Department of Paediatric Respiratory Medicine. Leicester Children's Hospital, University Hospitals Leicester, Leicester, UK.
Department of Respiratory Sciences, Leicester NIHR Biomedical Research Centre (Respiratory Theme), University of Leicester, Leicester, UK.
Expert Rev Respir Med. 2024 Jul;18(7):499-512. doi: 10.1080/17476348.2024.2380067. Epub 2024 Jul 17.
Asthma is a common chronic respiratory disease affecting 262 million people globally, causing half a million deaths each year. Poor asthma outcomes are frequently due to non-adherence to medication, poor engagement with asthma services, and a lack of objective diagnostic tests. In recent years, technologies have been developed to improve diagnosis, monitoring, and care.
Technology has impacted asthma care with the potential to improve patient outcomes, reduce healthcare costs, and provide personalized management. We focus on current evidence on home diagnostics and monitoring, remote asthma reviews, and digital smart inhalers. PubMed, Ovid/Embase, Cochrane Library, Scopus and Google Scholar were searched in November 2023 with no limit by year of publication.
Advanced diagnostic technologies have enabled early asthma detection and personalized treatment plans. Mobile applications and digital therapeutics empower patients to manage their condition and improve adherence to treatments. Telemedicine platforms and remote monitoring devices have the potential to streamline asthma care. AI algorithms can analyze patient data and predict exacerbations in proof-of-concept studies. Technology can potentially provide precision medicine to a wider patient group in the future, but further development is essential for implementation into routine care which in itself will be a major challenge.
哮喘是一种常见的慢性呼吸道疾病，影响着全球 2.62 亿人，每年导致 50 多万人死亡。哮喘治疗效果不佳通常是由于药物依从性差、对哮喘服务的参与度低以及缺乏客观的诊断测试。近年来，技术的发展改善了诊断、监测和护理。
技术已经影响了哮喘护理，有可能改善患者的治疗效果、降低医疗成本，并提供个性化的管理。我们关注当前家庭诊断和监测、远程哮喘评估以及数字智能吸入器方面的证据。2023 年 11 月，我们在 PubMed、Ovid/Embase、Cochrane 图书馆、Scopus 和 Google Scholar 上进行了搜索，没有设定发表年份的限制。
先进的诊断技术使早期哮喘检测和个性化治疗方案成为可能。移动应用程序和数字疗法使患者能够管理自己的病情，并提高对治疗的依从性。远程医疗平台和远程监测设备有可能简化哮喘护理。人工智能算法可以在概念验证研究中分析患者数据并预测恶化情况。未来，技术有可能为更广泛的患者群体提供精准医疗，但进一步的发展对于将其纳入常规护理至关重要，而这本身将是一个重大挑战。
