Remote Monitoring of Cardiovascular Implantable Devices in the Pediatric Population Improves Detection of Adverse Events

Malloy, Lindsey; Gingerich, Jean; Olson, Mark D.; Atkins, Dianne L.

doi:10.1007/s00246-013-0774-5

Cited by 35 publications

(37 citation statements)

References 8 publications

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“…70,71 The applications can include transfer of the ECG or viewing of the rhythm on cardiac monitoring at the originating site connected to the pediatric patient. [72][73][74][75] Often, treatment can be started with telecardiology supervision and monitoring that allows the arrhythmia to be converted. Other electrophysiology abnormalities, including prolonged QT syndromes, can be evaluated and managed in this fashion.…”

Section: Electrophysiology and Telemedicine External Rhythm Monitoringmentioning

confidence: 99%

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Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Satou¹,

Rheuban²,

Alverson³

et al. 2017

Circulation

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A dvancements in technology and broadband have revolutionized the current practice of medicine. The field of pediatric cardiology is no exception given the need for prompt diagnosis and reliance on cardiac imaging to identify infants and children with potentially life-threatening cardiovascular disease. As the relationship between telemedicine and pediatric cardiology has advanced, it has created a need to develop a broad, comprehensive document reviewing all the various aspects of telemedicine in pediatric cardiology. For more than a decade, a significant body of literature has been published describing individual experiences and practices, yet there remains no comprehensive statement or document summarizing this rapidly advancing field. In an effort to describe the collective experience and to provide structure and guidance for pediatric cardiology practitioners and healthcare providers, we have developed a scientific statement on the use of telemedicine in pediatric cardiology.Specific areas explored in this document include both neonatal and fetal teleechocardiography, implications for training community sonographers, pulse oximetry programs, qualitative improvement and appropriate use criteria initiatives, and remote electrophysiological monitoring. This document also includes teleconsultation and teleausculation, direct-to-consumer and home monitoring programs, and a look into the use of telemedicine and pediatric cardiology in the intensive care setting. Furthermore, a detailed review of the legislative, public policy, and legal aspects of telemedicine is provided, along with financial and reimbursement information.Several terms are used in the literature interchangeably; a brief explanation is provided to help readers of this document. The term telehealth is defined as the use of technology to bridge distances in any aspect of medicine; telemedicine is the specific application of technology to conduct clinical medicine at a distance. The term telecardiology is defined as the broad application of telemedicine in the field of cardiology specifically, and tele-echocardiography is the most common application used within this field. ECHOCARDIOGRAPHY AND TELEMEDICINEEchocardiography is the most commonly used noninvasive cardiovascular imaging modality and is considered to be both safe and cost-effective. Tele-echocardiography can be described as a process in which a provider or a technician obtains cardiovascular ultrasound images from a given patient and these images are subsequently transmitted to an offsite location where a cardiologist can provide further analysis and interpretation. Thus, tele-echocardiography enables expert interpretation and consultation in a rapid and potentially geographically disparate fashion, enabling prompt and accurate decision making involving triage, transport, and therapeutic priorities. Tele-echocardiography is now routinely used across the age and subspecialty spectrum in pediatric cardiology.

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Section: Electrophysiology and Telemedicine External Rhythm Monitoringmentioning

confidence: 99%

“…Of these, 11% of transmissions prompted clinical intervention. 73 By providing early detection of patient and system problems, RM reduces the volume of device clinic visits. There are no significant ongoing patient costs for RM, and patients can have international coverage with these portable systems.…”

Section: 78mentioning

confidence: 99%

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Satou¹,

Rheuban²,

Alverson³

et al. 2017

Circulation

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“…Overall, CGM systems improved diabetes management success, and there were no safety issues identified throughout any of the studies mentioned [5][6][7][8][9][10]. HOME MONITORING OF CARDIOVASCULAR IMPLANTABLE DEVICES Cardiovascular implantable devices are being used increasingly in the pediatric population as a method of long-term remote patient monitoring [11]. A variety of research studies have examined the role of remote patient monitoring with implantable devices in decreasing incidence of adverse cardiac events [11][12][13][14].…”

Section: Use Of Continuous Glucose Monitoringmentioning

confidence: 99%

“…HOME MONITORING OF CARDIOVASCULAR IMPLANTABLE DEVICES Cardiovascular implantable devices are being used increasingly in the pediatric population as a method of long-term remote patient monitoring [11]. A variety of research studies have examined the role of remote patient monitoring with implantable devices in decreasing incidence of adverse cardiac events [11][12][13][14]. In these studies, patients with newly implanted cardiac devices were followed either prospectively or retrospectively via remote patient monitoring and compared to patients with the same devices who were monitored traditionally.…”

Section: Use Of Continuous Glucose Monitoringmentioning

confidence: 99%

“…Leshem-Rubinow et al [13] achieved a median time between data transmission and viewing ECG data of 7 minutes, interpretation of the ECG was accomplished by trained cardiac staff within 5 hours, and diagnosis of cardiac events averaged at 16 hours after transmission of data. Malloy et al [11] found that remote patient monitoring decreased the average number of days that patients went without physician contact, potentially decreasing adverse events. For patients on a 6-month follow up regimen, there was a temporal gain of 134 days of physician contact, and for patients on a 3-month follow up regimen, there was a gain of 44 days.…”

Section: Use Of Continuous Glucose Monitoringmentioning

confidence: 99%

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Remote Patient Monitoring and Telemedicine in Neonatal and Pediatric Settings: Scoping Literature Review (Preprint)

Sasangohar¹,

Davis²,

Kash³

et al. 2017

Preprint

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Background: Telemedicine and telehealth solutions are emerging rapidly in healthcare, and have the potential to decrease costs for insurers, providers and patients in various settings. Pediatric populations that require specialty care, are disadvantaged socially or economically, or have chronic health conditions will greatly benefit from results of studies utilizing telemedicine technologies. This paper examines the emerging trends within pediatric populations as part of a systematic literature review and provides a scoping review of the type, extent, and quantity of research available. Objective: This paper aims to examine the role of remote patient monitoring and telemedicine in neonatal and pediatric settings. Findings can be used to identify strengths, weaknesses, and gaps in the field. The identification of gaps will allow for interventions or research to improve healthcare quality and costs. Methods: A systematic literature review is being conducted in order to gather an adequate amount of relevant research for telehealth in pediatric populations. The fields of remote patient monitoring and telemedicine are not yet very well established by the healthcare services sector and definitions vary across healthcare systems, and thus the terms are not always defined similarly throughout the literature. Three databases were scoped for information for this specific review, and 56 articles are included so far. Results: Three major telemedicine trends emerged from the review of 45 relevant papers: remote patient monitoring, teleconsultation, and monitoring patients within the hospital, but without contact, thus decreasing likelihood of infection or other adverse health effects. Conclusion: While the current telemedicine approaches show promise, limited conditions studied and small sample sizes affect generalizability, therefore warranting further research. The information presented can inform healthcare providers of the most widely implemented, studied, and effective forms of telemedicine for patients and their families, and the telemedicine initiatives that are most cost efficient for health systems. While the focus of this review is to summarize some telehealth applications in pediatrics, there are also research studies presented which can inform providers of the importance of data sharing of remote monitoring data between hospitals. Further reports will be developed to inform health systems as the systematic literature review continues.

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Remote monitoring of the cardiac rhythm: where do we stand today?

Deftereos

Papoutsidakis

Giannopoulos

et al. 2016

Continuing Cardiol Educ

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Remote monitoring systems, in their current forms, are networked communication solutions allowing exchange of digitized data from implanted or wearable devices. These data usually include electrocardiographic recordings, but nowadays they may encompass much more than that, allowing a continuously updated knowledge of a multitude of device‐ or patient‐related parameters. Remote monitoring has been shown, as one would have expected, to reduce the need for office visits and allow earlier detection—and thus management—of arrhythmic events. However, although there are hints that they may also be associated with improved clinical outcomes, the absence of randomized trials dictates a cautious interpretation of existing evidence. Furthermore, there are still several questions regarding their cost‐effectiveness, the patient populations that could benefit from them, as well as how the transmitted data should be interpreted and acted upon by physicians. In this review, we present and critically examine the current state of affairs of remote cardiac rhythm monitoring systems. Answer questions and earn CME: https://wileyhealthlearning.com/Activity2/4596216/Activity.aspx

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Remote Monitoring of Cardiovascular Implantable Devices in the Pediatric Population Improves Detection of Adverse Events

Cited by 35 publications

References 8 publications

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Remote Patient Monitoring and Telemedicine in Neonatal and Pediatric Settings: Scoping Literature Review (Preprint)

Remote monitoring of the cardiac rhythm: where do we stand today?

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