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Telehealth for children and adolescents with chronic pulmonary disease: systematic review.
Faiçal, Adriana Virgínia Barros; Mota, Laís Ribeiro; Correia, Danilo d' Afonseca; Monteiro, Larissa Prazeres; Souza, Edna Lúcia de; Terse-Ramos, Regina.
Afiliação
  • Faiçal AVB; Universidade Federal da Bahia, Salvador, BA, Brazil.
  • Mota LR; Casa Hunter, São Paulo, SP, Brazil.
  • Correia DA; Hospital Martagão Gesteira, Salvador, BA, Brazil.
  • Monteiro LP; Universidade Federal da Bahia, Salvador, BA, Brazil.
  • Souza EL; Universidade Federal da Bahia, Salvador, BA, Brazil.
  • Terse-Ramos R; Universidade Federal da Bahia, Salvador, BA, Brazil.
Rev Paul Pediatr ; 42: e2024111, 2023.
Article em En | MEDLINE | ID: mdl-37194911
OBJECTIVE: To revise the impact of telehealth on the quality of life, reduction in pulmonary exacerbations, number of days using antibiotics, adherence to treatment, pulmonary function, emergency visits, hospitalizations, and the nutritional status of individuals with asthma and cystic fibrosis. DATA SOURCE: Four databases were used, MEDLINE, LILACS, Web of Science and Cochrane, as well as manual searches in English, Portuguese and Spanish. Randomized clinical trials, published between January 2010 and December 2020, with participants aged 0 to 20 years, were included. DATA SYNTHESIS: Seventy-one records were identified after the removal of duplicates; however, twelve trials were eligible for synthesis. Included trials utilized: mobile phone applications (n=5), web platforms (n= 4), mobile telemedicine unit (n=1), software with an electronic record (n=1), remote spirometer (n=1), and active video games platform (n=1). Three trials used two tools, including telephone calls. Among the different types of interventions, improvement in adherence, quality of life, and physiologic variables were observed for mobile application interventions and game platforms compared to usual care. Visits to the emergency department, unscheduled medical appointments, and hospitalizations were not reduced. There was considerable heterogeneity among studies. CONCLUSIONS: The findings suggest that better control of symptoms, quality of life, and adherence to treatment can be attributed to the technological interventions used. Nevertheless, further research is needed to compare telehealth with face-to-face care and to indicate the most effective tools in the routine care of children with chronic lung diseases.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Asma / Telemedicina / Aplicativos Móveis Tipo de estudo: Clinical_trials / Guideline / Prognostic_studies / Systematic_reviews Aspecto: Patient_preference Limite: Adolescent / Child / Humans Idioma: En Revista: Rev Paul Pediatr Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Asma / Telemedicina / Aplicativos Móveis Tipo de estudo: Clinical_trials / Guideline / Prognostic_studies / Systematic_reviews Aspecto: Patient_preference Limite: Adolescent / Child / Humans Idioma: En Revista: Rev Paul Pediatr Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil