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Telemedicine and home spirometry in cystic fibrosis: A prospective multicenter study

Jakob Medbo1,2, Henrik Imberg3, Christine Hansen4

  • 1Department of Pediatrics, Institute of Clinical Science at Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Pediatric Pulmonology
|July 4, 2024
PubMed

Insights

Telehealth and home spirometry in cystic fibrosis (CF) care showed no negative impact on disease progression. This approach offers flexibility and personalization, with high patient and caregiver satisfaction.

Area of Science:

  • Pediatric Pulmonology
  • Digital Health
  • Chronic Disease Management

Background:

  • Feasibility of telehealth and home spirometry for pediatric cystic fibrosis (CF) patients is established.
  • Impact of these technologies on CF disease progression requires assessment.

Purpose of the Study:

  • Evaluate the effects of integrating telehealth and home spirometry into CF care.
  • Assess the impact on disease progression and overall patient care.

Main Methods:

  • Children with CF (5-17 years) used home spirometers, replacing some in-person visits with telemedicine.
  • Compared disease progression trajectories (FEV1%, lung clearance index, BMI) using linear mixed-effects models.
  • Collected data on airway pathogens, sputum cultures, antibiotic use, and patient/caregiver stress levels.

Main Results:

  • No significant differences in FEV1%, lung clearance index, or BMI progression rates were observed between telehealth/home spirometry and pre-pandemic in-person care.
  • No significant changes in airway pathogen incidence, sputum cultures, or antibiotic use.
  • The intervention did not increase patient or caregiver stress; high satisfaction reported.

Conclusions:

  • Combining telehealth and home spirometry with in-person visits provides comparable effectiveness to traditional care.
  • This integrated approach enhances flexibility and personalization in managing pediatric cystic fibrosis.
  • High patient and caregiver preference for continuing telehealth and home spirometry services.
Abstract

Keywords:
childrencystic fibrosishome spirometrytelemedicine

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