Drummond D
Service de pneumologie et allergologie pédiatriques, hôpital universitaire Necker-Enfants-Malades, AP-HP, Centre for Health Informatics, University of Manchester, 149, rue de Sèvres, 75015 Paris, France.
Rev Mal Respir. 2022 Mar;39(3):241-257. doi: 10.1016/j.rmr.2022.01.018. Epub 2022 Feb 24.
Mobile applications, connected spirometers, connected inhalers, connected bracelets, connected watches, connected stethoscopes, connected air quality sensors ; digital tools in asthma treatment and management are on the upswing. They enable the functioning of advanced remote monitoring systems, combining continuous data collection from the patient's home and early intervention by health professionals. The first part of this review details the theoretical arguments in favour of using these digital tools for remote monitoring of asthma patients. In the second part, the different types of digital tools developed for asthma cases are described and illustrated with examples. The third part presents the results of randomised trials comparing remote monitoring systems incorporating digital tools with more traditional management. Limitations to the use of digital tools in such systems are discussed in the fourth section. Finally, the fifth part presents perspectives for digital ecosystems in asthma and the possibility of obtaining autonomous algorithmic decision-making systems for individualized adaptation of patient management.
移动应用程序、联网肺功能仪、联网吸入器、联网手环、联网手表、联网听诊器、联网空气质量传感器；哮喘治疗和管理中的数字工具正在兴起。它们使先进的远程监测系统得以运行，将患者家中的持续数据收集与卫生专业人员的早期干预相结合。本综述的第一部分详细阐述了支持使用这些数字工具对哮喘患者进行远程监测的理论依据。第二部分描述了为哮喘病例开发的不同类型的数字工具，并举例说明。第三部分介绍了将包含数字工具的远程监测系统与更传统管理方式进行比较的随机试验结果。第四部分讨论了在此类系统中使用数字工具的局限性。最后，第五部分介绍了哮喘数字生态系统的前景以及获得自主算法决策系统以实现患者管理个性化调整的可能性。
