Home telemonitoring (forced expiratory volume in 1 s) in children with severe asthma does not reduce exacerbations

Deschildre, A.; Béghin, Laurent; Salleron, J; Iliescu, Cezar; Thumerelle, C.; Santos, C.; Hoorelbeke, Anne; Scalbert, M.; Pouessel, G.; Gnansounou, Magloire; Jl, Edmé; Matran, Régis

doi:10.1183/09031936.00185310

Cited by 47 publications

(51 citation statements)

References 25 publications

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“…Home spirometry using electronic devices can be performed in selected cases, when symptom-guided treatment is difficult. However, this is not feasible or necessary in most children [18,98].…”

Section: Lung Functionmentioning

confidence: 99%

“…Self-management mostly consists of symptom monitoring. The evidence indicates that peak flow monitoring, home spirometry and/or monitoring FeNO at home do not improve asthma outcomes compared with symptom monitoring [17][18][19].…”

Section: Factors To Consider When Choosing Monitoring Toolsmentioning

confidence: 99%

“…Although clear recommendations and flow charts for the assessment of PSA have been published [24], data on and guidelines for the monitoring of PSA in children are lacking. Used in isolation, monitoring with home spirometry or with sputum eosinophils did not improve asthma outcomes in children with severe asthma [18,25].…”

Section: Asthma Severitymentioning

confidence: 99%

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Monitoring asthma in children

et al. 2015

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The goal of asthma treatment is to obtain clinical control and reduce future risks to the patient. To reach this goal in children with asthma, ongoing monitoring is essential. While all components of asthma, such as symptoms, lung function, bronchial hyperresponsiveness and inflammation, may exist in various combinations in different individuals, to date there is limited evidence on how to integrate these for optimal monitoring of children with asthma. The aims of this ERS Task Force were to describe the current practise and give an overview of the best available evidence on how to monitor children with asthma.22 clinical and research experts reviewed the literature. A modified Delphi method and four Task Force meetings were used to reach a consensus.This statement summarises the literature on monitoring children with asthma. Available tools for monitoring children with asthma, such as clinical tools, lung function, bronchial responsiveness and inflammatory markers, are described as are the ways in which they may be used in children with asthma. Management-related issues, comorbidities and environmental factors are summarised.Despite considerable interest in monitoring asthma in children, for many aspects of monitoring asthma in children there is a substantial lack of evidence. @ERSpublications ERS statement summarising and discussing the available literature on monitoring children with asthma

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Section: Lung Functionmentioning

confidence: 99%

Section: Factors To Consider When Choosing Monitoring Toolsmentioning

confidence: 99%

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Monitoring asthma in children

et al. 2015

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“…In patients in whom symptom-guided treatment is difficult home spirometry might be useful, but should preferably be limited to a relatively short period of observation. In children with severe asthma daily telemonitoring of FEV1 for 1 year did not reduce exacerbation rates [24].…”

Section: Maximal Flow-volume Curvesmentioning

confidence: 99%

Monitoring asthma in childhood: lung function, bronchial responsiveness and inflammation

et al. 2015

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This review focuses on the methods available for measuring reversible airways obstruction, bronchial hyperresponsiveness (BHR) and inflammation as hallmarks of asthma, and their role in monitoring children with asthma. Persistent bronchial obstruction may occur in asymptomatic children and is considered a risk factor for severe asthma episodes and is associated with poor asthma outcome. Annual measurement of forced expiratory volume in 1 s using office based spirometry is considered useful. Other lung function measurements including the assessment of BHR may be reserved for children with possible exercise limitations, poor symptom perception and those not responding to their current treatment or with atypical asthma symptoms, and performed on a higher specialty level. To date, for most methods of measuring lung function there are no proper randomised controlled or large longitudinal studies available to establish their role in asthma management in children.Noninvasive biomarkers for monitoring inflammation in children are available, for example the measurement of exhaled nitric oxide fraction, and the assessment of induced sputum cytology or inflammatory mediators in the exhaled breath condensate. However, their role and usefulness in routine clinical practice to monitor and guide therapy remains unclear, and therefore, their use should be reserved for selected cases. @ERSpublications Review on the role of lung function, measurement of BHR and airway inflammation in monitoring of children with asthma

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“…In general, self-management is based on symptom monitoring and there is no evidence that home monitoring of peak flow, spirometry or exhaled nitric oxide fraction improves asthma outcomes [51][52][53].…”

Section: Common Factors To Consider When Choosing Monitoring Toolsmentioning

confidence: 99%

Monitoring asthma in childhood

Carlsen

Pijnenburg

2015

Eur Respir Rev

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The goal of asthma treatment is to obtain clinical control and reduce future risks to the patient. However, to date there is limited evidence on how to monitor patients with asthma. Childhood asthma introduces specific challenges in terms of deciding what, when, how often, by whom and in whom different assessments of asthma should be performed. The age of the child, the fluctuating course of asthma severity, variability in clinical presentation, exacerbations, comorbidities, socioeconomic and psychosocial factors, and environmental exposures may all influence disease activity and, hence, monitoring strategies. These factors will be addressed in herein.We identified large knowledge gaps in the effects of different monitoring strategies in children with asthma. Studies into monitoring strategies are urgently needed, preferably in collaborative paediatric studies across countries and healthcare systems. @ERSpublications Monitoring asthma in children is essential for disease control and should reflect age, triggers and disease activity http://ow.ly/J0k7f

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Home telemonitoring (forced expiratory volume in 1 s) in children with severe asthma does not reduce exacerbations

Cited by 47 publications

References 25 publications

Monitoring asthma in children

Monitoring asthma in children

Monitoring asthma in childhood: lung function, bronchial responsiveness and inflammation

Monitoring asthma in childhood

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