Telemonitoring of pediatric asthma in outpatient settings: A systematic review

• Type: Another Publication in an International Scientific Journal
• Date: 2024

Authors

Pais Cunha, I (Author) Other; Matias, JF (Author) Other; Almeida, AL (Author) Other; Magalhaes, M (Author) Other; Fonseca, JA (Author) Other; Inês Azevedo (Author) FMUP; Jácome, C (Author) Other

Journal

Title: Pediatric Pulmonology

Vol. 59

Pages: 2392-2413

ISSN: 8755-6863

Publisher: Wiley-Blackwell

Indexing

ISI Web of Knowledge - 2 Citations

Scopus - 2 Citations

Other information

Authenticus ID: P-010-F3G

DOI: 10.1002/ppul.27046

Abstract (EN): 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.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 22