INTRODUCTION: Early treatment of worsening @entity1030 ( @entity1030 ) symptoms speeds recovery, improves quality of life, and reduces the need for hospitalization. @entity1 may fail to recognize worsening symptoms leading to delays in treatment. A telemedicine application could facilitate detection and treatment of worsening symptoms. To work, such an application requires consistent use by @entity1 and quick responses from healthcare providers. We conducted a quality assurance assessment of our system to see if we were meeting these goals. MATERIALS AND METHODS: Thirty @entity1 were provided a smartphone application for daily @entity1030 symptom reporting. Reports between November 2012 and September 2013 were reviewed. Symptoms reports and interventions were time-stamped by the application. Adherence reporting was calculated as the number of reports made divided by the number of days enrolled in the program for each @entity1 . Time to intervention was calculated as the time a report was submitted to the time a treatment recommendation was sent to the @entity1 . RESULTS: There were 4,434 symptom reports made over 5,178 @entity1 -days of observation for an average reporting compliance of 85.6%. Median reporting compliance was 90.7% (interquartile range, 83.8-98%). Four hundred seventy-five symptom reports resulted in an alert. The average response time for all alerts was 6.64   h, with a median response time of 5.75   h. CONCLUSIONS: From this quality assessment we were able to conclude that @entity1 adherence to the reporting system exceeded 90% for over half of the @entity1 . Furthermore, over 50% of worsening @entity1030 symptom reports were responded to in less than 6   h with @entity1 -specific treatment recommendations.

Use of a SmartPhone/Tablet-Based Bidirectional Telemedicine Disease Management Program Facilitates Early Detection and Treatment of XXXX Exacerbation Symptoms.

@entity1 :: ('9606', 'Species') :: ['participants', 'Patients', 'patients', 'patient'] @entity1030 :: ('MESH:D029424', 'Disease') :: ['chronic obstructive pulmonary disease', 'COPD']
@entity1030 :: (MESH:D029424,Disease) :: ['COPD']
