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Initiating home spirometry for children during the COVID-19 pandemic - A practical guide

C H Richardson1, N J Orr1, S L Ollosson1

  • 1Dept. Paediatric Respiratory Medicine, Royal Brompton Hospital, London, UK.

Paediatric Respiratory Reviews
|March 28, 2021
PubMed

Insights

The COVID-19 pandemic accelerated home spirometry for children with chronic respiratory conditions. This home monitoring approach is effective and likely permanent.

Area of Science:

  • Pediatric Pulmonology
  • Digital Health
  • Respiratory Medicine

Background:

  • The COVID-19 pandemic necessitated remote patient care strategies.
  • Children with chronic respiratory conditions require ongoing monitoring.
  • Hospital visits posed risks during the pandemic.

Purpose of the Study:

  • To describe the implementation of a home spirometry service.
  • To evaluate the feasibility and challenges of remote respiratory monitoring.
  • To assess the adoption of telehealth in pediatric respiratory care.

Main Methods:

  • Established a novel home spirometry service from inception.
  • Utilized portable spirometers with online capabilities.
  • Managed approximately 400 pediatric patients using the service.

Main Results:

  • Successfully deployed home spirometry for a significant pediatric cohort.
  • Addressed and overcame initial implementation challenges.
  • Observed technological improvements in spirometry devices and software.

Conclusions:

  • Home monitoring for pediatric respiratory conditions is a sustainable model.
  • Telehealth and remote diagnostics are integral to modern pediatric respiratory care.
  • The established home spirometry service demonstrates long-term viability.

Keywords:
AdherenceAsthmaHome spirometrySuppurative lung diseaseTechnologyTelemedicine

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