Digital markers of asthma exacerbations: a systematic review

Background and objective With the increase in use of digital technologies, there is growing interest in digital markers, where technology is used to detect early markers of disease deterioration. The aim of this systematic review is to summarise the evidence relating to digital markers of asthma exa...

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Main Authors: Brenda Cokorudy, Jeff Harrison, Amy Hai Yan Chan
Format: Article
Language:English
Published: European Respiratory Society 2024-12-01
Series:ERJ Open Research
Online Access:http://openres.ersjournals.com/content/10/6/00014-2024.full
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author Brenda Cokorudy
Jeff Harrison
Amy Hai Yan Chan
author_facet Brenda Cokorudy
Jeff Harrison
Amy Hai Yan Chan
author_sort Brenda Cokorudy
collection DOAJ
description Background and objective With the increase in use of digital technologies, there is growing interest in digital markers, where technology is used to detect early markers of disease deterioration. The aim of this systematic review is to summarise the evidence relating to digital markers of asthma exacerbations. Methods A systematic search of the following databases was conducted, using key search terms relating to asthma, digital and exacerbations: Ovid MEDLINE, EMBASE, Psycinfo, Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials. Studies that aimed to explore the relationship between any digitally measured marker and asthma exacerbations using any form of portable digital sensor technology were included. Results 23 papers were included. The digital markers related to five key categories: environmental, physiological, medication, lung function and breath-related parameters. The most commonly studied marker was lung function, which was reported in over half (13 out of 23) of the papers. However, studies were conflicting in terms of the use of lung function parameters as a predictor of asthma exacerbations. Medication parameters were measured in over a third of the studies (10 out of 23) with a focus on short-acting β-agonist (SABA) use as a marker of exacerbations. Only four and two studies measured heart rate and cough, respectively; however, both parameters were positively associated with exacerbations in all reported studies. Conclusion Several digital markers are associated with asthma exacerbations. This suggests a potential role for using parameters such as heart rate, SABA use and, potentially, cough as digital markers of asthma exacerbations.
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spelling doaj-art-b0d817cb51b5429990cccf6bf3b4648a2025-01-14T09:50:22ZengEuropean Respiratory SocietyERJ Open Research2312-05412024-12-0110610.1183/23120541.00014-202400014-2024Digital markers of asthma exacerbations: a systematic reviewBrenda Cokorudy0Jeff Harrison1Amy Hai Yan Chan2 School of Pharmacy, Faculty of Medical and Health Sciences, University of Auckland, Aukland, New Zealand School of Pharmacy, Faculty of Medical and Health Sciences, University of Auckland, Aukland, New Zealand School of Pharmacy, Faculty of Medical and Health Sciences, University of Auckland, Aukland, New Zealand Background and objective With the increase in use of digital technologies, there is growing interest in digital markers, where technology is used to detect early markers of disease deterioration. The aim of this systematic review is to summarise the evidence relating to digital markers of asthma exacerbations. Methods A systematic search of the following databases was conducted, using key search terms relating to asthma, digital and exacerbations: Ovid MEDLINE, EMBASE, Psycinfo, Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials. Studies that aimed to explore the relationship between any digitally measured marker and asthma exacerbations using any form of portable digital sensor technology were included. Results 23 papers were included. The digital markers related to five key categories: environmental, physiological, medication, lung function and breath-related parameters. The most commonly studied marker was lung function, which was reported in over half (13 out of 23) of the papers. However, studies were conflicting in terms of the use of lung function parameters as a predictor of asthma exacerbations. Medication parameters were measured in over a third of the studies (10 out of 23) with a focus on short-acting β-agonist (SABA) use as a marker of exacerbations. Only four and two studies measured heart rate and cough, respectively; however, both parameters were positively associated with exacerbations in all reported studies. Conclusion Several digital markers are associated with asthma exacerbations. This suggests a potential role for using parameters such as heart rate, SABA use and, potentially, cough as digital markers of asthma exacerbations.http://openres.ersjournals.com/content/10/6/00014-2024.full
spellingShingle Brenda Cokorudy
Jeff Harrison
Amy Hai Yan Chan
Digital markers of asthma exacerbations: a systematic review
ERJ Open Research
title Digital markers of asthma exacerbations: a systematic review
title_full Digital markers of asthma exacerbations: a systematic review
title_fullStr Digital markers of asthma exacerbations: a systematic review
title_full_unstemmed Digital markers of asthma exacerbations: a systematic review
title_short Digital markers of asthma exacerbations: a systematic review
title_sort digital markers of asthma exacerbations a systematic review
url http://openres.ersjournals.com/content/10/6/00014-2024.full
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