咨询的中位时间（P = 0.60）和咨询频率（P = 0.06）差异无统计学意义。蓝牙组患者的医院焦虑抑郁量表平均得分（1.5；范围0.0 - 4.0）低于仅使用家庭肺活量测定仪组（4.0；范围2.0 - 6.0；P = 0.04）。
对于肺移植受者，具有数据传输功能的家庭肺活量测定是可行且安全的。与仅使用家庭肺活量测定仪相比，额外的数据传输在从症状出现到咨询的时间间隔方面同样有效。蓝牙组患者报告的焦虑较少，这可能改善情绪健康。
