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Televisit with TytoHome™ device in medically complex child in long-term mechanical ventilation: a pilot study

Alessandro Onofri1, Nicola Ullmann2, Elisabetta Verrillo2

  • 1Pediatric Pulmonology & Cystic Fibrosis unit - Bambino Gesù Children's Hospital, IRCCS, Rome, Italy. alessandro.onofri@opbg.net.

Italian Journal of Pediatrics
|February 12, 2025
PubMed

Insights

Telemedicine effectively managed medically complex children on long-term mechanical ventilation using the TytoHome™ device. Families reported satisfaction, and audio quality was rated good, showing its utility in remote pediatric care.

Area of Science:

  • Pediatric Pulmonology
  • Digital Health
  • Telemedicine

Background:

  • The COVID-19 pandemic highlighted telemedicine's value for managing children with medical complexity (CMC).
  • A dedicated telemedicine service was established to optimize eHealth approaches for CMC patients.
  • The TytoHome™ device was explored for remote objective examinations.

Purpose of the Study:

  • To evaluate the remote management of CMC patients on long-term mechanical ventilation using a telemedicine platform and the TytoHome™ device.
  • To assess the feasibility and utility of remote objective examinations in pediatric telemedicine.
  • To gather patient and healthcare provider feedback on the telemedicine experience.

Main Methods:

  • A pilot study involving 10 pediatric patients on home mechanical ventilation (4 invasive, 6 non-invasive).
  • Data collection included patient details, vital signs, objective examinations, audio quality, and patient satisfaction over one year.
  • Descriptive analysis of collected data was performed.

Main Results:

  • Families expressed satisfaction with remote follow-up visits.
  • Healthcare personnel rated the audio quality of remote visits as "good."
  • The TytoHome™ device facilitated remote objective examinations for medically complex children.

Conclusions:

  • Remote management of CMC patients on mechanical ventilation using the TytoHome™ device is feasible and advantageous.
  • The TytoHome™ device is a useful tool for the remote medical management of complex pediatric patients.
  • Telemedicine, enhanced by devices like TytoHome™, improves access to care for CMC patients.
Abstract

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