Ambrosino Nicolino, Pierucci Paola
Istituti Clinici Scientifici Maugeri IRCCS, Respiratory Rehabilitation Division of the Institute of Montescano, 27040 Montescano, Italy.
Cardiothoracic Department, Respiratory and Critical Care Unit, Bari Policlinic University Hospital, 70121 Bari, Italy.
Life (Basel). 2021 Oct 20;11(11):1113. doi: 10.3390/life11111113.
: Advances in management have improved mortality of individuals with chronic respiratory failure (CRF), leading to an increase in need for long-term oxygen therapy and/or ventilatory support. These individuals require frequent visits and monitoring of their physiological parameters as well as of the functioning of their devices, such as ventilators or oxygen concentrators. Telemedicine is a clinical application of Information Communication Technology connecting patients to specialised care consultants. This narrative review aims to explore the current available telemonitoring options for individuals with CRF and reported or potential results. : The research focused on EMBASE, CINALH, PubMed, and Scopus databases. Papers published between 2003 and 2021 in English were considered. : Different sensors, transmission devices and systems, and interventions are used with promising but not conclusive clinical results. However, legal problems are still unsolved, and economic advantages for health care systems, although potentially high, are still under debate. : Telemonitoring systems for individuals with CRF are increasingly used; with promising results still to be clarified, legal, economical and organisational issues must be defined.
管理方面的进展提高了慢性呼吸衰竭（CRF）患者的生存率，导致对长期氧疗和/或通气支持的需求增加。这些患者需要频繁就诊，并监测其生理参数以及诸如呼吸机或制氧机等设备的功能。远程医疗是一种信息通信技术的临床应用，可将患者与专科护理顾问联系起来。本叙述性综述旨在探讨目前针对CRF患者可用的远程监测选项以及已报道的或潜在的结果。：研究集中在EMBASE、CINALH、PubMed和Scopus数据库。考虑了2003年至2021年期间以英文发表的论文。：使用了不同的传感器、传输设备和系统以及干预措施，临床结果有前景但尚无定论。然而，法律问题仍未解决，尽管对医疗保健系统的经济优势可能很高，但仍在争论之中。：越来越多地使用针对CRF患者的远程监测系统；虽然有前景的结果仍有待阐明，但必须明确法律、经济和组织问题。
