Scheduled versus alert transmissions for remote follow-up of cardiac implantable electronic devices: Clinical relevance and resource consumption

Maines, Massimiliano; Tomasi, Giancarlo; Moggio, Paolo; Poian, Luisa; Peruzza, Francesco; Catanzariti, Domenico; Angheben, Carlo; Cont, Natascia; Valsecchi, Sergio; Greco, Maurizio Del

doi:10.1016/j.ijcard.2021.04.043

Cited by 9 publications

(20 citation statements)

References 21 publications

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“…In a previous work, Maines et al [13] described the implementation of the organizational model proposed by AIAC, and measured the healthcare resources needed for its management; in that study, 39% of transmissions had events and only 20% required medical supervision. It would also be important to reduce unnecessary transmissions and optimise device programming so as to avoid redundant transmissions or alarms [14].…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 Pandemic on Remote Monitoring of Cardiac Implantable Electronic Devices in Italy: Results of a Survey Promoted by AIAC (Italian Association of Arrhythmology and Cardiac Pacing)

Maines

Palmisano²,

Greco

et al. 2021

JCM

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The COVID-19 pandemic has had a profound impact on the organisation of health care in Italy, with an acceleration in the development of telemedicine. To assess the impact of the COVID-19 pandemic on the spread of remote monitoring (RM) of cardiac implantable electronic devices (CIEDs) in Italy, a survey addressed to cardiologists operating in all Italian CIED-implanting centres was launched. A total of 127 cardiologists from 116 Italian arrhythmia centres took part in the survey, 41.0% of all 283 CIED-implanting centres operating in Italy in 2019. All participating centres declared to use RM of CIEDs. COVID-19 pandemic resulted in an increase in the use of RM in 83 (71.6%) participating centres. In a temporal perspective, an increase in the median number of patients per centre followed up by RM was found from 2012 to 2017, followed by an exponential increase from 2017 to 2020. In 36 participating centres (31.0%) a telehealth visits service was activated as a replacement for in-person outpatient visits (in patients with or without CIED) during the COVID-19 pandemic. COVID-19 pandemic has caused an acceleration in the use of RM of CIEDs and in the use of telemedicine in the clinical practice of cardiology.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 Pandemic on Remote Monitoring of Cardiac Implantable Electronic Devices in Italy: Results of a Survey Promoted by AIAC (Italian Association of Arrhythmology and Cardiac Pacing)

Maines

Palmisano²,

Greco

et al. 2021

JCM

Self Cite

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“…Some institutions report receiving >100,000 transmissions annually 3,103 . Although RM transmission volume can be extremely high, RM transmission review can be highly efficient, as long as staff, workflow, and decision trees are in place 29,103,107,111 . The Italian HomeGuide Registry structured organizational model of a primary nurse and physician team to review RM transmissions and manage RM patients was found to be highly effective, safe, and efficient 29,107 .…”

Section: Section 4 Staffing Of Remote Monitoring Clinicsmentioning

confidence: 99%

“…However, many patients will have unscheduled transmissions in addition to their scheduled follow‐ups and each of these requires triage, data review, and documentation with an associated time cost 3 . Unscheduled remote transmissions comprise 27‐40% of clinic workload, and as such, sufficient staff resources will need to be provided to review this data 111 . Additionally unscheduled transmissions have more actionable events that require longer time for clinical management; this also needs to be taken into consideration when calculating the number of staff required 28,92 .…”

Section: Section 4 Staffing Of Remote Monitoring Clinicsmentioning

confidence: 99%

“…Alert transmissions occur more frequently in patients with known AF. Alert settings could be adjusted based on the patient's clinical situation to minimize unnecessary alerts 111 . In addition, Morimoto et al describe a high abnormal event rate (66.7%) in remotely monitored patients, but a low “critical event” rate (4.1%) 156 .…”

Section: Section 8 Managing Alertsmentioning

confidence: 99%

“…3,103 Although RM transmission volume can be extremely high, RM transmission review can be highly efficient, as long as staff, workflow, and decision trees are in place. 29,103,107,111 The Italian HomeGuide Registry structured organizational model of a primary nurse and physician team to review RM transmissions and manage RM patients was found to be highly effective, safe, and efficient. 29,107 Subsequent observational studies have corroborated the use of structured organizational models with dedicated staff, workflows, and decision trees, showing improvements in patient management, timely detection of actionable events, and gains in clinic efficiencies.…”

Section: Synopsismentioning

confidence: 99%

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Scheduled versus alert transmissions for remote follow-up of cardiac implantable electronic devices: Clinical relevance and resource consumption

Cited by 9 publications

References 21 publications

Impact of COVID-19 Pandemic on Remote Monitoring of Cardiac Implantable Electronic Devices in Italy: Results of a Survey Promoted by AIAC (Italian Association of Arrhythmology and Cardiac Pacing)

Impact of COVID-19 Pandemic on Remote Monitoring of Cardiac Implantable Electronic Devices in Italy: Results of a Survey Promoted by AIAC (Italian Association of Arrhythmology and Cardiac Pacing)

2023 HRS/EHRA/APHRS/LAHRS Expert Consensus Statement on Practical Management of the Remote Device Clinic

Smart City’s Internationalization and International Management Strategies in the Digital Era: A Systematic Literature Review

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