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Pediatric Monitoring Technologies and Congenital Heart Disease: A Systematic Review
Summer S Duffy1, Sharon Lee2, Danielle Gottlieb Sen1
1School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Insights
Outpatient monitoring for infants with congenital heart disease lowers mortality. However, pediatric monitoring devices lag behind adult technology, creating a gap between clinical needs and available tools.
Area of Science:
- Biomedical Engineering
- Pediatric Cardiology
- Digital Health
Background:
- Outpatient monitoring significantly reduces mortality in single ventricle congenital heart disease (CHD) infants.
- Miniaturized biosensors and electronics are advancing, with increasing demand for remote patient monitoring.
- Pediatric monitoring device development significantly lags behind that for adult applications.
Purpose of the Study:
- To review current monitoring technologies for pediatric patients with CHD.
- To identify the gap between existing technologies and clinical requirements.
- To guide the development of validated pediatric monitoring devices.
Main Methods:
- Literature review of current pediatric monitoring technologies.
- Analysis of market trends in biosensors and electronics.
- Comparison of technological capabilities with clinical needs in pediatric CHD care.
Main Results:
- A significant disparity exists between advanced adult monitoring technologies and available pediatric solutions.
- Clinical needs for continuous, reliable monitoring in infants and children are not fully met.
- The development pipeline for pediatric-specific devices is underdeveloped.
Conclusions:
- There is an urgent need to accelerate the development and validation of pediatric monitoring devices.
- Bridging the technology gap is crucial for improving outcomes in infants with CHD.
- Future research should focus on creating clinically relevant and scientifically validated pediatric monitoring solutions.
Abstract:
Outpatient monitoring of infants with congenital heart disease has been shown to significantly reduce rates of mortality in the single ventricle population. Despite the accelerating development of miniaturized biosensors and electronics, and a growing market demand for at-home monitoring devices, the application of these technologies to infants and children is significantly delayed compared with the development of devices for adults. This article aims to review the current landscape of available monitoring technologies and devices for pediatric patients to describe the gap between technologies and clinical needs with the goal of progressing development of clinically and scientifically validated pediatric monitoring devices.
