远程监控与儿科喘中较少的例行和紧急护理有关
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
概括
远程监测 (RM) 与儿童喘护理的数字行动计划显著减少了医疗保健利用率,包括门诊和急诊次数减少. 这种方法也改善了长期儿童的喘控制率.
科学领域:
- 儿科肺病学 儿科肺病学
- 数字健康数字健康
- 医疗保健管理的管理
背景情况:
- 需要进行现实,长期和大规模的多中心研究,以评估在呼吸护理中远程监测 (RM) 的潜力.
- 这项研究调查了RM与数字行动计划对儿童喘管理中的医疗保健利用的影响.
研究的目的:
- 分析远程监控 (RM) 与数字行动计划在长期儿科喘护理中对医疗保健利用的影响.
- 评估与RM相关的喘控制的变化.
主要方法:
- 一项涉及2526名儿童 (年龄在6-18岁) 的队列研究,涉及6个荷兰儿科喘诊所 (2017-2023年).
- 在RM和常规护理组之间比较医疗保健利用率 (门诊,急诊,住院).
- 利用中断时间序列分析来评估RM引入后门诊访问的变化,并分析了随时间的喘控制.
主要成果:
- 与常规护理相比,远程监测 (RM) 与每年门诊次数中位数较低相关 (p < 0.001).
- RM显著降低了急诊 (IRR0.52) 和住院 (IRR0.43) 的风险.
- 在RM实施后三年内,患有控制良好喘的儿童比例从76.7%增加到86.0%.
结论:
- 远程监控 (RM) 与数字治疗计划相结合,有效地减少了儿科喘中日常和紧急医疗保健的使用率.
- 这种综合方法可以长期保持儿童高水平的喘控制.
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