Feasibility and Acceptability of Using a Telehealth Platform to Monitor Cardiovascular Risk Factors in Hematopoietic Cell Transplantation Survivors at Risk for Cardiovascular Disease
| Autor: | Dayana Chanson, Jennifer Berano Teh, Meagan Echevarria, Bonnie Ky, Lanie Lindenfeld, Eric J. Chow, Ellen Chang, Ryotaro Nakamura, Saro H. Armenian, Aleksi Iukuridze |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Population Psychological intervention Telehealth 03 medical and health sciences 0302 clinical medicine Risk Factors Diabetes mellitus Survivorship curve medicine Humans Survivors education Aged Transplantation education.field_of_study business.industry Hematopoietic Stem Cell Transplantation Hematology Middle Aged medicine.disease Telemedicine Blood pressure Cardiovascular Diseases Heart Disease Risk Factors 030220 oncology & carcinogenesis Emergency medicine Feasibility Studies business Body mass index 030215 immunology |
| Zdroj: | Biology of Blood and Marrow Transplantation. 26:1233-1237 |
| ISSN: | 1083-8791 |
| DOI: | 10.1016/j.bbmt.2020.02.027 |
| Popis: | Cardiovascular disease (CVD) is a leading cause of morbidity and mortality in hematopoietic cell transplantation (HCT) survivors. In these patients, such risk factors as hypertension, diabetes, obesity, and physical inactivity are important modifiers of CVD risk. However, the period when HCT survivors are at greatest risk of developing these risk factors, and in turn CVD, coincides with a drop in engagement in survivorship care. We examined the feasibility and acceptability of a 4-week remote risk-based monitoring (blood pressure monitor, weight scale, pulse oximeter, glucometer) and management program in 18 (11 allogeneic and 7 autologous) HCT survivors at intermediate-high risk of CVD. The median patient age was 66 years (range, 53 to 74 years), 67% had hypertension, 22% had diabetes, 11% were obese (body mass index ≥30 kg/m2), 56% were at intermediate risk of CVD, and 44% were at high risk of CVD. Weekly compliance with the remote monitoring schedule (≥3 readings/week using all devices) ranged from 72% in week 1 to 83% in weeks 2 to 4. Fifteen participants (83%) generated 86 alerts that were outside the predetermined range of normal; 63 of these readings (73%) normalized without intervention, and 23 (27%) necessitated triage by the study research nurse. Nearly all participants reported that the study kept them motivated and involved in their healthcare, and >85% agreed that the study supported their healthcare goals, helped them learn and manage their health conditions, and increased their access to healthcare. These findings may set the foundation for innovative risk-based and remote interventions to reduce the burden of CVD in this growing population of patients. |
| Databáze: | OpenAIRE |
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