The Journal of Allergy and Clinical Immunology: In Practice
Clinical CommunicationsDelivery of high-quality pediatric spirometry in rural communities: A novel use for telemedicine
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Cited by (11)
Teleallergy: Where Have We Been and Where Are We Going?
2023, Journal of Allergy and Clinical Immunology: In PracticeCitation Excerpt :The respiratory therapists were able to direct the spirometric maneuvers via the telemedicine software. In this study, 76% of spirometric maneuvers contained full data, 84% had an accurate FEV1, and only 16% of subjects were unable to complete spirometry.24 These results were superior to previous data regarding spirometry reproducibility in primary care settings, which has been cited at 25% to 50%.25
A Web-based Application for Spirometry Quality in a Public Health System. 10 Year Follow Up
2021, Archivos de BronconeumologiaPediatric lung function testing during a pandemic: An international perspective
2020, Paediatric Respiratory ReviewsCitation Excerpt :There has been rapid uptake of home spirometry in some regions and innovations are accelerating. However, there are still a number of unknowns that must be acknowledged, including accuracy, repeatability, clinical significance of acute declines, need for coaching and long-term patient adherence [11,12]. Home spirometry use for specific populations may be an alternative for selected populations such as the asthmatics in the long term but it will require training of the subjects to fulfill the standards.
Implementing Telehealth in Pediatric Asthma
2020, Pediatric Clinics of North AmericaCitation Excerpt :For patients living in regions with poor access to specialty care, remote spirometry via telemedicine allows guidelines-based recommendations to monitor lung function. Berlinski and colleagues17 reported the successful implementation of remote spirometry in rural settings with no adverse events and rates of interpretable spirometry data resembling rates of in-person spirometry. Asthma guidelines address the importance of self-management through the use of a personalized asthma action plan10 (AAP).
Telemedicine for Allergy Services to Rural Communities
2019, Journal of Allergy and Clinical Immunology: In PracticeCitation Excerpt :Patients were able to complete the maneuver with an 84% rate of interpretation by a pulmonologist to whom the results were forwarded. This was an improvement over the 25% to 50% interpretation rate reported in rural primary care settings and was similar to the 80% interpretation performance of spirometry at the tertiary center.13 Although the use of respiratory therapists using store and forward is one approach to improving spirometry in rural areas, another approach would be to train primary care providers to do the procedure correctly.
Social determinants of health and asthma
2023, Current Opinion in Allergy and Clinical Immunology
Conflicts of interest: The authors declare that they have no relevant conflicts of interest, financial or otherwise, with regard to this study.