Evidence map›Paper›PMID 34153198›Full record

ReviewAnnals of the American Thoracic Society2021

Telemonitoring for Home-assisted Ventilation: A Narrative Review.

Jason Ackrivo, Lauren Elman, John Hansen-Flaschen

Abstract readReview
In one paragraph

Review in Annals of the American Thoracic Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Philips leaving the United States: what does that mean for physicians, patients, and everyone in between?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Monitoring Systems in Home Ventilation.Journal of clinical medicine · 2023
    Review
  10. Review
  11. Telemonitoring in Home Mechanical Ventilation.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2022
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jason AckrivoPulmonary, Allergy, and Critical Care Division, Department of Medicine, and.ORCID 0000-0003-4379-1255
Lauren ElmanDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-4706-950X
John Hansen-FlaschenPulmonary, Allergy, and Critical Care Division, Department of Medicine, and.ORCID 0000-0003-1989-7244

Funding

Early Respiratory Care in Amyotrophic Lateral Sclerosis Patients at High Risk for Respiratory FailureK23HL151879 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI ACKRIVO, JASON · 2021 to 2025
$982k
Predictors of Respiratory Insufficiency in Amyotrophic Lateral SclerosisF32HL144145 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI ACKRIVO, JASON · 2018 to 2018
$70k
NHLBI NIH HHS F32 HL144145NHLBI NIH HHS K23 HL151879
6 · The paper itself

Abstract

The recent advent of remote ventilator telemonitoring has the potential to revolutionize home-assisted ventilation care in the United States and elsewhere. Home ventilation machines (i.e., respiratory assist devices and portable ventilators) can now wirelessly transmit usage and performance data to cloud-based web servers for remote access by participating clinicians. In this Focused Review, we provide an update on available technology, suggest practical applications for clinical care and research, and review supporting literature. Remote monitoring permits early data review, refinement of device settings to optimize ventilatory function, and troubleshooting if a new problem arises after initial setup. Data from home spirometry and noninvasively measured blood gas tensions can complement ventilator data to reflect physiological response. Acknowledging a paucity of published outcome studies, remote telemonitoring may be a cost-effective strategy to reduce emergency room visits, urgent clinic appointments, and hospitalizations. Ongoing clinical trials in Europe aim to expand on the benefit of this rapidly evolving technology. However, several barriers may hinder widespread implementation, especially in the United States. Clinicians must familiarize themselves with each ventilator manufacturer's proprietary software to safely leverage this technology for improving care. Legal and ethical considerations threaten clinician interest. Medical insurance payers must adapt a reimbursement scheme to incentivize clinicians and durable medical equipment companies to perform this time-consuming service. Cohort-level ventilator data will facilitate multicenter clinical trials focused on improving the respiratory care of this vulnerable population.

Indexed as

Home Care ServicesTelemedicineEuropeHospitalizationHumansMulticenter Studies as TopicRespiration, ArtificialUnited StatesVentilators, Mechanicalchronic respiratory failurehome ventilationnoninvasive ventilationtelemedicinetelemonitoring

Identifiers

PMID34153198
PMCPMC8641834

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.