从心脏植入式电子设备到CareLink网络的警报传输的性能:回顾性分析
Edmond M Cronin1, Joseph C Green2, Jeff Lande2
1Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania.
Cardiovascular digital health journal
|June 23, 2023
概括
心脏设备的远程监控显示了令人满意的警报传输,尽管患者连接问题导致延迟. 每日检查可能会稍微提高成功率,但会增加员工的工作量.
科学领域:
- 生物医学工程 生物医学工程
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
背景情况:
- 心脏植入式电器 (CIED) 的远程监控可以改善患者的护理.
- 基于警报的系统为设备或临床问题提供近乎实时的通知.
- 有效的远程监控在很大程度上依赖于一致的设备连接.
研究的目的:
- 为了评估CIED的患者连接性.
- 分析患者设备到CareLink网络的警报传输时间.
主要方法:
- 追溯分析被取消身份的Medtronic CareLink数据库警报.
- 预警传输时间的计算 (发生到网络到达).
- 按设备类型,警报事件和警报类型分层分析;计算每日连接检查效益.
主要成果:
- 平均警报传输时间为14.8小时 (中位数为6小时);90.9%的警报在24小时内到达.
- 植入式脉冲发生器和心脏再同步治疗心脏起器显示平均传输时间更长.
- 每日连接检查可以将传输成功率提高8.5%,但需要大量的员工时间.
结论:
- 麦德特朗IC CIED警报传输性能通常是令人满意的.
- 患者连接问题可能导致传输延迟.
- 实施每日连接检查以增加临床负担的代价提供了边际改善.
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