Telehealth and its implementation in respiratory sleep medicine.
Journal
Current opinion in pulmonary medicine
ISSN: 1531-6971
Titre abrégé: Curr Opin Pulm Med
Pays: United States
ID NLM: 9503765
Informations de publication
Date de publication:
01 11 2021
01 11 2021
Historique:
pubmed:
9
9
2021
medline:
15
10
2021
entrez:
8
9
2021
Statut:
ppublish
Résumé
The COVID-19 pandemic has clearly demonstrated that the technological progress in digitization is also essential for the medical sector. In the field of sleep-disordered breathing, the novel eHealth methods already do offer smart solutions for currently insufficiently addressed problems. In general, the potential of telemedicine tools can be focused on three basic aspects: interaction between clinicians, interaction between clinician and patient, and interaction between patient and the mobile health technology. The pandemic situation resulted in a rapid development of reimbursement for telehealth services. In recent years, evidence on the positive benefits of using telemedicine-based support as part of respiratory therapy follow-up is increasing. It is important to consider patient groups, telemedicine methodology, type of intervention, and targeting criteria in all studies conducted. Given the scarcity of resources for leading common diseases, we must keep an eye on the new digitization concepts in respiratory medicine care. It must be implemented precisely, cost-effectively, and also more connecting between sectors and disciplines and at eye level with our patients. By means of patient engagement systems, an important part of modern precision medicine can be established. Digital support systems are valuable for supporting medical staff. They are not meant to replace medical staff but to facilitate their work and improve its quality.
Identifiants
pubmed: 34494980
doi: 10.1097/MCP.0000000000000830
pii: 00063198-202111000-00006
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
523-528Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Références
Telehealth: Defining 21st century care. Washington, DC: American Telemedicine Association Available at: https://www.americantelemed.org/resource/why-telemedicine/ . [Accessed 08 Jun 2021]
Mecklai K, Smith N, Stern AD, Kramer DB. Remote patient monitoring - overdue or overused? N Engl J Med 2021; 384:1384–1386.
Tuckson RV, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med 2017; 377:1585–1592.
Hu Y, Su Y, Hu S, et al. Effects of telemedicine interventions in improving continuous positive airway pressure adherence in patients with obstructive sleep apnoea: a meta-analysis of randomised controlled trials. Sleep Breath 2021.
Grote L, McNicholas WT, Hedner J. ESADA collaborators. Sleep apnoea management in Europe during the COVID-19 pandemic: data from the European Sleep Apnoea Database (ESADA). Eur Respir J 2020; 55:2001323.
Browne SH, Bernstein M, Bickler PE. Accuracy of Samsung Smartphone integrated pulse oximetry meets full FDA clearance standards for clinical use. medRxiv 2021; 2021.02.17.21249755. doi:10.1101/2021.02.17.2124975.
doi: 10.1101/2021.02.17.2124975
Modi AM, Kiourkas RD, Li J, Scott JB. Reliability of smartphone pulse oximetry in subjects at risk for hypoxemia. Respir Care 2021; 66:384–390.
Campos-Rodriguez F, Peña-Griñan N, Reyes-Nuñez N, et al. Mortality in obstructive sleep apnea-hypopnea patients treated with positive airway pressure. Chest 2005; 128:624–633.
Woehrle H, Ficker JH, Graml A, et al. Telemedicine-based proactive patient management during positive airway pressure therapy: Impact on therapy termination rate. Somnologie (Berl) 2017; 21:121–127.
Schöbel C, Werther S, Teschler H, Taube C. Telemedicine in respiratory sleep medicine: COVID-19 pandemic unmasks the need for a process-oriented, replicable approach for implementation in clinical routine. J Thorac Dis 2020; 12: (Suppl 2): S261–S263.
Nilius G, Schroeder M, Domanski U, et al. Telemedicine improves continuous positive airway pressure adherence in stroke patients with obstructive sleep apnea in a randomized trial. Respiration 2019; 98:410–420.
Turino C, de Batlle J, Woehrle H, et al. Management of continuous positive airway pressure treatment compliance using telemonitoring in obstructive sleep apnoea. Eur Respir J 2017; 49:1601128.
Liu D, Armitstead J, Benjafield A, et al. Trajectories of emergent central sleep apnea during CPAP therapy. L Chest 2017; 152:751–760.
Blouet S, Sutter J, et al. Prediction of severe acute exacerbation using changes in breathing pattern of COPD patients on home noninvasive ventilation. Int J Chron Obstruct Pulmon Dis 2018; 13:2577–2586.
Dreher M. Available at: https://www.ukaachen.de/nl/kliniken-institute/klinik-fuer-pneumologie-und-internistische-intensivmedizin-medizinische-klinik-v/aktuelles/news/04-07-2018-bmbf-gefoerdertes-verbundprojekt-zum-thema-ausserklinische-beatmung/ , letzter Aufruf 7.1.2021. [Accessed 08 Jun 2021].
Duiverman ML, Vonk JM, et al. Home initiation of chronic noninvasive ventilation in COPD patients with chronic hypercapnic respiratory failure: a randomised controlled trial. Thorax 2020; 75:244–252.
an den Biggelaar RJM, Hazenberg A, Cobben NAM, et al. A randomized trial of initiation of chronic noninvasive mechanical ventilation at home vs in-hospital in patients with neuromuscular disease and thoracic cage disorder: the Dutch Homerun Trial. Chest 2020; 158:2493–2501.