Use of eHealth in the management of pulmonary arterial hypertension: review of the literature.

Chronic Disease / therapy Disease Management Humans Pulmonary Arterial Hypertension / therapy Telemedicine
health care patient care

Journal

BMJ health & care informatics
ISSN: 2632-1009
Titre abrégé: BMJ Health Care Inform
Pays: England
ID NLM: 101745500

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 14 05 2020
revised: 12 06 2020
accepted: 29 06 2020
entrez: 15 9 2020
pubmed: 16 9 2020
medline: 24 7 2021
Statut: ppublish

Résumé

Pulmonary arterial hypertension (PAH) is a severe chronic condition associated with poor quality of life and high risks of mortality and hospitalisation. The utilisation of novel diagnostic technologies has improved survival rates although the effectiveness of Electronic Health (eHealth) interventions in patients with a chronic cardiopulmonary disease remains controversial. As the effectiveness of eHealth can be established by specific evaluation for different chronic health conditions, the aim of this study was to explore and summarise the utilisation of eHealth in PAH. We searched PubMed, CINAHL and Embase for all studies reporting clinical trials on eHealth solutions for the management of PAH. No limitations in terms of study design or date of publication were imposed. 18 studies (6 peer-reviewed journal papers and 12 conference papers) were identified. Seven studies addressed the accuracy, safety or reliability of eHealth technologies such as intra-arterial haemodynamic monitoring of the pulmonary artery pressure, self-administered 6-Minute walk test App, computerised step-pulse oximeter and ambulatory impedance cardiography. Two studies evaluated eHealth as part of the medical management and showed a reduction in hospitalisation rate. The evidence of eHealth supporting the management of people with PAH is limited and only embraced through a few studies of small sample size and short-term duration. Given the proposed clinical benefits in heart failure, we postulate that the evaluation of eHealth for the clinical management of PAH is highly warranted.

Sections du résumé

BACKGROUND BACKGROUND
Pulmonary arterial hypertension (PAH) is a severe chronic condition associated with poor quality of life and high risks of mortality and hospitalisation. The utilisation of novel diagnostic technologies has improved survival rates although the effectiveness of Electronic Health (eHealth) interventions in patients with a chronic cardiopulmonary disease remains controversial. As the effectiveness of eHealth can be established by specific evaluation for different chronic health conditions, the aim of this study was to explore and summarise the utilisation of eHealth in PAH.
METHOD METHODS
We searched PubMed, CINAHL and Embase for all studies reporting clinical trials on eHealth solutions for the management of PAH. No limitations in terms of study design or date of publication were imposed.
RESULTS RESULTS
18 studies (6 peer-reviewed journal papers and 12 conference papers) were identified. Seven studies addressed the accuracy, safety or reliability of eHealth technologies such as intra-arterial haemodynamic monitoring of the pulmonary artery pressure, self-administered 6-Minute walk test App, computerised step-pulse oximeter and ambulatory impedance cardiography. Two studies evaluated eHealth as part of the medical management and showed a reduction in hospitalisation rate.
CONCLUSIONS CONCLUSIONS
The evidence of eHealth supporting the management of people with PAH is limited and only embraced through a few studies of small sample size and short-term duration. Given the proposed clinical benefits in heart failure, we postulate that the evaluation of eHealth for the clinical management of PAH is highly warranted.

Identifiants

DOI: 10.1136/bmjhci-2020-100176 PMID: 32928780 PMC: PMC7490940
pubmed: 32928780
pii: bmjhci-2020-100176
doi: 10.1136/bmjhci-2020-100176
pmc: PMC7490940
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2019 BMJ Publishing Group Ltd & BCS, the Chartered Institute for IT. All rights reserved.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Manuel C Gonzalez-Garcia (MC)

Department of Epidemiology and Global Health, Faculty of Medicine, Umeå University, Umeå, Sweden.
Australian e-Health Research Centre, CSIRO, Brisbane, Queensland, Australia.

Farhad Fatehi (F)

Centre for Online Health, The University of Queensland, Brisbane, Queensland, Australia ffatehi@gmail.com.
School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.
ORCID: 0000-0001-9888-1966

Marlien Varnfield (M)

Australian e-Health Research Centre, CSIRO, Brisbane, Queensland, Australia.

Hang Ding (H)

Australian e-Health Research Centre, CSIRO, Brisbane, Queensland, Australia.
RECOVER Injury Research Centre, The University of Queensland, Herston, Queensland, Australia.

Mohan Karunanithi (M)

Australian e-Health Research Centre, CSIRO, Brisbane, Queensland, Australia.

Ian Yang (I)

Department of Thoracic Medicine, The Prince Charles Hospital, Chermside, Queensland, Australia.
Faculty of Medicine, The University of Queensland, Herston, Queensland, Australia.

Rachael Cordina (R)

Department of Cardiology, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.

John Feenstra (J)

Queensland Lung Transplant Service, The Prince Charles Hospital, Chermside, Queensland, Australia.

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Classifications MeSH

questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladie chronique › Use of eHealth in the management of pulmonary...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Prise en charge de la maladie › Use of eHealth in the management of pulmonary...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Use of eHealth in the management of pulmonary...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Maladies pulmonaires › Hypertension artérielle pulmonaire › Use of eHealth in the management of pulmonary...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Télémédecine › Use of eHealth in the management of pulmonary...