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Telemonitoring of pediatric asthma in outpatient settings: A systematic review

2024Journal article Open access
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dc.contributor.authorPais‐Cunha, I
dc.contributor.authorFontoura Matias, J
dc.contributor.authorAlmeida, AL
dc.contributor.authorMagalhães, M
dc.contributor.authorFonseca, JA
dc.contributor.authorAzevedo, I
dc.contributor.authorJácome, C
dc.date.accessioned2025-01-05T22:13:46Z
dc.date.available2025-01-05T22:13:46Z
dc.date.issued2024
dc.description.abstractTelemonitoring 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPediatr Pulmonol . 2024 Oct;59(10):2392-2413.pt_PT
dc.identifier.doi10.1002/ppul.27046pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/53444
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectAsmapt_PT
dc.subjectCriançapt_PT
dc.subjectTelemedicinapt_PT
dc.subjectAsthmapt_PT
dc.subjectChildpt_PT
dc.subjectTelemedicinept_PT
dc.titleTelemonitoring of pediatric asthma in outpatient settings: A systematic reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage2413pt_PT
oaire.citation.issue10pt_PT
oaire.citation.startPage2392pt_PT
oaire.citation.titlePediatric Pulmonologypt_PT
oaire.citation.volume59pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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