Challenges and Recommendations on Digital Health Sources in Pediatric Chronic Suppurative Lung Diseases

Round 1

Reviewer 1 Report

Comments and Suggestions for Authors

Dear colleagues

Thank you so much for your excellent overview of this interesting and promising area of real-world implementation of digital tools and AI driven management for children with chronic lung diseases. 

Parental perception on AI integration in healthcare and decision-making regarding their children is variable but relatively new data have documented a rather good support for this approach in imaging, emergency paediatrics and primary care {Berghea, E.C.; et al. Integrating Artificial Intelligence in Pediatric Healthcare: Parental Perceptions and Ethical Implications. Children 2024, 11, 240. https://doi.org/10.3390/children11020240]

I am confident that your pertinent analysis would help children with chronic lung diseases and will bring food for thought for many physicians.

Ongoing research projects are implementing many of the areas extensively documented in your paper.

An international collaboration is developing a new digital health assistant (DHA) smartphone-assisted, age specific for children, called ALEX, implementing wearable tools for increasing compliance and asthma control in teenage patients (https://dbe.unibas.ch/en/research/imaging-modelling-diagnosis/computational-physiology-and-biostatistics/alex-design-development-and-evaluation-of-a-digital-health-assistant-for-paediatric-asthma/).

Author Response

We sincerely thank the reviewer for your time and effort in reviewing our manuscript. We greatly appreciate your encouraging feedback and insightful critique of our work.

Author Response File: Author Response.pdf

Reviewer 2 Report

Comments and Suggestions for Authors

Dear Authors,

I have read an entry regarding pediatric CSLD and digital health resources. While interesting, I have several inputs:

1) In line 59, the authors suggested, "The recommendations we propose.." In an article like this, it is hardly justifiable to recommend anything. Please remove this sentence.

2) Under the "Impact of CSLD" section, please include the data on mortality, morbidity, and days lost on missed school days.

3) Please provide a brief overview of the epidemiology of this disease entity. What is the peak age group prevalence?

4) Please change BMI score to BMI index

5) Please elaborate further on what is a "serious game"

6) The authors also need to acknowledge that DHS may not still be available to all populations, due to cost and availability.

Author Response

Please see the attachment

Author Response File: Author Response.pdf

Round 2

Reviewer 2 Report

Comments and Suggestions for Authors

Dear Authors,

Thank you for addressing all the comments. I have no further issues.

Author Response

Please see the attachment

Author Response File: Author Response.pdf