利用远程重编程来管理插入式心脏监测器的心律不整警报负担
Amber Seiler1, Sarah Rosemas2, Jiani Zhou2
1CV Remote Solutions, Stokesdale, North Carolina, USA.
Journal of cardiovascular electrophysiology
|January 2, 2024
概括
插入式心脏监测器 (ICM) 的远程重新编程可以显著降低警报负担和诊所工作量. 这种ICM技术的进步节省了临床医生的宝贵时间,以改善患者护理.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 医疗信息学 医疗信息学
背景情况:
- 插入式心脏监测器 (ICM) 产生大量数据,增加了诊所的工作量.
- 远程重新编程ICM警报设置是最近的一项创新.
- 远程重编程对临床工作流程的影响以前没有研究过.
研究的目的:
- 评估ICM设备重编程能力对警报负担的影响.
- 在现实环境中评估对诊所工作流程的影响.
主要方法:
- 一项现实研究将LINQ II ICM与远程重编程与LINQ TruRhythm (TR) ICM进行了比较.
- 接受LINQ II治疗的19,525名患者的倾向评分与接受LINQ TR治疗的19,525名患者的倾向评分相匹配.
- 来自美国患者的数据被取消了身份.
主要成果:
- 在重新编程后,ICM警报减少了20.5% (p < .001).
- 与LINQ TR患者相比,LINQ II患者的重新编程时间更早,更频繁.
- 远程编程的采用预计每100名ICM患者每年节省211个小时.
结论:
- 随着远程能力的增加,ICM警报重编程的利用率有所增加.
- 远程重新编程可以减少ICM随访的临床和患者负担.
- 这项技术可以为其他患者护理活动释放临床医生的时间.
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