移动心电图设备和医疗保健的使用在心房后消融患者心房
Joey Junarta1, Parker O'Neill1, Sean J Dikdan2
1Department of Medicine, Thomas Jefferson University Hospital, USA.
Journal of electrocardiology
|June 30, 2023
概括
移动心电图 (mECG) 设备可以减少在心房移除后需要门诊心脏监测器的需求. 然而,这些设备并没有显著降低研究群体中其他医疗保健使用率.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 移动心电图 (mECG) 设备提供可访问的心律失常监测和远程患者评估.
- 它们减少医疗保健利用的潜力,特别是在诸如心房 (AF) 移除等手术后,需要进行调查.
研究的目的:
- 评估移动心电图 (mECG) 设备使用对接受AF切除的患者医疗保健利用的影响.
- 为了比较mECG用户和非用户之间的切除后医疗保健利用率.
主要方法:
- 一组184名患者接受了他们的第一个AF切除,分为mECG用户 (KardiaMobile) 和非用户.
- 医疗保健利用指标在群体之间进行了对比,在消去后的一年.
主要成果:
- 两组之间在办公室访问,急诊室访问,住院,重复手术,电话接触或心脏成像方面没有发现显著差异.
- 使用mECG与 ambulatory心脏监测器使用的显著减少有关 (p=0.04).
- 12个月后的鼻节律维持在各组之间没有差异 (p=0.05).
结论:
- 移动心电图技术可以减少在AF切除后需要门诊心脏监测器的需求.
- 目前的证据表明,mECG的使用不会显著改变更广泛的医疗保健利用或临床结果,如节律维持在这个患者群体.
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