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Telemonitoring of pediatric asthma in outpatient settings: A systematic review

Data de publicação: Data Ahead of Print:

Autores da FMUP

  • Maria Inês Ferreira Agueda De Azevedo

    Autor

Participantes de fora da FMUP

  • Pais-Cunha I.
  • Fontoura Matias J.
  • Almeida A.L.
  • Magalhães M.
  • Fonseca J.A.
  • Jácome C.

Unidades de investigação

Abstract

Telemonitoring technologies are rapidly evolving, offering a promising solution for remote monitoring and timely management of asthma acute episodes. We aimed to describe current pediatric asthma telemonitoring technologies. A systematic review was conducted until September 2023 on Medline, Scopus, and Web of Science. We included studies of children (0–18 years) with asthma or recurrent wheezing whose respiratory condition was telemonitored outside the healthcare setting. A narrative synthesis was performed. We identified 40 telemonitoring technologies described in 40 studies. The more frequently used technologies for telemonitoring were mobile applications (n = 21) and web-based systems (n = 14). Telemonitoring duration varied between 2 weeks and 32 months. Data collection included asthma symptoms (n = 30), patient-reported outcome measures (PROMs) (n = 11), spirometry/peak flow readings (n = 20), medication adherence (n = 17), inhaler technique (n = 3), air quality (n = 2), and respiratory sounds (n = 2). Both parents and children were the technology target users in most studies (n = 23). Technology training was reported in 23 studies of which 3 provided ongoing support. Automatic feedback was found in 30 studies, mostly related with asthma control. HCP were involved in data management in 27 studies. Technologies were tested in samples from 4 to 327 children, with most studies including school-aged children and/or adolescents (n = 38) and eight including preschool children. This review provides an overview of existing technologies for the outpatient telemonitoring of pediatric asthma. Specific technologies for preschool children represent a gap in the literature that needs to be specifically addressed in future research. © 2024 The Authors. Pediatric Pulmonology published by Wiley Periodicals LLC.

© 2024 The Authors. Pediatric Pulmonology published by Wiley Periodicals LLC.

Dados da publicação

ISSN/ISSNe:
8755-6863, 1099-0496

Pediatric Pulmonology  Wiley-Liss Inc.

Tipo:
Review
Páginas:
2392-2413
PubMed:
38742250
Link para outro recurso:
www.scopus.com

Citações Recebidas na Web of Science: 1

Citações Recebidas na Scopus: 1

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Keywords

  • adolescent; ambulatory; asthma; child; monitoring

Campos de Estudo

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