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Management of cardiac implantable electronic device follow-up in COVID-19 pandemic: Lessons learned during Italian lockdown.

Identifieur interne : 000471 ( Main/Exploration ); précédent : 000470; suivant : 000472

Management of cardiac implantable electronic device follow-up in COVID-19 pandemic: Lessons learned during Italian lockdown.

Auteurs : Agostino Piro [Italie] ; Michele Magnocavallo [Italie] ; Domenico Giovanni Della Rocca [États-Unis] ; Matteo Neccia [Italie] ; Giovanna Manzi [Italie] ; Marco Valerio Mariani [Italie] ; Martina Straito [Italie] ; Alessia Bernardini [Italie] ; Paolo Severino [Italie] ; Gino Iannucci [Italie] ; Giuseppe Giunta [Italie] ; Cristina Chimenti [Italie] ; Andrea Natale [États-Unis] ; Francesco Fedele [Italie] ; Carlo Lavalle [Italie]

Source :

RBID : pubmed:32954600

Descripteurs français

English descriptors

Abstract

INTRODUCTION

Remote monitoring (RM) has significantly transformed the standard of care for patients with cardiac electronic implantable devices. It provides easy access to valuable information, such as arrhythmic events, acute decompensation manifestations and device-related issues, without the need of in-person visits.

METHODS

Starting March 1st, 332 patients were introduced to an RM program during the Italian lockdown to limit the risk of in-hospital exposure to severe acute respiratory syndrome-coronavirus-2. Patients were categorized into two groups based on the modality of RM delivery (home [n = 229] vs. office [n = 103] delivered). The study aimed at assessing the efficacy of the new follow-up protocol, assessed as mean RM activation time (AT), and the need for technical support. In addition, patients' acceptance and anxiety status were quantified via the Home Monitoring Acceptance and Satisfaction Questionnaire and the Generalized Anxiety Disorder 7-item scale.

RESULTS

AT time was less than 48 h in 93% of patients and 7% of them required further technical support. Despite a higher number of trans-telephonic technical support in the home-delivered RM group, mean AT was similar between groups (1.33 ± 0.83 days in home-delivered vs 1.28 ± 0.81 days in office-delivered patients; p = .60). A total of 28 (2.5%) urgent/emergent in-person examinations were required. A high degree of patient satisfaction was reached in both groups whereas anxiety status was higher in the office-delivered group.

CONCLUSIONS

The adoption of RM resulted in high patient satisfaction, regardless of the modality of modem delivery; nonetheless, in-office modem delivery was associated with a higher prevalence of anxiety symptoms.


DOI: 10.1111/jce.14755
PubMed: 32954600
PubMed Central: PMC7646650


Affiliations:


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Le document en format XML

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<term>Aged, 80 and over (MeSH)</term>
<term>COVID-19 (prevention & control)</term>
<term>COVID-19 (transmission)</term>
<term>Cardiac Pacing, Artificial (MeSH)</term>
<term>Defibrillators, Implantable (MeSH)</term>
<term>Electric Countershock (adverse effects)</term>
<term>Electric Countershock (instrumentation)</term>
<term>Feasibility Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Heart Diseases (diagnosis)</term>
<term>Heart Diseases (physiopathology)</term>
<term>Heart Diseases (therapy)</term>
<term>Humans (MeSH)</term>
<term>Italy (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pacemaker, Artificial (MeSH)</term>
<term>Patient Acceptance of Health Care (MeSH)</term>
<term>Patient Satisfaction (MeSH)</term>
<term>Predictive Value of Tests (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Prosthesis Design (MeSH)</term>
<term>Prosthesis Failure (MeSH)</term>
<term>Remote Sensing Technology (MeSH)</term>
<term>Telemedicine (MeSH)</term>
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<term>Acceptation des soins par les patients (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Cardiopathies (diagnostic)</term>
<term>Cardiopathies (physiopathologie)</term>
<term>Cardiopathies (thérapie)</term>
<term>Conception de prothèse (MeSH)</term>
<term>Défaillance de prothèse (MeSH)</term>
<term>Défibrillateurs implantables (MeSH)</term>
<term>Défibrillation (effets indésirables)</term>
<term>Défibrillation (instrumentation)</term>
<term>Entraînement électrosystolique (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Italie (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pacemaker (MeSH)</term>
<term>Satisfaction des patients (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Technologie de télédétection (MeSH)</term>
<term>Télémédecine (MeSH)</term>
<term>Valeur prédictive des tests (MeSH)</term>
<term>Études de faisabilité (MeSH)</term>
<term>Études prospectives (MeSH)</term>
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<term>Heart Diseases</term>
</keywords>
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<term>Cardiopathies</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Défibrillation</term>
</keywords>
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<term>Electric Countershock</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Cardiopathies</term>
</keywords>
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<term>Heart Diseases</term>
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<term>COVID-19</term>
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<term>Heart Diseases</term>
</keywords>
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<term>Cardiopathies</term>
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<term>COVID-19</term>
</keywords>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cardiac Pacing, Artificial</term>
<term>Defibrillators, Implantable</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pacemaker, Artificial</term>
<term>Patient Acceptance of Health Care</term>
<term>Patient Satisfaction</term>
<term>Predictive Value of Tests</term>
<term>Prospective Studies</term>
<term>Prosthesis Design</term>
<term>Prosthesis Failure</term>
<term>Remote Sensing Technology</term>
<term>Telemedicine</term>
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<term>Acceptation des soins par les patients</term>
<term>Adulte d'âge moyen</term>
<term>Conception de prothèse</term>
<term>Défaillance de prothèse</term>
<term>Défibrillateurs implantables</term>
<term>Défibrillation</term>
<term>Entraînement électrosystolique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Italie</term>
<term>Mâle</term>
<term>Pacemaker</term>
<term>Satisfaction des patients</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Technologie de télédétection</term>
<term>Télémédecine</term>
<term>Valeur prédictive des tests</term>
<term>Études de faisabilité</term>
<term>Études prospectives</term>
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<term>Italie</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>INTRODUCTION</b>
</p>
<p>Remote monitoring (RM) has significantly transformed the standard of care for patients with cardiac electronic implantable devices. It provides easy access to valuable information, such as arrhythmic events, acute decompensation manifestations and device-related issues, without the need of in-person visits.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Starting March 1st, 332 patients were introduced to an RM program during the Italian lockdown to limit the risk of in-hospital exposure to severe acute respiratory syndrome-coronavirus-2. Patients were categorized into two groups based on the modality of RM delivery (home [n = 229] vs. office [n = 103] delivered). The study aimed at assessing the efficacy of the new follow-up protocol, assessed as mean RM activation time (AT), and the need for technical support. In addition, patients' acceptance and anxiety status were quantified via the Home Monitoring Acceptance and Satisfaction Questionnaire and the Generalized Anxiety Disorder 7-item scale.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>AT time was less than 48 h in 93% of patients and 7% of them required further technical support. Despite a higher number of trans-telephonic technical support in the home-delivered RM group, mean AT was similar between groups (1.33 ± 0.83 days in home-delivered vs 1.28 ± 0.81 days in office-delivered patients; p = .60). A total of 28 (2.5%) urgent/emergent in-person examinations were required. A high degree of patient satisfaction was reached in both groups whereas anxiety status was higher in the office-delivered group.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>The adoption of RM resulted in high patient satisfaction, regardless of the modality of modem delivery; nonetheless, in-office modem delivery was associated with a higher prevalence of anxiety symptoms.</p>
</div>
</front>
</TEI>
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<Year>2020</Year>
<Month>12</Month>
<Day>23</Day>
</DateCompleted>
<DateRevised>
<Year>2021</Year>
<Month>01</Month>
<Day>10</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1540-8167</ISSN>
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<Volume>31</Volume>
<Issue>11</Issue>
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<Year>2020</Year>
<Month>11</Month>
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<Title>Journal of cardiovascular electrophysiology</Title>
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<AbstractText Label="INTRODUCTION">Remote monitoring (RM) has significantly transformed the standard of care for patients with cardiac electronic implantable devices. It provides easy access to valuable information, such as arrhythmic events, acute decompensation manifestations and device-related issues, without the need of in-person visits.</AbstractText>
<AbstractText Label="METHODS">Starting March 1st, 332 patients were introduced to an RM program during the Italian lockdown to limit the risk of in-hospital exposure to severe acute respiratory syndrome-coronavirus-2. Patients were categorized into two groups based on the modality of RM delivery (home [n = 229] vs. office [n = 103] delivered). The study aimed at assessing the efficacy of the new follow-up protocol, assessed as mean RM activation time (AT), and the need for technical support. In addition, patients' acceptance and anxiety status were quantified via the Home Monitoring Acceptance and Satisfaction Questionnaire and the Generalized Anxiety Disorder 7-item scale.</AbstractText>
<AbstractText Label="RESULTS">AT time was less than 48 h in 93% of patients and 7% of them required further technical support. Despite a higher number of trans-telephonic technical support in the home-delivered RM group, mean AT was similar between groups (1.33 ± 0.83 days in home-delivered vs 1.28 ± 0.81 days in office-delivered patients; p = .60). A total of 28 (2.5%) urgent/emergent in-person examinations were required. A high degree of patient satisfaction was reached in both groups whereas anxiety status was higher in the office-delivered group.</AbstractText>
<AbstractText Label="CONCLUSIONS">The adoption of RM resulted in high patient satisfaction, regardless of the modality of modem delivery; nonetheless, in-office modem delivery was associated with a higher prevalence of anxiety symptoms.</AbstractText>
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<Affiliation>Department of Cardiovascular, Respiratory, Nephrology, Anaesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.</Affiliation>
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<Affiliation>Department of Cardiology, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.</Affiliation>
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