Oxygen saturation measurements in telemonitoring of patients with COPD: a systematic review

ABSTRACT

Introduction: Telemonitoring applications are expected to become a key component in future healthcare. Despite the frequent use of SpO₂ measurements in telemonitoring of patients with chronic obstructive pulmonary disease (COPD), no profound overview is available about these measurements.

Areas covered: A systematic search identified 71 articles that performed SpO₂ measurements in COPD telemonitoring. The results indicate that long-term follow-up of COPD patients using daily SpO₂ spot checks is practically feasible. Very few studies specified protocols for performing these measurements. In many studies, deviating SpO₂ values were used to raise alerts that led to immediate action from healthcare professionals. However, little information was available about the exact implementation and performance of these alerts. Therefore, no firm conclusions can be drawn about the real value of SpO₂ measurements. Future research could optimize performance of alerts using individualized, time-dependent thresholds or predictive algorithms to account for individual differences and SpO₂ baseline changes. Additionally, the value of performing continuous measurements should be examined.

Expert commentary: Standardization of the measurements, data science techniques and advancing technology can still boost performance of telemonitoring applications. All these opportunities should be thoroughly explored to assess the real value of SpO₂ in COPD telemonitoring.

KEYWORDS:

• COPD
• chronic obstructive pulmonary disease
• telemonitoring
• remote monitoring
• oxygen saturation
• oximetry
• exacerbation

Declaration of interest

MA Spruit discloses receiving numeration for consultancy and/or lectures from Boehringer Ingleheim, GlaxoSmithKline and AstraZeneca outside the scope of this work. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. Peer reviewers on this manuscript have no relevant financial or other relationships to disclose.

Additional information

Funding

This research is part of a PhD research funded by Flemish Institute for Technological Research (VITO), Mol, Belgium.