TY - JOUR T1 - Home parasternal electromyography tracks patient-reported and physiological measures of recovery from severe COPD exacerbation JF - ERJ Open Research JO - erjor DO - 10.1183/23120541.00709-2020 VL - 7 IS - 2 SP - 00709-2020 AU - Rebecca Francesca D'Cruz AU - Eui-Sik Suh AU - Georgios Kaltsakas AU - Amy Dewar AU - Neeraj Mukesh Shah AU - Rita Priori AU - Abdel Douiri AU - Louise Rose AU - Nicholas Hart AU - Patrick Brian Murphy Y1 - 2021/04/01 UR - http://openres.ersjournals.com/content/7/2/00709-2020.abstract N2 - Exacerbations of COPD remain a leading cause of emergency hospitalisations worldwide, and up to 28% of patients are readmitted within 30 days of discharge [1]. Recent analyses of more than 2.3 million COPD hospitalisations highlight the dynamic and time-dependent nature of readmission risk, which peaks within the first 72 h of discharge [2, 3]. Effective readmission prevention strategies remain elusive and recognition of re-exacerbations beyond daily symptom variability is challenging for both patients and clinicians. Promotion of transitional care services and 30-day readmission penalties implemented by policymakers worldwide have had limited impact [4]. Telemonitoring strategies incorporating symptom and vital observation monitoring (peripheral oxygen saturation (SpO2), heart rate, respiratory frequency) have consistently failed to demonstrate beneficial effects on hospitalisation risk [5]. Objective physiological monitoring has been explored using the forced oscillation technique. However, this also failed to prolong time to first hospitalisation [6].Physiological phenotyping using daily home-based assessments reveals early improvement in load–capacity–drive imbalance following #AECOPD and feasibility of home parasternal electromyography measurement, which tracks symptoms, health status and spirometry https://bit.ly/3o6I0TyWe wish to thank the integrated respiratory team at Guy's and St Thomas’ Hospital NHS Foundation Trust for their assistance in identifying hospitalised COPD patients. ER -