Optimising remote monitoring for cardiac implantable electronic devices: a UK Delphi consensus
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View abstract on PubMed
Summary
This summary is machine-generated.Healthcare professionals in the UK reached strong consensus on remote monitoring (RM) for cardiac implantable electronic devices (CIEDs). Key recommendations focus on patient access, resources, education, and clear escalation pathways for effective RM.
Area Of Science
- Cardiology
- Digital Health
- Healthcare Management
Background
- Remote monitoring (RM) is crucial for managing patients with cardiac implantable electronic devices (CIEDs).
- Increased RM adoption has led to higher workloads for cardiac rhythm management teams.
- A consensus on optimal RM practices for adult CIED patients in the UK was needed.
Purpose Of The Study
- To develop a consensus on optimal remote monitoring management for adult patients with CIEDs in the UK.
- To identify best practices for RM services.
- To address challenges associated with increased RM workload.
Main Methods
- A modified Delphi method was employed.
- A national steering committee developed 114 statements on RM best practices.
- An online questionnaire gathered input from UK specialists, with consensus defined as ≥75% agreement.
Main Results
- 115 responses were received between October and December 2023.
- 79% of statements achieved high agreement (≥90%), with the highest agreement on patient education and support.
- 15% of statements did not achieve consensus, particularly concerning workload distribution.
Conclusions
- Strong agreement exists among UK healthcare professionals on best practices for RM of CIEDs.
- Recommendations include enhancing patient access, resources, education, and clinical escalation pathways.
- Implementing tailored best practices is vital for effective and equitable UK-wide RM services.
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