在严重喘的评估中,家庭螺旋计程序的可行性和价值:现实世界的评估
Zander Williams1, James H Hull1,2, Yueqi Ge1
1Department of Respiratory Medicine, Royal Brompton Hospital, London, UK.
ERJ open research
|December 28, 2023
概括
住院螺旋计 (DS) 显示了通过识别新的阻塞事件来管理严重喘的潜力. 然而,患者不良的坚持和参与限制了其现实世界的有效性和价值.
科学领域:
- 肺部病理学 肺部病理学
- 呼吸系统医学 呼吸系统医学
- 医疗技术 医疗技术 医学技术
背景情况:
- 住院螺旋计 (DS) 是评估呼吸系统状况的新兴工具.
- 严重的喘管理带来了挑战,需要创新的评估方法.
研究的目的:
- 评估由生理学家领导的家庭螺旋计程序的实际可行性,有效性和价值.
- 评估DS在治疗不耐治疗的严重喘患者中的实用性.
主要方法:
- 患有严重喘的患者接受了手持式DS设备.
- 由生理学家领导的虚拟诊所促进了基线测量和症状触发的数据收集.
- 关键结果包括新的阻断性事件,DS坚持和整体吸收.
主要成果:
- 102名患者完成了基线螺旋计;11% (11名患者) 被诊断为新的阻塞性螺旋计,并开始生物治疗.
- 患者参与度很低,需要大量的接触尝试才能达到基线和可接受的读数.
- DS设备的使用率低于最佳水平,在研究结束时仅有10%的用户继续使用.
- DS成本超过了单次医院访问,但允许多次事件捕获.
结论:
- 虽然DS在改变参与患者的临床管理方面表现有希望,但整体吸收和坚持是很差的.
- DS提供了传统螺旋计的替代品,但患者参与方面的挑战需要解决,以实现广泛采用.
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