Home delivery of the communicator for remote monitoring of cardiac implantable devices: A multicenter experience during the covid‐19 lockdown

Autor: Roberto Rordorf, Antonino Nicosia, Sergio Valsecchi, Davide Saporito, Monica Campari, Michele Magnocavallo, Paola Vaccaro, Giuseppe Giunta, Massimiliano Marini, Carlo Lavalle, Antonio Rapacciuolo, Marco Valerio Mariani, Agostino Piro, Alessia Bernardini, Stefano Grossi, Carmen Adduci, Francesco Pentimalli, Giuseppe Santarpia
Rok vydání: 2021
Předmět:
Male
Pacemaker
Artificial
2019-20 coronavirus outbreak
Coronavirus disease 2019 (COVID-19)
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Physical Distancing
Pneumonia
Viral
Viral transmission
030204 cardiovascular system & hematology
cardiac implantable electronic device
03 medical and health sciences
0302 clinical medicine
Devices
medicine
Humans
030212 general & internal medicine
Pandemics
covid‐19
remote monitoring
follow‐up
Protocol (science)
SARS-CoV-2
business.industry
Incidence
COVID-19
Arrhythmias
Cardiac
General Medicine
medicine.disease
Home Care Services
Patient preference
Defibrillators
Implantable
Italy
Median time
Remote Sensing Technology
Female
Medical emergency
Cardiology and Cardiovascular Medicine
business
covid-19
follow-up
arrhythmias
Cardiac
female
humans
incidence
male
pacemaker
artificial
pandemics
pneumonia
viral
remote sensing technology
defibrillators
implantable
home care services
physical distancing
Zdroj: Pacing and Clinical Electrophysiology
ISSN: 1540-8159
0147-8389
Popis: Background During the COVID‐19 pandemic in‐person visits for patients with cardiac implantable electronic devices should be replaced by remote monitoring (RM), in order to prevent viral transmission. A direct home‐delivery service of the RM communicator has been implemented at 49 Italian arrhythmia centers. Methods According to individual patient preference or the organizational decision of the center, patients were assigned to the home‐delivery group or the standard in‐clinic delivery group. In the former case, patients received telephone training on the activation process and use of the communicator. In June 2020, the centers were asked to reply to an ad hoc questionnaire to describe and evaluate their experience in the previous 3 months. Results RM was activated in 1324 patients: 821 (62%) received the communicator at home and the communicator was activated remotely. Activation required one additional call in 49% of cases, and the median time needed to complete the activation process was 15 min [25th‐75th percentile: 10–20]. 753 (92%) patients were able to complete the correct activation of the system. At the time when the questionnaire was completed, 743 (90%) communicators were regularly transmitting data. The service was generally deemed useful (96% of respondents) in facilitating the activation of RM during the COVID‐19 pandemic and possibly beyond. Conclusions Home delivery of the communicator proved to be a successful approach to system activation, and received positive feedback from clinicians. The increased use of a RM protocol will reduce risks for both providers and patients, while maintaining high‐quality care.
Databáze: OpenAIRE
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