{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T10:02:20Z","timestamp":1780567340619,"version":"3.54.1"},"reference-count":26,"publisher":"PAGEPress Publications","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Monaldi Arch Chest Dis"],"abstract":"<jats:p>Telemonitoring combined with synchronous video consultation is an increasingly used strat-egy in the management of patients on home mechanical ventilation (HMV). The aim of this study was to evaluate ventilation parameters and healthcare resource utilization in a tele-monitoring program (TG) compared to usual care (UG). A retrospective comparative study was conducted, comparing HMV patients assigned to telematic follow-up with a historical cohort receiving standard in-person follow-up. Ventilation parameters included apnea-hypopnea index (AHI), average daily use (h\/day), and mean leak (L\/min). Efficiency was as-sessed by the total number of hospital visits and in-person hospital visits. Average daily use (8.3\u00b12.9 h\/day vs. 8.5\u00b13.4 h\/day; p=0.714) and mean leak (6.4\u00b111.9 L\/min vs. 6.3\u00b19.6 L\/min; p=0.701) did not differ significantly between groups. The TG showed a lower AHI compared with the UG [4.1\u00b15.0\/hour vs. 7.9\u00b112.2\/hour; respectively (p=0.008)]. The TG was also associated with fewer annual total visits (3.5\u00b12.4 vs. 6.9\u00b15.0; p&lt;0.001) and fewer annual in-person visits (2.1\u00b11.6 vs. 6.9\u00b15.0; p&lt;0.001). Kaplan-Meier curves were used for descriptive purposes. In multivariable Cox regression adjusted for age category, diagnostic group, baseline arterial blood carbon dioxide pressure, and sex, the TG was associated with a lower hazard of death (0.51; 95% confidence interval 0.24-1.09; p=0.08). These findings indicate that telemonitoring combined with synchronous video consultation was associated with better ventilatory control (lower AHI) and lower use of in-person healthcare visits, with-out evidence of impaired adherence or safety.<\/jats:p>","DOI":"10.4081\/monaldi.2026.3771","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T09:08:59Z","timestamp":1780564139000},"source":"Crossref","is-referenced-by-count":0,"title":["Telemonitoring associated with synchronous video consultation in patients on home mechanical ventilation: is it an efficient and effective intervention?"],"prefix":"10.4081","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2122-4949","authenticated-orcid":false,"given":"Ana","family":"Bala\u00f1\u00e1 Corber\u00f3","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnau","family":"Pons Calsapeu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0977-0215","authenticated-orcid":false,"given":"Francesc","family":"L\u00f3pez Segu\u00ed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7953-8455","authenticated-orcid":false,"given":"Ram\u00f3n","family":"Camps Ubach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3843-3664","authenticated-orcid":false,"given":"Juana","family":"Mart\u00ednez Llorens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2549","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"key":"79659","doi-asserted-by":"crossref","unstructured":"Flodgren G, Rachas A, Farmer AJ, et al. Interactive telemedicine: Effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2015;2015:CD002098.","DOI":"10.1002\/14651858.CD002098.pub2"},{"key":"79660","unstructured":"WHO. From innovation to implementation: EHealth in the WHO European Region. 2016. Available from: https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/02d8ffbf-df82-471f-be7a-30fe9e3c1ffb\/content."},{"key":"79661","doi-asserted-by":"crossref","unstructured":"Eze ND, Mateus C, Hashiguchi TCO. Telemedicine in the OECD: an umbrella review of clinical and cost-effectiveness, patient experience and implementation. PLoS One 2020;15:e0237585.","DOI":"10.1371\/journal.pone.0237585"},{"key":"79662","unstructured":"WHO. WHO-ITU global standard for accessibility of telehealth services. 2022. Available from: https:\/\/www.who.int\/publications\/i\/item\/9789240050464."},{"key":"79663","doi-asserted-by":"crossref","unstructured":"Vidal-Alaball J, Acosta-Roja R, PastorHern\u00e1ndez N, et al. Telemedicine in the face of the COVID-19 pandemic. Aten Primaria 2020;52:418-22.","DOI":"10.1016\/j.aprim.2020.04.003"},{"key":"79664","doi-asserted-by":"crossref","unstructured":"Janjua S, Carter D, Threapleton CJD, Prigmore S DR. Telehealth interventions: remote monitoring and consultations for people with chronic obstructive pulmonary disease (COPD). Cochrane Database Syst Rev 2021;7:CD013196.","DOI":"10.1002\/14651858.CD013196.pub2"},{"key":"79665","doi-asserted-by":"crossref","unstructured":"Persaud YK. Using telemedicine to care for the asthma patient. Curr Allergy Asthma Rep 2022;22:43-52.","DOI":"10.1007\/s11882-022-01030-5"},{"key":"79666","doi-asserted-by":"crossref","unstructured":"Cabrerizo-Carre\u00f1o H, Mu\u00f1oz-Esquerre M, Santos P\u00e9rez S, et al. Impact of the implementation of a telemedicine program on patients diagnosed with asthma. 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Home telemonitoring of non-invasive ventilation decreases healthcare utilisation in a prospective controlled trial of patients with amyotrophic lateral sclerosis. J Neurol Neurosurg Psychiatry 2010;81:1238-42.","DOI":"10.1136\/jnnp.2010.206680"},{"key":"79684","doi-asserted-by":"crossref","unstructured":"Duiverman ML. \u201cTricks and tips for home mechanical ventilation\u201d Home mechanical ventilation: set-up and monitoring protocols. 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