在Covid-19爆发期间,在医院和药房之间创建起器远程监控网络
Donato Melissano1, Maria Rosaria Gualtieri1, Assunta Greco1
1Presidio Ospedaliero "Francesco Ferrari", Dipartimento Cardiovascolare, U.O.S.V.D, Cardiologia, Viale Francesco Ferrari, 1, 73042, Casarano, Lecce, Italy.
Indian pacing and electrophysiology journal
|May 28, 2023
概括
在药房使用托特姆设备的新远程监控 (RM) 模型改善了COVID-19期间的心脏设备的随访. 这种协作网络确保了患者的安全和满意度,同时减少了医院访问.
科学领域:
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
背景情况:
- 心脏植入式电子设备 (CIED) 的远程监控 (RM) 已被确认为安全有效.
- 由于COVID-19大流行,需要创新的医疗保健服务模式,以尽量减少患者的暴露.
- 使用新型RM设备 (Totem) 的协作组织模式被实施,以将CIED护理扩展到社区.
研究的目的:
- 为CIED患者评估一个协作RM网络的可行性和有效性.
- 评估患者的满意度和遵守远程随访程序.
- 确定托特姆RM系统在社区环境中的临床和技术实用性.
主要方法:
- 建立了一个与四家配备Totem RM设备的当地药房的网络.
- 64名带有兼容心脏起器的患者被邀请进行远程随访;58人同意.
- 患者数据通过远程传输,并通过医院的RM数据库在18个月内进行管理.
主要成果:
- 在18个月内收到了70个远程监控传输.
- 临床警报包括高心房负担的药理学优化,高阻抗的新心室植入以及设备更换指标.
- 患者满意度调查显示,对远程随访服务的满意度很高.
结论:
- 整合社区药房的协作RM网络是CIED管理的可行模型.
- 这种模式有效地减少了 CIED 患者在疫情期间的住院访问.
- 托特姆系统成功地提供了及时的临床和技术警报,确保了患者的安全和满意度.
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