Home monitoring of physiology and symptoms to detect interstitial lung disease exacerbations and progression: a systematic review

Malik A. Althobiani, Rebecca A. Evans, Jaber S. Alqahtani, Abdulelah M. Aldhahir, Anne Marie Russell, John R. Hurst, Joanna C. Porter*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

55 Downloads (Pure)

Abstract

Background: Acute exacerbations (AEs) and disease progression in interstitial lung disease (ILD) pose important challenges to clinicians and patients. AEs of ILD are variable in presentation but may result in rapid progression of ILD, respiratory failure and death. However, in many cases AEs of ILD may go unrecognised so that their true impact and response to therapy is unknown. The potential for home monitoring to facilitate early, and accurate, identification of AE and/or ILD progression has gained interest. With increasing evidence available, there is a need for a systematic review on home monitoring of patients with ILD to summarise the existing data. The aim of this review was to systematically evaluate the evidence for use of home monitoring for early detection of exacerbations and/or progression of ILD.

Method: We searched Ovid-EMBASE, MEDLINE and CINAHL using Medical Subject Headings (MeSH) terms in accordance with the PRISMA guidelines (PROSPERO registration number CRD42020215166).

Results: 13 studies involving 968 patients have demonstrated that home monitoring is feasible and of potential benefit in patients with ILD. Nine studies reported that mean adherence to home monitoring was >75%, and where spirometry was performed there was a significant correlation (r=0.72–0.98, p<0.001) between home and hospital-based readings. Two studies suggested that home monitoring of forced vital capacity might facilitate detection of progression in idiopathic pulmonary fibrosis.

Conclusion: Despite the fact that individual studies in this systematic review provide supportive evidence suggesting the feasibility and utility of home monitoring in ILD, further studies are necessary to quantify the potential of home monitoring to detect disease progression and/or AEs.

Original languageEnglish
Article number00441-2021
Number of pages16
JournalERJ Open Research
Volume7
Issue number4
DOIs
Publication statusPublished - 20 Dec 2021

Bibliographical note

Funding Information:
Support statement: This study was supported by Dept of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia through the Saudi Arabian Cultural Bureau in London.

Publisher Copyright:
© 2021, The authors.

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Fingerprint

Dive into the research topics of 'Home monitoring of physiology and symptoms to detect interstitial lung disease exacerbations and progression: a systematic review'. Together they form a unique fingerprint.

Cite this