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A systematic review was conducted until September 2023 on Medline, Scopus, and Web of Science. We included studies of children (0\u201318 years) with asthma or recurrent wheezing whose respiratory condition was telemonitored outside the healthcare setting. A narrative synthesis was performed. We identified 40 telemonitoring technologies described in 40 studies. The more frequently used technologies for telemonitoring were mobile applications (<jats:italic>n<\/jats:italic>\u2009=\u200921) and web\u2010based systems (<jats:italic>n<\/jats:italic>\u2009=\u200914). Telemonitoring duration varied between 2 weeks and 32 months. Data collection included asthma symptoms (<jats:italic>n<\/jats:italic>\u2009=\u200930), patient\u2010reported outcome measures (PROMs) (<jats:italic>n<\/jats:italic>\u2009=\u200911), spirometry\/peak flow readings (<jats:italic>n<\/jats:italic>\u2009=\u200920), medication adherence (<jats:italic>n<\/jats:italic>\u2009=\u200917), inhaler technique (<jats:italic>n<\/jats:italic>\u2009=\u20093), air quality (<jats:italic>n<\/jats:italic>\u2009=\u20092), and respiratory sounds (<jats:italic>n<\/jats:italic>\u2009=\u20092). Both parents and children were the technology target users in most studies (<jats:italic>n<\/jats:italic>\u2009=\u200923). Technology training was reported in 23 studies of which 3 provided ongoing support. Automatic feedback was found in 30 studies, mostly related with asthma control. HCP were involved in data management in 27 studies. Technologies were tested in samples from 4 to 327 children, with most studies including school\u2010aged children and\/or adolescents (<jats:italic>n<\/jats:italic>\u2009=\u200938) and eight including preschool children. This review provides an overview of existing technologies for the outpatient telemonitoring of pediatric asthma. Specific technologies for preschool children represent a gap in the literature that needs to be specifically addressed in future research.<\/jats:p>","DOI":"10.1002\/ppul.27046","type":"journal-article","created":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T07:39:38Z","timestamp":1715672378000},"page":"2392-2413","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Telemonitoring of pediatric asthma in outpatient settings: A systematic review"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5368-0335","authenticated-orcid":false,"given":"In\u00eas","family":"Pais\u2010Cunha","sequence":"first","affiliation":[{"name":"Servi\u00e7o De Pediatria, Unidade De Gest\u00e3o Aut\u00f3noma Da Mulher E Da Crian\u00e7a Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o Porto Portugal"},{"name":"Departamento De Ginecologia\u2010Obstetr\u00edcia e Pediatria Faculdade de Medicina da Universidade do Porto Porto Portugal"},{"name":"CINTESIS@RISE, MEDCIDS Faculty of Medicine of University of Porto Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7719-8831","authenticated-orcid":false,"given":"Jos\u00e9","family":"Fontoura Matias","sequence":"additional","affiliation":[{"name":"Servi\u00e7o De Pediatria, Unidade De Gest\u00e3o Aut\u00f3noma Da Mulher E Da Crian\u00e7a Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o Porto Portugal"},{"name":"Departamento De Ginecologia\u2010Obstetr\u00edcia e Pediatria Faculdade de Medicina da Universidade do Porto Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Laura","family":"Almeida","sequence":"additional","affiliation":[{"name":"Servi\u00e7o De Pediatria, Unidade De Gest\u00e3o Aut\u00f3noma Da Mulher E Da Crian\u00e7a Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o Porto Portugal"},{"name":"Departamento De Ginecologia\u2010Obstetr\u00edcia e Pediatria Faculdade de Medicina da Universidade do Porto Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Magalh\u00e3es","sequence":"additional","affiliation":[{"name":"CINTESIS@RISE, MEDCIDS Faculty of Medicine of University of Porto Porto Portugal"},{"name":"Servi\u00e7o De Pediatria, Centro Materno Infantil Do Norte Centro Hospitalar Universit\u00e1rio Do Porto Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o A.","family":"Fonseca","sequence":"additional","affiliation":[{"name":"CINTESIS@RISE, MEDCIDS Faculty of Medicine of University of Porto Porto Portugal"},{"name":"Allergy Unit Instituto CUF Porto E Hospital CUF Porto Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In\u00eas","family":"Azevedo","sequence":"additional","affiliation":[{"name":"Servi\u00e7o De Pediatria, Unidade De Gest\u00e3o Aut\u00f3noma Da Mulher E Da Crian\u00e7a Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o Porto Portugal"},{"name":"Departamento De Ginecologia\u2010Obstetr\u00edcia e Pediatria Faculdade de Medicina da Universidade do Porto Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"J\u00e1come","sequence":"additional","affiliation":[{"name":"CINTESIS@RISE, MEDCIDS Faculty of Medicine of University of Porto Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69283-0"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.115188"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41533-022-00310-x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S234651"},{"key":"e_1_2_10_6_1","volume-title":"Childhood Asthma in the European Lung White Book. 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