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RSV and RPM: How Remote Patient Monitoring Can Help

October 23, 2023
Man using iBloodPressure cuff

Even though respiratory syncytial virus (RSV) is a common respiratory infection that affects people of all ages, it can be particularly severe in infants, older adults, and individuals with underlying health conditions. In the past three months, RSV cases have increased by 45%, most occurring in the Southeastern region of the United States. Like other respiratory illnesses, managing RSV can be challenging, especially when patients need constant monitoring and care. However, Remote Patient Monitoring (RPM) technology is a powerful tool that can help improve the management and treatment of RSV.

What Is RSV?

Respiratory syncytial virus is a highly contagious virus that causes respiratory infections. The virus spreads through respiratory droplets when an infected person coughs or sneezes. Since the virus can survive on surfaces for a long time, individuals can contract it by touching contaminated objects before touching their face or mouth.

Once contracted, RSV virus causes symptoms such as coughing, sneezing, fever, and difficulty breathing. In severe cases, particularly in infants and older adults, RSV can lead to pneumonia and bronchiolitis, which can lead to hospitalization and intensive care.

Read more: RPM's vital role in respiratory health management.

Untreated respiratory syncytial virus (RSV) can lead to serious complications like pneumonia, bronchiolitis, respiratory distress, and dehydration. Untreated RSV can also increase the risk of secondary bacterial infections and may lead to long-term respiratory issues, such as asthma. As a result, early medical attention is crucial to reduce the risk of these complications.

How Common & Prevelant Is RSV?

Like other respiratory viruses, RSV season typically begins in the fall and continues throughout winter. Although anyone of any age can contract RSV, the virus affects young children and elderly individuals more often. Additionally, RSV seems more prevalent in certain areas of the United States. Last month, the Centers for Disease Control (CDC) and Prevention warned RSV cases are rising among young children in some parts of the Southeastern United States, especially Florida and Georgia.

During late August and early September, the three-week average of PCR test positivity for RSV in Florida has been above 5%, which exceeds the threshold of 3% typically seen at the start of the RSV season, the CDC said in a health advisory.

Statistics also show that each year in the United States, RSV leads to:

2.1 million outpatient (non-hospitalization) visits among children younger than 5 years old.
58,000-80,000 hospitalizations among children younger than 5 years old.
60,000-160,000 hospitalizations among adults 65 years and older.
6,000-10,000 deaths among adults 65 years and older.
100–300 deaths in children younger than 5 years old.

Traditional Treatment For RSV

Treatment for respiratory syncytial virus (RSV) primarily focuses on managing symptoms and providing supportive care, especially when no specific antiviral medication is available for RSV. Traditional RSV treatment measures include:

Hydration:

Ensuring the patient stays well-hydrated is essential, especially in infants and young children, as RSV can lead to dehydration due to fever and increased mucus production.

Fever Management:

Over-the-counter fever-reducing medications, such as acetaminophen or ibuprofen, may alleviate fever and discomfort. However, these should be used under a healthcare provider's guidance, especially in children.

Supplemental Oxygen:

In severe cases, when a patient has significant breathing difficulties, supplemental oxygen may be provided to maintain adequate oxygen levels in the blood.

Nebulized Saline:

Nebulized saline or saltwater can help loosen mucus and clear it from the airways more easily, particularly in young children.

Mechanical Ventilation:

In the most severe cases, especially in infants, mechanical ventilation may be necessary to assist with breathing.

Isolation:

Infected individuals are typically isolated to prevent the spread of the virus to others, especially in healthcare settings or among vulnerable populations like premature infants.

Avoiding Irritants:

Minimizing exposure to irritants like tobacco smoke, air pollution, and allergens can help reduce respiratory distress in RSV patients.

The Role of RPM in RSV Management

Remote patient monitoring can play a crucial role in the management of RSV by providing:

Continuous Monitoring of Vital Signs:

RPM devices, including wearable sensors or home monitoring equipment, continuously track vital signs like heart rate, respiratory rate, oxygen saturation, and temperature. Any sudden changes or deterioration in these critical parameters can be detected in real-time for RSV patients. This early detection allows RPM companies, healthcare providers, and individuals to respond promptly and appropriately. For example, suppose a patient's oxygen saturation levels drop significantly. In that case, it may indicate worsening RSV symptoms, prompting everyone aware of the situation to intervene by adjusting treatment plans or recommending supplemental oxygen.

Early Symptom Identification:

RPM platforms often include symptom-tracking tools that enable patients to report their symptoms daily. RSV symptoms can vary in severity and may include coughing, wheezing, increased mucus production, and changes in breathing patterns. RPM companies and medical personnel can quickly identify any worsening condition by consistently monitoring and reporting these symptoms. For instance, if a patient reports increased coughing or difficulty breathing, the RPM system can trigger alerts, prompting healthcare providers to assess their status and make necessary adjustments to their treatment plan. Early intervention is crucial for preventing severe RSV complications.

Medication Adherence:

Patients with RSV may be prescribed antiviral medications or supportive care measures such as bronchodilators or steroids. RPM systems can send medication reminders to patients, helping them stay on schedule with their prescribed treatments. Medication adherence is vital for managing RSV symptoms effectively. For example, missing doses of antiviral medication could allow the virus to proliferate, potentially leading to more severe illness. RPM ensures patients take their medications as prescribed, optimizing their chances of a swift recovery.

Oxygen Saturation Monitoring:

Respiratory distress is a hallmark of RSV, particularly in infants and young children. RPM devices equipped with pulse oximeters can continuously monitor oxygen saturation levels in the patient's blood. If oxygen levels drop below safe thresholds, indicating hypoxia (inadequate oxygen supply to the body), the RPM system can trigger alerts to healthcare providers. In response, healthcare providers can assess the patient's condition and, if necessary, administer supplemental oxygen therapy to maintain adequate oxygen levels, preventing severe respiratory complications.

Reduced Hospitalization Risk:

RPM allows RSV patients to receive comprehensive monitoring and care from the safety and comfort of their own homes. This reduces the need for hospitalization, which is especially advantageous during the RSV season when healthcare facilities can become overwhelmed. Fewer hospitalizations minimize the risk of hospital-acquired infections and alleviate the strain on healthcare systems. RPM's ability to offer high-quality, remote care is particularly beneficial for vulnerable populations, such as infants and older adults, at greater risk of severe RSV-related complications.

Remote Patient Monitoring is a game-changer in managing respiratory conditions like RSV. It offers early detection, personalized care, cost savings, and improved patient engagement, ultimately leading to better patient outcomes. By harnessing the power of RPM, individuals with RSV can receive more effective care, enhancing their overall well-being. Contact us today to learn more about our state-of-the-art RPM devices.