Telehealthcare for asthma: a Cochrane review

McLean, Susannah; Chandler, David; Nurmatov, Ulugbek; Liu, Joseph K.; Pagliari, Claudia; Car, Josip; Sheikh, Aziz

doi:10.1503/cmaj.101146

Cited by 106 publications

(80 citation statements)

References 38 publications

(27 reference statements)

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“…A meta-analysis on 21 randomised controlled trials on telemonitoring interventions in both children and adults with asthma concluded that telemonitoring was comparable with SC regarding quality of life, emergency room visits and hospitalisations for asthma 22. A recent review on digital asthma self-management interventions concluded that these interventions are promising, with evidence of beneficial effects 23.…”

Section: Discussionmentioning

confidence: 99%

Monitoring strategies in children with asthma: a randomised controlled trial

Bergen

Vaessen-Verberne

Brackel

et al. 2015

Thorax

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Section: Discussionmentioning

confidence: 99%

Monitoring strategies in children with asthma: a randomised controlled trial

Bergen

Vaessen-Verberne

Brackel

et al. 2015

Thorax

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“…21 studies in adults and children were summarised in a Cochrane meta-analysis, which concluded that e-health initiatives did not improve patient QoL or reduce exacerbations and hospital admissions in children [80].…”

Section: E-health and Telemonitoringmentioning

confidence: 99%

Monitoring asthma in children

et al. 2015

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The goal of asthma treatment is to obtain clinical control and reduce future risks to the patient. To reach this goal in children with asthma, ongoing monitoring is essential. While all components of asthma, such as symptoms, lung function, bronchial hyperresponsiveness and inflammation, may exist in various combinations in different individuals, to date there is limited evidence on how to integrate these for optimal monitoring of children with asthma. The aims of this ERS Task Force were to describe the current practise and give an overview of the best available evidence on how to monitor children with asthma.22 clinical and research experts reviewed the literature. A modified Delphi method and four Task Force meetings were used to reach a consensus.This statement summarises the literature on monitoring children with asthma. Available tools for monitoring children with asthma, such as clinical tools, lung function, bronchial responsiveness and inflammatory markers, are described as are the ways in which they may be used in children with asthma. Management-related issues, comorbidities and environmental factors are summarised.Despite considerable interest in monitoring asthma in children, for many aspects of monitoring asthma in children there is a substantial lack of evidence. @ERSpublications ERS statement summarising and discussing the available literature on monitoring children with asthma

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“…These were summarised in a recent Cochrane meta-analysis of 21 studies in adults and children. In this review, e-health initiatives did not improve patients' QoL or reduce exacerbation and hospitalisation rates in children [42]. At present, e-health initiatives are not routinely used in the clinical care of children with asthma.…”

Section: E-health and Telemonitoringmentioning

confidence: 79%

Monitoring asthma in childhood: symptoms, exacerbations and quality of life

et al. 2015

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Monitoring asthma in children in clinical practice is primarily performed by reviewing disease activity (daytime and night-time symptoms, use of reliever medication, exacerbations requiring frequent use of reliever medication and urgent visits to the healthcare professional) and the impact of the disease on children's daily activities, including sports and play, in a clinical interview. In such an interview, most task force members also discuss adherence to maintenance therapy and the patients' (and parents') views and beliefs on the goals of treatment and the amount of treatment required to achieve those goals. Composite asthma control and quality of life measures, although potentially useful in research, have limited value in clinical practice because they have a short recall window and do not cover the entire spectrum of asthma control. Telemonitoring of children with asthma cannot replace face-to-face follow-up and monitoring because there is no evidence that it is associated with improved health outcomes. @ERSpublications To monitor asthma control in children interviewing the child and parents is preferred over composite control scores http://ow.ly/JbqnR

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Telehealthcare for asthma: a Cochrane review

Cited by 106 publications

References 38 publications

Monitoring strategies in children with asthma: a randomised controlled trial

Monitoring strategies in children with asthma: a randomised controlled trial

Monitoring asthma in children

Monitoring asthma in childhood: symptoms, exacerbations and quality of life

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