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Remote Monitoring Is Associated With Less Routine and Emergency Care in Pediatric Asthma.

M C Oppelaar1, P J M Kleven2, L E M Niers3

  • 1Department of Pediatric Pulmonology, Amalia Children's Hospital, Radboud University Medical Center, Nijmegen, the Netherlands.

Pediatric Pulmonology
|December 2, 2025
PubMed
Summary
This summary is machine-generated.

Remote monitoring (RM) with digital action plans in pediatric asthma care significantly reduced healthcare utilization, including fewer outpatient and emergency visits. This approach also improved asthma control rates in children over the long term.

Keywords:
asthmadigital healthhealth servicespediatricstelemedicine

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Area of Science:

  • Pediatric Pulmonology
  • Digital Health
  • Healthcare Management

Background:

  • Real-world, long-term, and large-scale multicenter studies are needed to assess the potential of remote monitoring (RM) in respiratory care.
  • This study investigates the impact of RM with digital action plans on healthcare utilization in pediatric asthma management.

Purpose of the Study:

  • To analyze the effect of remote monitoring (RM) with digital action plans on healthcare utilization in long-term pediatric asthma care.
  • To evaluate changes in asthma control associated with RM.

Main Methods:

  • A cohort study involving 2526 children (aged 6-18) across six Dutch pediatric asthma clinics (2017-2023).
  • Compared healthcare utilization (outpatient visits, emergency visits, hospitalizations) between RM and regular care groups.
  • Utilized interrupted time series analysis to assess changes in outpatient visits post-RM introduction and analyzed asthma control over time.

Main Results:

  • Remote monitoring (RM) was associated with a lower median number of annual outpatient visits compared to regular care (p < 0.001).
  • RM significantly decreased the risk of emergency visits (IRR 0.52) and hospitalizations (IRR 0.43).
  • The proportion of children with well-controlled asthma increased from 76.7% to 86.0% within three years of RM implementation.

Conclusions:

  • Remote monitoring (RM) combined with digital treatment plans effectively reduces both routine and emergency healthcare utilization in pediatric asthma.
  • This integrated approach maintains high levels of asthma control in children over the long term.