Current State of Cardiac Implantable Electronic Device Remote Monitoring in Pediatrics and Congenital Heart Disease: A PACES-Sponsored Quality Improvement Initiative.

Autor: Clark BC; Division of Cardiology, Department of Pediatrics, Masonic Children's Hospital, University of Minnesota, 2450 Riverside Ave, AO-405, Minneapolis, MN, 55454, USA. bradleyclarkep@gmail.com., Olen M; Division of Cardiology, Nicklaus Children's Hospital, Miami, FL, USA., Dechert B; Division of Pediatric Cardiology, University of Michigan, Ann Arbor, MI, USA., Brateng C; Division of Cardiology, Children's Hospital of Colorado, Aurora, CO, USA., Jarosz B; Division of Cardiology, Children's National Medical Center, Washington, DC, USA., Smoots K; Division of Cardiology, Children's Hospital of Philadelphia, Philadelphia, PA, USA., Connell P; Division of Cardiology, Texas Children's Hospital, Houston, TX, USA., Dupanovic ST; Division of Cardiology, Nemours Children's Hospital, Orlando, FL, USA., Fenrich A; Division of Cardiology, Dell Children's Medical Center, Austin, TX, USA., Hill AC; Division of Cardiology, Children's Hospital of Los Angeles, Los Angeles, CA, USA., LaPage M; Division of Pediatric Cardiology, University of Michigan, Ann Arbor, MI, USA., Mah D; Division of Cardiology, Boston Children's Hospital, Boston, MA, USA., McCanta A; Division of Cardiology, Children's Hospital of Orange County, Orange, CA, USA., Malloy-Walton L; Division of Cardiology, Children's Mercy, Kansas City, MO, USA., Pflaumer A; Royal Children's Hospital, MCRI and University of Melbourne, Melbourne, AU, USA., Radbill A; Division of Pediatric Cardiology, Vanderbilt University Medical Center, Nashville, TN, USA., Tanel R; Division of Pediatric Cardiology, University of California-San Francisco, San Francisco, CA, USA., Whitehill R; Division of Cardiology, Children's Healthcare of Atlanta, Atlanta, GA, USA., Dalal A; Division of Pediatric Cardiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Jazyk: angličtina
Zdroj: Pediatric cardiology [Pediatr Cardiol] 2024 Jan; Vol. 45 (1), pp. 114-120. Date of Electronic Publication: 2023 Nov 30.
DOI: 10.1007/s00246-023-03348-x
Abstrakt: Cardiac implantable electronic device (CIED) remote transmissions are an integral part of longitudinal follow-up in pediatric and adult congenital heart disease (ACHD) patients. To evaluate baseline CIED remote monitoring (RM) data among pediatric and ACHD centers prior to implementation of a Pediatric and Congenital Electrophysiology  Society (PACES)-sponsored quality improvement (QI) project. This is a cross-sectional study of baseline CIED RM. Centers self-reported baseline data: individual center RM compliance was defined as high if there was > 80% achievement and low if < 50%. A total of 22 pediatric centers in the USA and Australia submitted baseline data. Non-physicians were responsible for management of the RM program in most centers: registered nurse (36%), advanced practice provider (27%), combination (23%), and third party (9%). Fifteen centers (68%) reported that > 80% of their CIED patients are enrolled in RM and only two centers reported < 50% participation. 36% reported high compliance of device transmission within 14 days of implant and 77% of centers reported high compliance of CIED patients enrolled in RM. The number of centers achieving high compliance differed by device type: 36% for pacemakers, 50% for ICDs, and 55% for Implantable Cardiac Monitors (ICM). All centers reported at least 50% adherence to recommended follow-up for PM and ICD, with 23% low compliance rate for ICMs. Based on this cross-sectional survey of pediatric and ACHD centers, compliance with CIED RM is sub-optimal. The PACES-sponsored QI initiative will provide resources and support to participating centers and repeat data will be evaluated after PDSA cycles.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
Externí odkaz: