O001 Remote Monitoring Paediatric Non-invasive Ventilation Adherence: Utilising Airview to Support Paediatric Patients and Clinicians

AIM: To determine if starting a remote non-invasive ventilation service improves adherence and process efficiency. METHOD: Three time points were considered for comparison of the service for patients on NIV initiation:- pre-covid-19 (N-9,2019), during covid-19 (N=9,2021) and post-Airview implementation (N=7,2023). A comparison of the time from NIV initiation to first download, download adherence, percentage of patients from rural/remote areas, number and type of download. Anova test was used for statistical significance. RESULTS: Pre and post covid had longer time to download with mean 53 (std 49) and 63 days (std 51), respectively, compared to Airview downloads 21.5 days (std 8), though not significant. 44% of the pre-covid group had mean adherence >= 6hours by first download, 12.5% in covid group and 50% in Airview group. The percentage of the group in rural/remote were 40% (pre-covid), 55.5% (covid) and 50% (Airview). None of the pre-covid or Airview group sent data by post, only 55% of the covid group. For non-adherent patients within the first three months of use, the Airview group had median 2.5 downloads post first download, with the other groups only achieving median of one. DISCUSSION: The covid group of patients had the lowest adherence, possibly due to telehealth and lack of download data as the mean time to download was the longest. Implementing a remote NIV download service with Airview showed significant improvements in availability of adherence data earlier and identify patients with low adherence. Supporting patients with low adherence remains a priority for patients and clinicians.