The European TeleCheck-AF project on remote app-based management of atrial fibrillation during the COVID-19 pandemic: centre and patient experiences

Europace - Tập 23 Số 7 - Trang 1003-1015 - 2021
Monika Gawałko1,2, David Duncker3, Martin Manninger4, Rachel M.J. van der Velden2, Astrid N.L. Hermans2, D V M Verhaert5, Laurent Pison6, Ron Pisters7, Martin Hemels7, Arian Sultan8, Daniel Steven8, Dhiraj Gupta9, Hein Heidbüchel10, Afzal Sohaib11, Petra Wijtvliet12, Robert G Tieleman12, Henri Gruwez13, Julian Chun14, Boris Schmidt14, John F. Keaney15, Patrick Müller16, Piotr Lodziński1, Emma Svennberg17,18, O. Hoekstra19, Ward P.J. Jansen19, Lien Desteghe20,21, Tom De Potter22, David R. Tomlinson23, Lis Neubeck24, Harry J.G.M. Crijns2, Nikki A H A Pluymaekers2, Jeroen Hendriks25,26, Dominik Linz26,27,2,5
11st Department of Cardiology, Doctoral School, Medical University of Warsaw, Warsaw, Poland
2Department of Cardiology, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, 6202 AZ Maastricht, The Netherlands
3Department of Cardiology and Angiology, Hannover Heart Rhythm Center, Hannover Medical School, Hannover, Germany
4Division of Cardiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria
5Department of Cardiology, Radboud University Medical Centre, Nijmegen, the Netherlands
6Zienkenhuis Oost Limburg, Genk, Belgium
7Department of Cardiology, Rijnstate Hospital, Arnhem, The Netherlands
8Department of Electrophysiology, University of Cologne, Heart Centre, Cologne, Germany
9Department of Cardiology, Liverpool Heart and Chest Hospital, Liverpool, UK
10Antwerp University and University Hospital, Antwerp, Belgium
11Barts Heart Centre, West Smithfield, London, UK
12Department of Cardiology, Martini Hospital, Groningen, the Netherlands
13University of Leuven, Leuven, Belgium
14Cardioangiologisches Centrum Bethanien, Frankfurt, Germany
15Mater Misericordiae University Hospital, Dublin, Ireland
16Department of Cardiology II—Electrophysiology, University Hospital of Münster, Münster, Germany
17Department of Clinical Sciences, Karolinska Institutet, Danderyd's University Hospital, Stockholm, Sweden
18Deptartment of Cardiology, Karolinska University Hospital, Stockholm, Sweden
19Tergooi Hospital, Hilversum, The Netherlands
20Antwerp University Hospital and Antwerp University, Antwerp, Belgium
21Hasselt University and Jessa Hospital, Hasselt, Belgium
22Cardiovascular Center, Onze Lieve Vrouwziekenhuis, Aalst, Belgium
23Derriford Hospital, Plymouth, UK
24School of Health and Social Care, Edinburgh Napier University, Edinburgh UK
25Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
26Centre for Heart Rhythm Disorders, University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia
27Department of Biomedical Sciences, Faculty of Health and Medical, Sciences, University of Copenhagen, Copenhagen, Denmark

Tóm tắt

Abstract Aims TeleCheck-AF is a multicentre international project initiated to maintain care delivery for patients with atrial fibrillation (AF) during COVID-19 through teleconsultations supported by an on-demand photoplethysmography-based heart rate and rhythm monitoring app (FibriCheck®). We describe the characteristics, inclusion rates, and experiences from participating centres according the TeleCheck-AF infrastructure as well as characteristics and experiences from recruited patients. Methods and results Three surveys exploring centre characteristics (n = 25), centre experiences (n = 23), and patient experiences (n = 826) were completed. Self-reported patient characteristics were obtained from the app. Most centres were academic (64%) and specialized public cardiology/district hospitals (36%). Majority of the centres had AF outpatient clinics (64%) and only 36% had AF ablation clinics. The time required to start patient inclusion and total number of included patients in the project was comparable for centres experienced (56%) or inexperienced in mHealth use. Within 28 weeks, 1930 AF patients were recruited, mainly for remote AF control (31% of patients) and AF ablation follow-up (42%). Average inclusion rate was highest during the lockdown restrictions and reached a steady state at a lower level after easing the restrictions (188 vs. 52 weekly recruited patients). Majority (>80%) of the centres reported no problems during the implementation of the TeleCheck-AF approach. Recruited patients [median age 64 (55–71), 62% male] agreed that the FibriCheck® app was easy to use (94%). Conclusion Despite different health care settings and mobile health experiences, the TeleCheck-AF approach could be set up within an extremely short time and easily used in different European centres during COVID-19.

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Tài liệu tham khảo

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Europace

Tập 23 Số 7

1003-1015

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