Background

School health systems are increasingly investing in telemedicine platforms to address acute and chronic illnesses. Asthma, the most common chronic illness in childhood, is of particular interest given its high burden on school absenteeism.

Objective

Conduct a systematic review evaluating impact of school-based telemedicine programs on improving asthma-related outcomes.

Data Sources

PubMed, Cochrane CENTRAL, CINAHL, ERIC, PsycINFO, Embase, and Google Scholar.

Study Eligibility Criteria

Original research, including quasi-experimental studies, without restriction on the type of telemedicine.

Participants

School-aged pediatric patients with asthma and their families.

Interventions

School-based telemedicine.

Study Appraisal and Synthesis Methods

Two authors independently screened each abstract, conducted full-text review, assessed study quality, and extracted information. A third author resolved disagreements.

Results

Of 371 articles identified, 7 were included for the review. Outcomes of interest were asthma symptom-free days, asthma symptom frequency, quality of life, health care utilization, school absences, and spirometry. Four of 7 studies reported significant increases in symptom-free days and/or decrease in symptom frequency. Five of 6 reported increases in at least one quality-of-life metric, 2 of 7 reported a decrease in at least 1 health care utilization metric, 1 of 3 showed reductions in school absences, and 1 of 2 reported improvements in spirometry measures.

Limitations

Variability in intervention designs and outcome measures make comparisons and quantitative analyses across studies difficult. Only 2 of 7 studies were randomized controlled trials.

Conclusions and Implications of Key Findings

High-quality evidence supporting the use of school-based telemedicine programs to improve patient outcomes is limited. While available evidence suggests benefit, only 2 comparative trials were identified, and the contribution of telemedicine to these studies’ results is unclear.

中文翻译：

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基于学校的哮喘远程医疗干预：系统评价。

背景

学校卫生系统越来越多地投资于远程医疗平台，以解决急性和慢性疾病。哮喘是儿童期最常见的慢性疾病，由于其对学校旷工的沉重负担而引起人们的特别关注。

目的

进行系统的评估，以评估基于学校的远程医疗计划对改善哮喘相关结局的影响。

数据源

PubMed，Cochrane CENTRAL，CINAHL，ERIC，PsycINFO，Embase和Google Scholar。

研究资格标准

原始研究，包括半实验性研究，不限制远程医疗的类型。

参加者

学龄儿童哮喘患者及其家属。

干预措施

校本远程医疗。

研究评价与综合方法

两位作者独立筛选了每个摘要，进行了全文审查，评估研究质量并提取了信息。第三作者解决了分歧。

结果

在确定的371篇文章中，有7篇被纳入评论。感兴趣的结果是无哮喘症状的天数，哮喘症状的发生频率，生活质量，卫生保健的利用，失学和肺活量测定。7项研究中有4项报告无症状日数显着增加和/或症状发生率降低。6人中有5人报告了至少一项生活质量指标的提高，7人中有2人报告了至少一项卫生保健利用率指标的下降，3人中1人表明缺勤率有所下降，2人中1人报告了肺活量测定指标的改善。

局限性

干预设计和结果测量的可变性使研究之间的比较和定量分析变得困难。7个研究中只有2个是随机对照试验。

结论的结论和意义

支持使用基于学校的远程医疗计划来改善患者预后的高质量证据有限。尽管现有证据表明获益，但仅鉴定了2个比较试验，并且远程医疗对这些研究结果的贡献尚不清楚。