成人先天性心脏病远程医疗的可行性和有效性:一项为期一年的单中心经验研究

IF 0.8 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Nunzia Borrelli , Nicola Grimaldi , Flavia Fusco , Antonio Orlando , Michela Palma , Maria Cristina Boccia , Sabrina Bassolino , Anna Iervolino , Berardo Sarubbi
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引用次数: 0

摘要

近年来,患有先天性心脏病的成年人数量明显增加。虽然远程医疗已经成为一种有希望改善护理服务和患者预后的方法,但其在成人先天性心脏病患者中的应用尚未得到广泛探索。本研究旨在评估成人先天性心脏病远程医疗方案的可行性和临床影响。方法:这是一项单中心、前瞻性、观察性研究,于2022年1月至2023年1月进行。在纽约心脏协会II-IV级,使用腕表、配对移动设备和专用医院工作站对25例中度至重度先天性心脏病成年患者进行远程监测。我们评估了住院天数和相关费用、患者满意度和功能参数的变化,包括6分钟步行测试距离、生命体征和超声心动图射血分数。结果25例患者均同意参加远程医疗项目,平均年龄38.35±11.33岁,男性占52%。23名患者完成了该项目。生命体征、功能分级、心室射血分数无明显变化,步行距离明显改善(404±82 m vs 433±142 m, p = 0.03)。值得注意的是,与前一年相比,住院天数和相关费用在TM计划年度显着减少。患者满意度高。一名患者因病情的自然进展而长期住院并死亡。结论中重度先天性心脏病高危患者可从设备实施的远程医疗项目中获益,该项目可直接在家中提供量身定制的专科护理,减少住院率,确保临床状态稳定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Feasibility and effectiveness of telemedicine for adult patients with congenital heart disease: A one-year single-center experience-based study

Feasibility and effectiveness of telemedicine for adult patients with congenital heart disease: A one-year single-center experience-based study

Introduction

The number of adults with congenital heart disease has significantly increased in recent years. While telemedicine has emerged as a promising approach to improve care delivery and patient outcomes, its use for adults with congenital cardiopathies has not been extensively explored. This study aims to evaluate the feasibility and clinical impact of a telemedicine programme for adults with congenital heart diseases.

Methods

This was a single-center, prospective, observational study, carried out between January 2022 and January 2023. A wristwatch, a paired mobile device, and a dedicated hospital workstation were used to telemonitor 25 adult patients with moderate-to-severe congenital heart condition, in II-IV New-York Heart Association class. We assessed changes in hospital admission days and related costs, patient satisfaction, and functional parameters, including 6-min walk test distance, vital signs, and echocardiographic ejection fraction.

Results

All 25 patients agreed to participate to the telemedicine program (mean age 38.35 ± 11.33 years, 52 % male). Twenty-three patients completed the program. No significant changes were observed in vital signs, functional class, ventricular ejection fraction, while walking distance significantly improved (404 ± 82 m versus 433 ± 142 m, p = 0.03). Notably, hospital admission days and related costs were significantly reduced during the TM program year compared to the prior year. Patient satisfaction was high. One patient experienced a prolonged hospitalization and death due to the natural progression of their condition.

Conclusion

High-risk patients with moderate-severe congenital heart disease can benefit from a device-implemented telemedicine program, which offers tailored, specialized care directly at home, reducing hospital admissions and ensuring stable clinical status.
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来源期刊
International journal of cardiology. Congenital heart disease
International journal of cardiology. Congenital heart disease Cardiology and Cardiovascular Medicine
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