Telemedicine in lung transplant to improve patient-centered care: A systematic review

Gholamzadeh, Marsa; Abtahi, Hamidreza; Safdari, Reza

doi:10.1016/j.ijmedinf.2022.104861

Cited by 12 publications

(13 citation statements)

References 52 publications

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“…During the period of greatest impact of the pandemic, new and old patients assumed the organizational decisions of consultation without resistance [ 34 ]. Those who were more stable, with the longest time of post-transplant evolution and especially the furthest to the center saw in the teleconsultation a better way to assist/control their problems [ 35 ]. Patients should be selected because there is a percentage of them that may require a physical visit ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

Best practices during COVID-19 pandemic in solid organ transplant programs in Spain

Pascual

Mazuecos

Sánchez-Antolín

et al. 2023

Transplantation Reviews

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Section: Resultsmentioning

confidence: 99%

Best practices during COVID-19 pandemic in solid organ transplant programs in Spain

Pascual

Mazuecos

Sánchez-Antolín

et al. 2023

Transplantation Reviews

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“…The number of studies investigating telemedicine equipment has increased considerably in recent years. Nevertheless, there are few studies that are already available and reporting on experiences in the context of COVID-19 in solid organ transplant recipients, in particular for lung transplant recipients [ 1 , 2 , 3 , 11 , 12 , 20 , 21 ]. The potential advantages of telemedicine, particularly telemonitoring with remote monitoring systems, are increasingly being recognized and investigated.…”

Section: Discussionmentioning

confidence: 99%

“…Lung transplantation is the ultimate treatment option for patients with end-stage lung disease. Lung transplant recipients (LTRs) need a long-term, close follow up by dedicated specialists to provide continuous medical care for their complicated medical condition [ 1 ]. Digital health plays a critical role in the response of healthcare organizations during the COVID-19 pandemic, especially in vulnerable populations, including solid organ transplant recipients.…”

Section: Introductionmentioning

confidence: 99%

“…While telemedicine offers a real-time patient–provider encounter, the inability to obtain vital signs during virtual visits is a potential limitation. Remote patient monitoring (RPM), sometimes also referred to as telemonitoring [ 1 ], uses portable or wearable devices in patients’ homes to collect and digitally transmit physiological data and questionnaire information as well as self-recorded data via an application interface to clinicians. For example, sensor data from a wearable device is transmitted by Bluetooth to the smartphone.…”

Section: Introductionmentioning

confidence: 99%

“…It can also be used in special situations such as virus outbreaks/pandemics or to monitor patients during or after specific interventions, for example, to document vaccine responses [ 2 , 3 , 4 ]. The use of RPM in LTRs is primarily motivated by the fact that it has the potential to improve patient outcomes, including better and earlier diagnosis of complications, increase quality of life by facilitating transparency and reassurance of the current patient condition and reducing the personal consultation frequency [ 1 , 2 , 3 ]. Some telemedical remote monitoring programs do not rely on measuring devices but focus only on information exchange based on software applications using mobile devices or regular computers in solid organ transplantation recipients [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Multimodal Remote Home Monitoring of Lung Transplant Recipients during COVID-19 Vaccinations: Usability Pilot Study of the COVIDA Desk Incorporating Wearable Devices

Schuurmans

Muszyński

et al. 2023

Medicina

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Background and Objectives: Remote patient monitoring (RPM) of vital signs and symptoms for lung transplant recipients (LTRs) has become increasingly relevant in many situations. Nevertheless, RPM research integrating multisensory home monitoring in LTRs is scarce. We developed a novel multisensory home monitoring device and tested it in the context of COVID-19 vaccinations. We hypothesize that multisensory RPM and smartphone-based questionnaire feedback on signs and symptoms will be well accepted among LTRs. To assess the usability and acceptability of a remote monitoring system consisting of wearable devices, including home spirometry and a smartphone-based questionnaire application for symptom and vital sign monitoring using wearable devices, during the first and second SARS-CoV-2 vaccination. Materials and Methods: Observational usability pilot study for six weeks of home monitoring with the COVIDA Desk for LTRs. During the first week after the vaccination, intensive monitoring was performed by recording data on physical activity, spirometry, temperature, pulse oximetry and self-reported symptoms, signs and additional measurements. During the subsequent days, the number of monitoring assessments was reduced. LTRs reported on their perceptions of the usability of the monitoring device through a purpose-designed questionnaire. Results: Ten LTRs planning to receive the first COVID-19 vaccinations were recruited. For the intensive monitoring study phase, LTRs recorded symptoms, signs and additional measurements. The most frequent adverse events reported were local pain, fatigue, sleep disturbance and headache. The duration of these symptoms was 5–8 days post-vaccination. Adherence to the main monitoring devices was high. LTRs rated usability as high. The majority were willing to continue monitoring. Conclusions: The COVIDA Desk showed favorable technical performance and was well accepted by the LTRs during the vaccination phase of the pandemic. The feasibility of the RPM system deployment was proven by the rapid recruitment uptake, technical performance (i.e., low number of errors), favorable user experience questionnaires and detailed individual user feedback.

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Feasibility study and determination of prerequisites of telecare programme to enhance patient management in lung transplantation: a qualitative study from the perspective of Iranian healthcare providers

et al. 2023

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BackgroundNon-adherence to treatment plans, follow-up visits and healthcare advice is a common obstacle in the management of lung transplant patients. This study aims to investigate experts’ views on the needs and main aspects of telecare programmes for lung transplantation.DesignA qualitative study incorporating an inductive thematic analysis.SettingLung transplant clinic and thoracic research centre.ParticipantsClinicians: four pulmonologists, two cardiothoracic surgeons, two general physicians, two pharmacotherapists, one cardiologist, one nurse and one medical informatician.MethodThis study adopted a focus group discussion technique to gather experts’ opinions on the prerequisites and features of a telecare programme in lung transplantation. All interviews were coded and combined into main categories and themes. Thematic analysis was performed to extract the key concepts using ATLAS.Ti. Ultimately, all extracted themes were integrated to devise a conceptual model.ResultsTen focus groups with 13 participants were conducted. Forty-six themes and subthemes were extracted through the thematic analysis. The main features of the final programme were extracted from expert opinions through thematic analysis, such as continuous monitoring of symptoms, drug management, providing a specific care plan for each patient, educating patients module, creating an electronic medical record to collect patient information, equipping the system with decision support tools, smart electronic prescription and the ability to send messages to the care team. The prerequisites of the system were summarised in self-care activities, clinician’s tasks and required technologies. In addition, the barriers and benefits of using a telecare system to enhance the quality of care were determined.ConclusionOur investigation recognised the main factors that must be considered to design a telecare programme to provide ideal continuous care for lung transplant patients. Users should further explore the proposed model to support the development of telecare interventions at the point of care.

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Telemedicine in lung transplant to improve patient-centered care: A systematic review

Cited by 12 publications

References 52 publications

Best practices during COVID-19 pandemic in solid organ transplant programs in Spain

Best practices during COVID-19 pandemic in solid organ transplant programs in Spain

Multimodal Remote Home Monitoring of Lung Transplant Recipients during COVID-19 Vaccinations: Usability Pilot Study of the COVIDA Desk Incorporating Wearable Devices

Feasibility study and determination of prerequisites of telecare programme to enhance patient management in lung transplantation: a qualitative study from the perspective of Iranian healthcare providers

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