Adults with congenital heart disease: ready for mobile health?

Treskes, Roderick W; Koole, M. A. C.; Kauw, Dirkjan; Winter, Michiel M.; Monteiro, M.; Dohmen, Daan; Abu‐Hanna, Ameen; Schijven, Marlies P.; Mulder, Barbara J.M.; Bouma, Berto J.; Schuuring, Mark J.

doi:10.1007/s12471-019-1237-2

Cited by 10 publications

(7 citation statements)

References 22 publications

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“…A US nonnephrology study exploring mobile health readiness in older individuals receiving health care reported high levels of access to mobile health devices and the internet, with 60% of respondents using mobile devices and the internet for health information (21). In those with chronic health conditions, device ownership is high (22,23) and attitudes are positive (24), with a willingness to replace face-to-face physician visits with mobile health (25).…”

Section: Introductionmentioning

confidence: 99%

The Mobile Health Readiness of People Receiving In-Center Hemodialysis and Home Dialysis

Hussein

Bennett

Pace

et al. 2020

CJASN

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Background and objectivesMobile health is the health care use of mobile devices, such as smartphones. Mobile health readiness is a prerequisite to successful implementation of mobile health programs. The aim of this study was to examine the status and correlates of mobile health readiness among individuals on dialysis.Design, setting, participants, & measurementsA cross-sectional 30-item questionnaire guided by the Khatun mobile health readiness conceptual model was distributed to individuals on dialysis from 21 in-center hemodialysis facilities and 14 home dialysis centers. The survey assessed the availability of devices and the internet, proficiency, and interest in using mobile health.ResultsIn total, 949 patients (632 hemodialysis and 317 home dialysis) completed the survey. Of those, 81% owned smartphones or other internet-capable devices, and 72% reported using the internet. The majority (70%) reported intermediate or advanced mobile health proficiency. The main reasons for using mobile health were appointments (56%), communication with health care personnel (56%), and laboratory results (55%). The main reported concerns with mobile health were privacy and security (18%). Mobile health proficiency was lower in older patients: compared with the 45- to 60-years group, respondents in age groups <45, 61–70, and >70 years had adjusted odds ratios of 5.04 (95% confidence interval, 2.23 to 11.38), 0.39 (95% confidence interval, 0.24 to 0.62), and 0.22 (95% confidence interval, 0.14 to 0.35), respectively. Proficiency was lower in participants with Hispanic/Latinx ethnicity (adjusted odds ratio, 0.49; 95% confidence interval, 0.31 to 0.75) and with less than college education (adjusted odds ratio for “below high school,” 0.09; 95% confidence interval, 0.05 to 0.16 and adjusted odds ratio for “high school only,” 0.26; 95% confidence interval, 0.18 to 0.39). Employment was associated with higher proficiency (adjusted odds ratio, 2.26; 95% confidence interval, 1.18 to 4.32). Although home dialysis was associated with higher proficiency in the unadjusted analyses, we did not observe this association after adjustment for other factors.ConclusionsThe majority of patients on dialysis surveyed were ready for, and proficient in, mobile health.Clinical Trial registry name and registration number: Dialysis mHealth Survey,NCT04177277

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Section: Introductionmentioning

confidence: 99%

The Mobile Health Readiness of People Receiving In-Center Hemodialysis and Home Dialysis

Hussein

Bennett

Pace

et al. 2020

CJASN

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“…Around 80% of patients were willing to use a smart device at home, similar to previous studies. 7,27 Overall, considering patient preferences and the ability of the algorithm to rule out atrial fibrillation in a large proportion, Withings Scanwatch could be considered for AF screening in high-risk patients. In addition, Withings Scanwatch offers continuous photoplethysmography screening which could facilitate early AF detection in asymptomatic patients.…”

Section: Discussionmentioning

confidence: 99%

“…6 However, atrial fibrillation is often undiagnosed and untreated as the heart rhythm is not regularly monitored and many patients remain asymptomatic. 1,2,[7][8][9] Therefore, continuous or intermittent rhythm monitoring in asymptomatic patients may facilitate early diagnosis. [10][11][12][13] In recent years, the sale of wearable devices has increased and is expected to reach 520 million units by 2025.…”

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confidence: 99%

A comparison of ECG-based home monitoring devices in adults with CHD

Pengel

Robbers‐Visser²,

Groenink³

et al. 2022

Cardiol Young

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Background: Various electrocardiogram (ECG)-based devices are available for home monitoring, but the reliability in adults with CHD is unknown. Therefore, we determined the accuracy of different ECG-based devices compared to the standard 12-lead ECG in adult CHD. Methods and results: This is a single-centre, prospective, cross-sectional study in 176 consecutive adults with CHD (54% male, age 40 ± 16.6 years, 24% severe CHD, 84% previous surgery, 3% atrial fibrillation (AF), 24% right bundle branch block). Diagnostic accuracy of the Withings Scanwatch (lead I), Eko DUO (precordial lead), and Kardia 6L (six leads) was determined in comparison to the standard 12-lead ECG on several tasks: 1) AF classification (percentage correct), 2) QRS-morphology classification (percentage correct), and 3) ECG intervals calculation (QTc time ≤ 40 ms difference). Both tested AF algorithms had high accuracy (Withings: 100%, Kardia 6L: 97%) in ECGs that were classified. However, the Withings algorithm classified fewer ECGs as inconclusive (5%) compared to 31% of Kardia (p < 0.001). Physician evaluation of Kardia correctly classified QRS morphology more frequently (90% accuracy) compared to Eko DUO (84% accuracy) (p = 0.03). QTc was underestimated on all ECG-based devices (p < 0.01). QTc duration accuracy was acceptable in only 51% of Withings versus 70% Eko and 74% Kardia (p < 0.001 for both comparisons). Conclusions: Although all devices demonstrated high accuracy in AF detection, the Withings automatic algorithm had fewest uninterpretable results. Kardia 6L was most accurate in overall evaluation such as QRS morphology and QTc duration. These findings can inform both patients and caregivers for optimal choice of home monitoring.

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“…5,6 Pak Armed Forces Med J 2022; 72 (Suppl-3): S624 utilisation of emergency resources, with emergency care utilisation increasing as age progresses. 7 Another group is the one reporting for evaluation in congenital cardiac OPDs and being managed by catheter based interventions. GUCH female patients who get married and report to cardiovascular units with pregnancy are the most challenging group of patients requiring specialized care.…”

Section: Introductionmentioning

confidence: 99%

Spectrum of Grown up Congenital Heart (GUCH) at Armed Forces Institute of Cardiology/ National Institute of Heart Diease: 10 years Experience

Akbar

Nawaid²,

Muzaffar³

et al. 2022

PAFMJ

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Objective: To determine the spectrum of Grown up Congenital Heart (GUCH) at Armed Forces Institute of Cardiology/National Institute of Heart Dieases. Study Design: Descriptive cross sectional study. Place and Duration of Study: Paediatric Cardiac Surgery and Obstetric department of Armed Force Institute of Cardiology/National Institute of Heart Diease, Rawalpindi Pakistan, from 2011 to 2021. Methodology: It was a descriptive cross sectional study conducted at Paediatric Cardiology, Paediatric Cardiac Surgery and Obstetric department of AFIC/NIHD. After taking informed consent, a total of 1344 patients fulfilling inclusion and exclusion criteria with non probability consecutive sampling were enrolled in study from 2011 to 2021. Diagnosis, transthoracic echocardiography findings, procedural details (cardiac catheterization/cardiac surgery/obstetrical intervention) and outcome of all patients were noted. Results: Out of 1344 patients, 700 patients had cardiac catheterization. Among patients who underwent cardiac cath, 304(43%)were males and 396(56.6%) were females. 279(39%) diagnostic and 421(61%) cardiac interventional procedures were done.Most common procedure done was ASD device closure in 227(32%) patients. Complications were seen in 29(4%) patients and mortality in 3(0.4%) patients. There were a total of 188 patients who underwent congenital cardiac surgery. Out of patients who underwent congenital cardiac surgery procedures, 96(51%) were male and 92(49%) were female patients. Major complications were observed in 51(25%) patients and the mortality was 11(5%).There were total of 456 patients in obstetrics department. Out of 456 patients, 54(11%) were with congenital cardiac lesions .The most common defect was VSD 27(6%)patients and dilated cardiomyopathy (DCM) 27(6%) patients followed by ASD and TOF. The maternal and fetal mortality was12(2.7%) and 22(5.5%) respectively. Conclusion:With immense advancement in diagnosis and management of congenital cardiac diseases, a significant number of patients remain undiagnosed and untreated till the time they present as GUCH. Most common presentation is ASD which is mostly manageable by transcatheter intervention, however late presentation carries a risk of complications like pulmonary hypertension.

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Adults with congenital heart disease: ready for mobile health?

Cited by 10 publications

References 22 publications

The Mobile Health Readiness of People Receiving In-Center Hemodialysis and Home Dialysis

The Mobile Health Readiness of People Receiving In-Center Hemodialysis and Home Dialysis

A comparison of ECG-based home monitoring devices in adults with CHD

Spectrum of Grown up Congenital Heart (GUCH) at Armed Forces Institute of Cardiology/ National Institute of Heart Diease: 10 years Experience

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