RT Journal Article
SR Electronic
T1 Screening and early warning system for chronic obstructive pulmonary disease with obstructive sleep apnoea based on the medical Internet of Things in three levels of healthcare: protocol for a prospective, multicentre, observational cohort study
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e075257
DO 10.1136/bmjopen-2023-075257
VO 14
IS 2
A1 Pan, Zihan
A1 Liao, Sha
A1 Sun, Wanlu
A1 Zhou, Haoyi
A1 Lin, Shuo
A1 Chen, Dian
A1 Jiang, Simin
A1 Long, Huanyu
A1 Fan, Jing
A1 Deng, Furong
A1 Zhang, Wenlou
A1 Chen, Baiqi
A1 Wang, Junyi
A1 Huang, Yongwei
A1 Li, Jianxin
A1 Chen, Yahong
YR 2024
UL http://bmjopen.bmj.com/content/14/2/e075257.abstract
AB Introduction Chronic obstructive pulmonary disease (COPD) and obstructive sleep apnoea (OSA) are prevalent respiratory diseases in China and impose significant burdens on the healthcare system. Moreover, the co-occurrence of COPD and OSA exacerbates clinical outcomes significantly. However, comprehensive epidemiological investigations in China remain scarce, and the defining characteristics of the population affected by COPD and OSA, alongside their intrinsic relationship, remain ambiguous.Methods and analysis We present a protocol for a prospective, multicentre, observational cohort study based on a digital health management platform across three different healthcare tiers in five sites among Chinese patients with COPD. The study aims to establish predicative models to identify OSA among patients with COPD and to predict the prognosis of overlap syndrome (OS) and acute exacerbations of COPD through the Internet of Things (IoT). Moreover, it aims to evaluate the feasibility, effectiveness and cost-effectiveness of IoT in managing chronic diseases within clinical settings. Participants will undergo baseline assessment, physical examination and nocturnal oxygen saturation measuring. Specific questionnaires screening for OSA will also be administered. Diagnostic lung function tests and polysomnography will be performed to confirm COPD and OSA, respectively. All patients will undergo scheduled follow-ups for 12 months to record the changes in symptoms, lung functions and quality of life. Primary outcomes include the prevalence and characteristics of OS, while secondary outcomes encompass OS prognosis and the feasibility of the management model in clinical contexts. A total of 682 patients with COPD will be recruited over 12–24 months.Ethics and dissemination The study has been approved by Peking University Third Hospital, and all study participants will provide written informed consent. Study results will be published in an appropriate journal and presented at national and international conferences, as well as relevant social media and various stakeholder engagement activities.Trial registration number NCT04833725.