Remote monitoring and teleconsultations can reduce greenhouse gas emissions while maintaining quality of care in cystic fibrosis.

Autor:	Oppelaar MC; Department of Pediatric Pulmonology, Radboud University Medical Center, Amalia Children's Hospital, Nijmegen, Netherlands., Bannier MAGE; Department of Paediatric Pulmonology, MosaKids Children's Hospital, Maastricht University Medical Centre+, Maastricht, Netherlands., Reijers MHE; Department of Pulmonology, Radboud University Medical Center, Nijmegen, Netherlands., van der Vaart H; Department of Pulmonary Diseases, University of Groningen, University Medical Center Groningen, Groningen, Netherlands., van der Meer R; Department of Pulmonology, Haga Teaching Hospital, The Hague, Netherlands., Altenburg J; Department of Respiratory Medicine, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands., Conemans L; Department of Respiratory Medicine, Maastricht University Medical Centre, Maastricht, Netherlands.; Division of Respiratory & Age-Related Health, Department of Respiratory Medicine, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht, Netherlands., Rottier BL; Department of Pediatric Pulmonology and Pediatric Allergology, Beatrix Children's Hospital, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.; Groningen Research Institute for Asthma and COPD (GRIAC), University of Groningen, University Medical Center Groningen, Groningen, Netherlands., Nuijsink M; Haga Teaching Hospital, Juliana Children's Hospital, The Hague, Netherlands., van den Wijngaart LS; Department of Pediatric Pulmonology, Radboud University Medical Center, Amalia Children's Hospital, Nijmegen, Netherlands., Merkus PJFM; Department of Pediatric Pulmonology, Radboud University Medical Center, Amalia Children's Hospital, Nijmegen, Netherlands., Roukema J; Department of Pediatric Pulmonology, Radboud University Medical Center, Amalia Children's Hospital, Nijmegen, Netherlands.
Jazyk:	angličtina
Zdroj:	Frontiers in digital health [Front Digit Health] 2024 Oct 24; Vol. 6, pp. 1469860. Date of Electronic Publication: 2024 Oct 24 (Print Publication: 2024).
DOI:	10.3389/fdgth.2024.1469860
Abstrakt:	Background: Remote care usefulness and climate change co-benefits should be addressed simultaneously to incentivize political action. Objectives: To assess the changes in healthcare consumption, lung function and greenhouse gas (GHG) emissions during the COVID-19 pandemic in Dutch cystic fibrosis (CF) care. Design: Retrospective multicentre observational study in five Dutch CF centres. Methods: Eighty-one participants were included. Healthcare consumption was described alongside the COVID-19 Stringency Index (2019-2022). Travel related GHG emissions were calculated for every clinic visit. Changes in percentage predicted Forced Expiratory Volume in one second (ppFEV1) were assessed using a paired-samples T -test. Results: Healthcare consumption patterns followed COVID-19 public health measure stringency but returned back to the "old normal". Emission of 5.450, 3 kg of carbon dioxide equivalents were avoided while quality of care was relatively preserved. ppFEV1 declined as expected ( Δ Means 3.69%, 95%CI 2.11-5.28). Conclusion: Remote monitoring of lung function and symptoms and teleconsultations in CF can reduce GHG emissions while maintaining quality of care. As health sectors constitute a large share of national climate change footprints, digital health can partly alleviate this burden by reducing private travel. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2024 Oppelaar, Bannier, Reijers, van der Vaart, van der Meer, Altenburg, Conemans, Rottier, Nuijsink, van den Wijngaart, Merkus and Roukema.)
Databáze:	MEDLINE
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