Abstract
Background: Acute exacerbations of interstitial lung disease are an important problem, variable in presentation but sometimes resulting in rapid progression and death. Hence, the interest in domiciliary monitoring to allow early identification of exacerbations and/or disease progression. With increasing evidence and importance, there is the need for a systematic review on domiciliary monitoring for patients with interstitial lung disease ILD to summarise the available data.
Aim: To systematically find and evaluate the evidence for use of domiciliary monitoring for early detection of (ILD) exacerbations and/or progression.
Method: We systematically searched Ovid-EMBASE, Ovid-MEDLINE, and CINAHL using MeSH terms in accordance with the PRISMA guidelines. PROSPERO registration number(CRD42020215166).
Results: Seven studies with a total number of 268 patients suggested that domiciliary monitoring is feasible and reliable in patients with Idiopathic Pulmonary Fibrosis. Two studies suggested that the use of home monitoring helps to facilitate detection of progression in ILD. Most studies reported that mean adherence to home monitoring was greater than >90%, and where spirometry was performed this showed significant agreement between home and hospital-based readings. Two studies reported home FVC identified disease progression.
Conclusion: Despite the fact that individual studies in this systematic review provide supportive evidence suggesting the feasibility and reliability of home monitoring in ILD. Future studies are necessary to quantify the potential of domiciliary monitoring in detecting progression and/or exacerbations in ILD.
Footnotes
Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA2237.
This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2021