J Telemed Telecare - Telehealth in cystic fibrosis: a systematic review.

Tópicos

{ studi(2440) review(1878) systemat(933) }
{ treatment(1704) effect(941) patient(846) }
{ use(1733) differ(960) four(931) }
{ monitor(1329) mobil(1314) devic(1160) }
{ intervent(3218) particip(2042) group(1664) }
{ patient(2315) diseas(1263) diabet(1191) }
{ medic(1828) order(1363) alert(1069) }
{ use(976) code(926) identifi(902) }
{ blood(1257) pressur(1144) flow(957) }
{ age(1611) year(1155) adult(843) }
{ data(3008) multipl(1320) sourc(1022) }
{ survey(1388) particip(1329) question(1065) }
{ can(774) often(719) complex(702) }
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{ measur(2081) correl(1212) valu(896) }
{ method(1219) similar(1157) match(930) }
{ framework(1458) process(801) describ(734) }
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{ method(1557) propos(1049) approach(1037) }
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{ perform(1367) use(1326) method(1137) }
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{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
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{ patient(1821) servic(1111) care(1106) }
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{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
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{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
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{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
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{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

We conducted a systematic review of the use of telehealth in people with Cystic Fibrosis (CF). The studies reviewed were of adults and children with CF, and incorporated telehealth for monitoring symptoms, assessing adherence to prescribed therapies or providing a therapeutic intervention. Searches of four electronic databases returned 293 references. Eight studies met the inclusion criteria. Variability in study design and outcome measures precluded meta-analysis. Seven studies assessed telemonitoring feasibility for patient usability and acceptance, or for physiological monitoring. Two studies were randomised controlled trials, although only one showed differences in outcome between the intervention and usual care with improved spirometry stability and significantly increased antibiotic use in the intervention group. In four studies participants were asked to transmit data on spirometry (FEV(1)) or symptoms. Participant non-compliance with data reporting ranged from 43-63%. Generally, participants reported being able to use the required technology. There is insufficient evidence to reach a firm conclusion about the benefits of telehealth in people with CF, but it remains a promising area for future investigation.

Resumo Limpo

conduct systemat review use telehealth peopl cystic fibrosi cf studi review adult children cf incorpor telehealth monitor symptom assess adher prescrib therapi provid therapeut intervent search four electron databas return refer eight studi met inclus criteria variabl studi design outcom measur preclud metaanalysi seven studi assess telemonitor feasibl patient usabl accept physiolog monitor two studi randomis control trial although one show differ outcom intervent usual care improv spirometri stabil signific increas antibiot use intervent group four studi particip ask transmit data spirometri fev symptom particip noncompli data report rang general particip report abl use requir technolog insuffici evid reach firm conclus benefit telehealth peopl cf remain promis area futur investig

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