دورية أكاديمية
Frequency of CIED remote monitoring: A quality improvement follow-up study.
| العنوان: | Frequency of CIED remote monitoring: A quality improvement follow-up study. |
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| المؤلفون: | Dechert BE; Department of Pediatrics, University of Michigan, Ann Arbor, Michigan., Bradley DJ; Department of Pediatrics, University of Michigan, Ann Arbor, Michigan., Serwer GA; Department of Pediatrics, University of Michigan, Ann Arbor, Michigan., Dick M 2nd; Department of Pediatrics, University of Michigan, Ann Arbor, Michigan., LaPage MJ; Department of Pediatrics, University of Michigan, Ann Arbor, Michigan. |
| المصدر: | Pacing and clinical electrophysiology : PACE [Pacing Clin Electrophysiol] 2019 Jul; Vol. 42 (7), pp. 959-962. Date of Electronic Publication: 2019 May 20. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Futura Pub. Co. Country of Publication: United States NLM ID: 7803944 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8159 (Electronic) Linking ISSN: 01478389 NLM ISO Abbreviation: Pacing Clin Electrophysiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Mount Kisco, N. Y. : Futura Pub. Co., c1978- |
| مواضيع طبية MeSH: | Defibrillators, Implantable* , Pacemaker, Artificial* , Quality Improvement* , Remote Sensing Technology*, Female ; Follow-Up Studies ; Humans ; Male ; Michigan ; Young Adult |
| مستخلص: | Background: Based on the findings of a prior study of CIED (Cardiac Implantable Electrical Device) remote monitoring (RM) frequency at the same center, the University of Michigan Congenital Heart Center (UMCHC) instituted a quality improvement (QI) change to reduce the frequency of routine CIED RM from every 2 months to every 3 months. The objective of this study is to determine the impact of this QI initiative to reduce workload without compromising patient care. Methods: This is a single-center, retrospective cohort study of all UMCHC patients with CIEDs followed via Medtronic CareLink CIED remote monitoring system from July 2015 to June 2017, after the QI change in 2014. The primary outcome was success of transition to new monitoring schedule. Secondary outcomes included complications, incidence of actionable events (AES), patient compliance, and change in workload. Outcomes were compared to the prior study. Results: There were 325 patients (mean age was 24 ± 14 years) included, of who 293 (90%) completely transitioned to the new RM schedule. During the study period, 96 transmissions included AES (4% of total), of which 50 (52%) were asymptomatic and discovered on routine monitoring. No patient experienced a complication attributable to decreased RM frequency. The mean number of interrogations decreased by 1.6 per patient over the 2-year period compared to prior study. Conclusions: This study demonstrated successful implementation of a QI initiative to reduce CIED monitoring frequency at a single center with no patient adverse events. The intervention reduced workload and potentially improved patient compliance with routine RM. (© 2019 Wiley Periodicals, Inc.) |
| التعليقات: | Comment in: Pacing Clin Electrophysiol. 2019 Jul;42(7):963-964. (PMID: 31034616) |
| فهرسة مساهمة: | Keywords: pediatric; quality improvement; remote monitoring of CIED |
| تواريخ الأحداث: | Date Created: 20190430 Date Completed: 20200701 Latest Revision: 20200701 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1111/pace.13707 |
| PMID: | 31034610 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1540-8159 |
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| DOI: | 10.1111/pace.13707 |