Dept of Pulmonary Diseases/Home Mechanical Ventilation, Erasmus University Medical Center, Rotterdam, The Netherlands.
Dept of Pulmonary Diseases/Home Mechanical Ventilation, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Eur Respir Rev. 2023 Apr 5;32(168). doi: 10.1183/16000617.0207-2022. Print 2023 Jun 30.
There is a growing number of patients being treated with long-term home mechanical ventilation (HMV). This poses a challenge for the healthcare system because in-hospital resources are decreasing. The application of digital health to assist HMV care might help. In this narrative review we discuss the evidence for using telemonitoring to assist in initiation and follow-up of patients on long-term HMV. We also give an overview of available technology and discuss which parameters can be measured and how often this should be done. To get a telemonitoring solution implemented in clinical practice is often complex; we discuss which factors contribute to that. We discuss patients' opinions regarding the use of telemonitoring in HMV. Finally, future perspectives for this rapidly growing and evolving field will be discussed.
越来越多的患者接受长期家庭机械通气(HMV)治疗。这对医疗系统提出了挑战,因为医院内的资源正在减少。应用数字健康来辅助 HMV 护理可能会有所帮助。在这篇叙述性综述中,我们讨论了使用远程监护来辅助长期 HMV 患者的起始和随访的证据。我们还概述了可用的技术,并讨论了可以测量哪些参数以及应该多久测量一次。要将远程监护解决方案在临床实践中实施通常很复杂;我们讨论了促成这一结果的因素。我们讨论了患者对 HMV 中使用远程监护的看法。最后,我们将讨论这个快速发展和不断演变的领域的未来展望。