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Cited by 58Asthma and respiratory diseasesChronic Obstructive Pulmonary Disease (COPD) ResearchTelemedicine and Telehealth Implementation

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

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Deschildre, A., Béghin, L., Salleron, J., Iliescu, C., Thumerelle, C., Santos, C., Hoorelbeke, A., Scalbert, M. +4 more·2012·European Respiratory Journal
DOI 10.1183/09031936.00185310
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Abstract

Some children with severe asthma develop frequent exacerbations despite intensive treatment. We sought to assess the outcome (severe exacerbations and healthcare use, lung function, quality of life and maintenance treatment) of a strategy based on daily home spirometry with teletransmission to an expert medical centre and whether it differs from that of a conventional strategy. 50 children with severe uncontrolled asthma were enrolled in a 12-month prospective study and were randomised into two groups: 1) treatment managed with daily home spirometry and medical feedback (HM) and 2) conventional treatment (CT). The children's mean age was 10.9 yrs (95% confidence interval 10.2-11.6). 44 children completed the study (21 in the HM group and 23 in the CT group). The median number of severe exacerbations per patient was 2.0 (interquartile range 1.0-4.0) in the HM group and 3.0 (1.0-4.0) in the CT group (p=0.38 with adjustment for age). There were no significant differences between the two groups for unscheduled visits (HM 5.0 (3.0-7.0), CT 3.0 (2.0-7.0); p=0.30), lung function (pre-β(2)-agonist forced expiratory volume in 1 s (FEV(1)) p=0.13), Paediatric Asthma Quality of Life Questionnaire scores (p=0.61) and median daily dose of inhaled corticosteroids (p=0.86). A treatment strategy based on daily FEV(1) monitoring with medical feedback did not reduce severe asthma exacerbations.

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  • For oral corticosteroid exacerbations, the age subgroup test did not indicate a difference in effects (I2=0%, P=0.78).

    “Two child studies (Deschildre 2012; Xu 2010) and two adult studies (Donald 2008; Ryan 2012) contributed to the primary outcome of requiring oral corticosteroids, and the test for subgroup differences did not indicate a difference in effects (I 2 = 0%, P value = 0.78).”

    From Home telemonitoring and remote feedback between clinic visits for asthma (2016) · cites this paper as Deschildre 2012

  • Removing Deschildre 2012 and Xu 2010 from the oral corticosteroid exacerbation analysis gave a similar pooled effect (OR 0.90, 95% CI 0.54 to 1.50).

    “Deschildre 2012 and Xu 2010 were the only child studies contributing to Analysis 1.1, and when they were removed, the pooled effect was very similar (OR 0.93, 95% CI 0.60 to 1.44 with; OR 0.90, 95% CI 0.54 to 1.50 without).”

    From Home telemonitoring and remote feedback between clinic visits for asthma (2016) · cites this paper as Deschildre 2012

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Research works printed but not linked: 2

  1. Fuhrman C, Delacourt C, De Blic J, et al. Hospital admissions for asthma exacerbation in children. Arch Pediatr 2010; 17: 366-372.
  2. Pelkonen AS, Nikander K, Turpeinen M. Reproducibility of home spirometry in children with newly diagnosed asthma. Pediatr Pulmonol 2000; 29: 34-38.

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Authors
Deschildre, A., Béghin, L., Salleron, J., Iliescu, C., Thumerelle, C., Santos, C., Hoorelbeke, A., Scalbert, M., Pouessel, G., Gnansounou, M., Edmé, J.-L., & Matran, R.
Affiliations
  • Centre Hospitalier Universitaire de Lille (FR)
  • Inserm (FR)
  • Santélys (FR)
ORCID
Venue
European Respiratory Journal
Publisher
European Respiratory Society (ERS)
Published
2011-08-18
Volume
39
Issue
2
Pages
290-296
ISSN
  • 0903-1936 (ISSN-L)
  • 1399-3003
DOI
10.1183/09031936.00185310
OpenAlex
W1985817764
Cited by
58
References
25
Citations by year
2026: 3 · 2025: 5 · 2024: 5 · 2023: 2 · 2022: 6 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 5 · 2016: 7 · 2015: 7 · 2014: 3 · 2013: 1 · 2012: 7
FWCI
2.40
Type
journal article
Language
en
Open access
Locations
  • European Respiratory Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
severe asthma, children, home health monitoring, home spirometry, FEV1, asthma exacerbations, lung function, health care utilization, quality of life, inhaled corticosteroids, maintenance therapy
MeSH terms
Adolescent, Asthma, Child, Female, Follow-Up Studies, Forced Expiratory Volume, Humans, Male, Parents, Prospective Studies, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Spirometry, Treatment Failure, Telemedicine, Anti-Asthmatic Agents

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