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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Using a Novel Smart-Device Application for Follow-up After Percutaneous Coronary Intervention
Bradley H Strauss1, Maneesh Sud1, Yaron Arbel2
1Schulich Heart Program, Division of Cardiology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Smart-device applications provide a feasible method for post-percutaneous coronary intervention (PCI) patient follow-up. This novel approach using mobile surveys can identify care improvement opportunities and assess patient recovery.
Area of Science:
- Cardiology
- Digital Health
- Health Services Research
Background:
- Percutaneous coronary intervention (PCI) patient follow-up is crucial for recovery and care improvement.
- Traditional follow-up methods may have limitations in accessibility and efficiency.
- Smart-device applications present a novel avenue for patient monitoring and engagement.
Purpose of the Study:
- To evaluate the feasibility of using smart-device applications for patient follow-up after PCI.
- To assess the utility of mobile-based surveys in identifying patient outcomes and care gaps.
- To explore patient recovery indicators through digital follow-up.
Main Methods:
- An electronic 26-item survey was administered via a smart-device application (linked to MyChart) to 112 patients post-PCI.
- Surveys were delivered at 4 days, 1 month, 3 months, and 6 months after the procedure.
- Response rates and patient-reported outcomes were analyzed.
Main Results:
- Feasible follow-up achieved with 53% response rates at 4 days and 3-6 months.
- 72% of patients responded to at least one survey; 25% responded to all four.
- At 3-6 months, 30% reported persistent symptoms, 19% had readmissions, and 54% were in cardiac rehab.
Conclusions:
- Smart-device application-based patient questionnaires are a feasible and novel tool for post-PCI follow-up.
- This digital approach can enhance the quality of care by monitoring patient recovery and outcomes.
- Mobile health tools offer a promising strategy for improving patient engagement and identifying areas for intervention.
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