在心血管植入式电子设备的远程监控中优化工作负载的合理方法
Markus Sane1,2, Toni Jäntti1,2, Annukka Marjamaa1,2
1Helsinki University Hospital Heart and Lung Center, Finland (M.S., T.J., A.M., E.P., C.A., E.T., L.K., P.R., J.K.).
Circulation. Arrhythmia and electrophysiology
|February 20, 2025
概括
优化心血管植入式电子设备的远程监控,通过禁用不可操作的警报,大大减少了数据过载. 持续监测患者安全对于有效的远程设备管理至关重要.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 医疗信息学 医疗信息学
背景情况:
- 对于心血管植入式电子设备 (CIED) 的患者来说,远程监测至关重要.
- 远程监控的过多数据,往往无法采取行动,构成了重大挑战.
- 优化警报传输是有效管理CIED数据的关键.
研究的目的:
- 评估关闭与临床无关的警报对远程监控工作负载的影响.
- 在CIED的优化预警管理期间评估患者安全.
- 分析CIED警报和计划传输的趋势.
主要方法:
- 收集了2023年3732个CIED的警报,计划和患者发起的传播数据.
- 实施了一项策略,以禁用与临床无关的警报.
- 通过分析死前警报和死亡患者警报设置的变化来监测患者的安全.
主要成果:
- 在禁用不相关的警报后,警报传输减少了44% (每个设备/月0.07至0.04).
- 57%的初始警报传输 (1290/2306) 被认为与临床无关.
- 11%的定期转播 (364/3335) 是可起诉的,随着时间的推移,比例没有变化.
结论:
- 积极评估和禁用不相关的CIED警报有效减少远程监控工作量.
- 长期随访是必要的,以通过优化远程监测来确认持续的患者安全.
- 这项研究表明了管理CIED远程监测数据的成功策略.
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