Smartphone-based cardiac implantable electronic device remote monitoring : improved compliance and connectivity
© The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology..
Aims: Remote monitoring (RM) is the standard of care for follow up of patients with cardiac implantable electronic devices. The aim of this study was to compare smartphone-based RM (SM-RM) using patient applications (myMerlinPulse™ app) with traditional bedside monitor RM (BM-RM).
Methods and results: The retrospective study included de-identified US patients who received either SM-RM or BM-RM capable of implantable cardioverter defibrillators or cardiac resynchronization therapy defibrillators (Abbott, USA). Patients in SM-RM and BM-RM groups were propensity-score matched on age and gender, device type, implant year, and month. Compliance with RM was quantified as the proportion of patients enrolling in the RM system (Merlin.net™) and transmitting data at least once. Connectivity was measured by the median number of days between consecutive transmissions per patient. Of the initial 9714 patients with SM-RM and 26 679 patients with BM-RM, 9397 patients from each group were matched. Remote monitoring compliance was higher in SM-RM; significantly more patients with SM-RM were enrolled in RM compared with BM-RM (94.4 vs. 85.0%, P < 0.001), similar number of patients in the SM-RM group paired their device (95.1 vs. 95.0%, P = 0.77), but more SM-RM patients transmitted at least once (98.1 vs. 94.3%, P < 0.001). Connectivity was significantly higher in the SM-RM, with patients transmitting data every 1.2 (1.1, 1.7) vs. every 1.7 (1.5, 2.0) days with BM-RM (P < 0.001) and remained better over time. Significantly more SM-RM patients utilized patient-initiated transmissions compared with BM-RM (55.6 vs. 28.1%, P < 0.001).
Conclusion: In this large real-world study, patients with SM-RM demonstrated improved compliance and connectivity compared with BM-RM.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:4 |
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| Enthalten in: |
European heart journal. Digital health - 4(2023), 1 vom: 27. Jan., Seite 43-52 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Manyam, Harish [VerfasserIn] |
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| Links: |
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| Themen: |
Bluetooth |
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| Anmerkungen: |
Date Revised 07.02.2023 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1093/ehjdh/ztac071 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM352538740 |
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| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. | ||
| 520 | |a Aims: Remote monitoring (RM) is the standard of care for follow up of patients with cardiac implantable electronic devices. The aim of this study was to compare smartphone-based RM (SM-RM) using patient applications (myMerlinPulse™ app) with traditional bedside monitor RM (BM-RM) | ||
| 520 | |a Methods and results: The retrospective study included de-identified US patients who received either SM-RM or BM-RM capable of implantable cardioverter defibrillators or cardiac resynchronization therapy defibrillators (Abbott, USA). Patients in SM-RM and BM-RM groups were propensity-score matched on age and gender, device type, implant year, and month. Compliance with RM was quantified as the proportion of patients enrolling in the RM system (Merlin.net™) and transmitting data at least once. Connectivity was measured by the median number of days between consecutive transmissions per patient. Of the initial 9714 patients with SM-RM and 26 679 patients with BM-RM, 9397 patients from each group were matched. Remote monitoring compliance was higher in SM-RM; significantly more patients with SM-RM were enrolled in RM compared with BM-RM (94.4 vs. 85.0%, P < 0.001), similar number of patients in the SM-RM group paired their device (95.1 vs. 95.0%, P = 0.77), but more SM-RM patients transmitted at least once (98.1 vs. 94.3%, P < 0.001). Connectivity was significantly higher in the SM-RM, with patients transmitting data every 1.2 (1.1, 1.7) vs. every 1.7 (1.5, 2.0) days with BM-RM (P < 0.001) and remained better over time. Significantly more SM-RM patients utilized patient-initiated transmissions compared with BM-RM (55.6 vs. 28.1%, P < 0.001) | ||
| 520 | |a Conclusion: In this large real-world study, patients with SM-RM demonstrated improved compliance and connectivity compared with BM-RM | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Bluetooth | |
| 650 | 4 | |a Cardiac implantable electronic devices | |
| 650 | 4 | |a Compliance | |
| 650 | 4 | |a Connectivity | |
| 650 | 4 | |a Patient-initiated transmissions | |
| 650 | 4 | |a Radio frequency | |
| 700 | 1 | |a Burri, Haran |e verfasserin |4 aut | |
| 700 | 1 | |a Casado-Arroyo, Ruben |e verfasserin |4 aut | |
| 700 | 1 | |a Varma, Niraj |e verfasserin |4 aut | |
| 700 | 1 | |a Lennerz, Carsten |e verfasserin |4 aut | |
| 700 | 1 | |a Klug, Didier |e verfasserin |4 aut | |
| 700 | 1 | |a Carr-White, Gerald |e verfasserin |4 aut | |
| 700 | 1 | |a Kolli, Kranthi |e verfasserin |4 aut | |
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| 700 | 1 | |a Nabutovsky, Yelena |e verfasserin |4 aut | |
| 700 | 1 | |a Boriani, Giuseppe |e verfasserin |4 aut | |
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